养老机构医疗护理服务需求潜在类别及其影响因素——陕西省调查实例

摘要/Abstract

摘要：

本文构建量化细分后的养老机构老年人医疗护理服务需求及其影响因素理论分析框架，提出研究假设，基于陕西省224位养老机构老年人的调查数据，应用潜在类别分析技术和有序逻辑回归方法进行实证分析。研究结果发现，养老机构医疗保健服务未受重视，从而在医疗护理时支付了高于预防保健的费用；老年人经济收入对医疗护理服务需求具有显著的负向影响；配偶健在、家庭子女数量刺激了老年人对养老机构医疗护理服务的需求；城市老年人对养老机构医疗护理服务的需求高于农村老年人；养老机构医疗护理服务质量对老年人相应医疗护理服务需求具有正向影响。最后，提出细分市场、积极引导和优化城乡医养资源配置的对策建议。

关键词: 养老机构, 医疗护理服务需求, 潜在类别, 影响因素

Abstract:

This paper constructs a theoretical analysis framework of the subdivided medical care services demand of the elderly in the endowment institutions and its influencing factors, puts forward the research hypotheses, and then uses latent class analysis techniques and ordered logistic regression methods to empirically analyze the survey data from 224 old people living in the endowment institutions in Shaanxi Province. The results show that the medical and health care services in the endowment institutions are neglected, so the elderly have to pay more fees of medical care than those of preventive health; economic income of the elderly has a significant negative impact on medical care services demand; the factors of surviving spouse and the number of children in the family stimulate the medical care services demand of the elderly in the endowment institutions; the medical care services demand of the elderly in the urban areas is higher than that in the rural areas; the quality of medical care services in the endowment institutions has a positive impact on the corresponding medical care services demand of the elderly. Finally, the paper puts forward several countermeasures, including market segment and active guidance and optimal allocation of urban and rural medical and health resources.

Key words: endowment institutions, medical care services demand, latent class, influencing factors

封铁英, 邓晓君, 高鑫. 养老机构医疗护理服务需求潜在类别及其影响因素——陕西省调查实例[J]. , 2020, 32(5): 280-291.

Feng Tieying, Deng Xiaojun, Gao Xin. The Latent Classes of Medical Care Service Demand in Endowment Institutions and Its Influencing Factors: From the Survey in Shaanxi Province[J]. , 2020, 32(5): 280-291.

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