中国老年人对长期护理人员的偏好:一个离散选择实验
Anli Leng1, Jin Liu2, Elizabeth Maitland3
1School of Political Science and Public Administration, Shandong University, 72 Binhai Rd, Qingdao 266237, China; Smart State Governance Lab, Center for Health Preferences Research, Shandong University, Wenhuaxi Rd, Jinan 250012, China.
Public health
|May 1, 2024
概括
中国的老年人优先考虑提高生活质量 (QoL) 和提供医疗家庭护理的护理人员. 他们表示愿意为改善的质量生活付出更多费用,突出其在长期护理 (LTC) 偏好中的重要性.
科学领域:
- 老年学是指老年学的学科.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 了解长期护理 (LTC) 的偏好对于以人为中心的医疗保健至关重要.
- 中国老年人对护理人员的特殊偏好仍未得到充分研究.
研究的目的:
- 检查中国老年人对长期照顾者的偏好.
- 确定影响护理人员选择和支付意愿的关键属性.
主要方法:
- 一项全国代表性的离散选择实验 (DCE) 调查了2031名年龄在50-70岁的成年人.
- 属性包括护理人员类型,LTC位置,服务内容,成本和生活质量 (QoL).
- 混合逻辑和潜在类模型分析了偏好和边际支付意愿 (WTP).
主要成果:
- 生活质量 (QoL) 是最重要的因素,其次是LTC位置和护理人员类型.
- 老年人更喜欢在家里从正式的护理人员那里获得医疗LTC服务,最高WTP为每月22,832美元.
- 基于性别,教育,家庭规模和LTC保险知识,观察到偏好异质性.
结论:
- 生活质量 (QoL) 在中国老年人的护理者偏好中至关重要.
- 正式护理人员的家庭医疗护理是非常需要的.
- 建议包括培训家庭护理人员,提高LTC保险意识,开发以人为本的多层次LTC系统.
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