The Latent Classes of Medical Care Service Demand in Endowment Institutions and Its Influencing Factors: From the Survey in Shaanxi Province

Abstract

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

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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