摘要
目的:通过探究北京市失能老年人居家医疗护理服务的偏好情况,为提高居家医疗护理服务利用率提供依据。方法:应用离散选择实验、便利抽样法及自制的调研问卷,对北京市2个社区253名老年人及其照护者进行面对面的调研,通过混合Logit模型探究失能老年人居家医疗护理服务偏好。结果:居家医疗护理服务的支付费用、机构性质、预约方式、服务内容等属性均对居家失能老年人护理服务偏好有影响(P<0.05)。基于支付意愿的属性排序为机构性质、预约方式、服务内容和服务决策。性别、文化程度、失能程度、收入、子女数量、婚姻状况因素均影响失能老年人的居家护理服务偏好。结论:居家失能老年人偏好费用更低、服务机构为公立机构、采用线上线下都可以预约的医疗护理服务,偏好不接受居家的健康管理服务,对服务决策和护理人员经验没有偏好。可参考居家失能老年人的偏好和具体特征为其提供符合偏好的服务。
Objective:The aim of this study is to explore the preferences of disabled elderly people for home-based medical care services in Beijing,with a view to enhancing the utilization rate of said services.Methods:Utilizing a discrete choice experimental design and aided by a self⁃designed questionnaire,convenient sampling was conducted for face⁃to⁃face surveys among 253 elderly individuals and their caregivers in two Beijing communities.Preferences for home⁃based medical care services among the disabled elderly were determined using a mixed logit model.Results:Significant influences(P<0.05)were found on preferences for home⁃based care among the disabled elderly⁃aspects like payment costs,institutional nature,appointment method,and service content all playing a part.The order of attributes based on willingness to pay are:institutional nature,appointment method,service content and service decisions.Factors including gender,education level,disability degree,income,number of children,and marital status all affect the home care service preferences of disabled elderly individuals.Conclusion:Home⁃based disabled elderly individuals prefer lower-cost services from public institutions that can be scheduled online or offline.They prefer not to receive in-home health management services and show no preference towards service decisions or caregiver experience.These findings can be used to cater services better to the preferences and specific characteristics of home-based disabled elderly individuals.
作者
刘兴振
郑慧娴
张京
景丽伟
LIU Xingzhen;ZHENG Huixian;ZHANG Jing;JING Liwei(Capital Medical University,Beijing 100069 China)
出处
《护理研究》
北大核心
2024年第11期1887-1894,共8页
Chinese Nursing Research
基金
2022年度国家社会科学基金项目,编号:22BSH112。
关键词
离散选择实验
失能
居家护理
老年人
服务偏好
护理
discrete choice experiment
disability
home⁃based care
the elderly
service preferences
nursing
