基于离散选择实验的北京市失能老年人居家医疗护理服务偏好研究

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Study on home⁃based care service preferences of disabled elderly people in Beijing based on discrete choice experiments

LIU Xingzhen， ZHENG Huixian， ZHANG Jing， JING Liwei

Capital Medical University， Beijing 100069 China

Corresponding Author  JING Liwei， E⁃mail： lwjing2004@ccmu.edu.cn

Abstract  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.

Keywords  discrete choice experiment； disability； home⁃based care； the elderly； service preferences； nursing

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。（剩余14418字）