摘要
目的:分析北京市社区居民对长期护理保险及其护理服务提供的意愿,探讨北京市社区居民对长期护理保险购买/参与意愿的影响因素及其制度设计、服务提供模式、保险给付方式等的选择,为促进北京市长期护理保险制度的建设提供建议。方法:采用分层多阶段的抽样方法,从北京市16个区抽取10个社区卫生服务中心,自行设计调查问卷,以406名社区居民作为研究对象开展问卷调查,单因素分析采用χ^2检验,多因素分析采用多元Logistic回归开展统计学分析。结果:31.8%的社区居民愿意购买/参与长期护理保险,41.1%的被访者保持中立态度,27.1%的被访者表示不愿意购买/参与长期护理保险。分析发现,年龄、职业、婚姻状况、失能人员数量、长期护理保险了解程度对居民购买/参与长期护理保险的意愿影响,且影响具有统计学意义。结论:北京市社区居民对长期护理保险了解程度不高,且多数居民购买/参与长期护理保险的意愿不明确,还处于中立态度,在长期护理服务模式上多数居民倾向于居家护理和社区居家护理,北京市建立长期护理保险制度应加大政策宣传、实现覆盖范围的普及性、服务提供的多样性。
Objective:To analyze the willingness of community residents in Beijing to purchase long-term care insurance and their nursing services,and to explore the influencing factors of their participation in this long-term care insurance purchase,system design,service delivery mode and insurance payment method.In addition to our general objective,suggestions are provided on promoting the establishment of long-term care insurance System in Beijing.Methods:A multi-stage sampling method was used.10 community health service centers were selected from 16 districts in Beijing,and questionnaires were designed by 406 community residents who are used as the research objects themselves.The Univariate analysis was performed using χ^2 test and the Multivariate analysis was used to conduct statistical analysis using multivariate logistic regression.Results:31.8%of community residents were willing to purchase and to participate in long-term care insurance,41.1%of respondents remained neutral,and 27.1%said they were unwilling to adhere to the long-term care insurance system.The analysis found that age,occupation,marital status,number of disabled people,and long-term care insurance understanding had an impact on residents willingness to purchase and participate in long-term care insurance,which is statistically significant.Conclusions:Beijing residents have a low level of understanding of long-term care insurance,and most of them are not clear about their willingness for long-term care insurance purchase and participation.In the long-term care service model,most residents prefer home care and community home care.The long-term care insurance system establishment in Beijing should increase policy publicity,achieve universal coverage,and provide diversity in service delivery.
作者
陈玫
高卫东
孟彦辰
刘兰秋
CHEN Mei;GAO Wei-dong;MENG Yan-chen;LIU Lan-qiu(School of Medicine and Humanities,Capital Medical University,Beijing 100069,China;Dongbei University of Finance&Economics,Dalian Liaoning 116025,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2019年第12期66-74,共9页
Chinese Journal of Health Policy
基金
北京市教育委员会社科计划一般项目(SM201910025003)
首都卫生管理与教育研究基地开放性课题(2017JD04)
北京市哲社规划办重点项目(2018JD03)。
关键词
长期护理保险
人口老龄化
社区
长期护理服务
Long-term care insurance
Population aging
Community
Long-term care services
