养老院的社会责任与竞争优势:浙江省老年人养老服务选择与价格水平的横断面研究

Liyun Liu , Lizheng Shi , Jiadong Pan
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引用次数: 3

摘要

在中国人口老龄化的大背景下,满足消费者需求是养老院履行社会责任、提升竞争优势的重要途径。然而,由于对老年人的养老服务水平和价格选择知之甚少,本研究旨在探讨非残疾老年人的入住意愿、服务水平和价格选择。方法于2018年7月和8月在浙江省三个不同收入水平城市对402名非残疾人进行横断面调查。使用多项逻辑回归和多元线性回归来确定准入意愿、服务水平选择和价格选择的决定因素。结果教育、居住地、子女人数与入住意愿有显著相关。与没有意愿的老年人相比,收入和家庭财富较高的老年人不太可能有条件的意愿,与家人一起生活的老年人不太可能有无条件的意愿。与中级服务相比,月收入较高的老年人(相对风险比[RRR] 3.07, 95%可信区间[CI]: 1.801 ~ 5.233)、家庭财富(RRR 5.451, 95% CI: 2.249 ~ 13.216)和年龄(RRR 1.528, 95% CI: 1.004 ~ 2.326)更倾向于高级服务,月收入较高的老年人(RRR 0.516, 95% CI: 0.344 ~ 0.774)和有养老金的老年人(RRR 0.267, 95% CI: 0.076 ~ 0.931)更倾向于低级服务。老年人月收入每增加1000元,其价格偏好增加398元,住房数量每增加1套,其价格偏好增加270元。拥有养老金增加了价格优惠(468元),而拥有健康保险降低了价格优惠(-690元)。结论老年人入住养老院意愿主要受社会人口因素影响,价格和服务水平选择主要受经济因素影响。养老院应采用市场细分的方法,为不同群体的非残疾老年人提供精准的养老院护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing homes’ social responsibility and competitive edge: a cross‐sectional study on elderly choices about care service and price levels in Zhejiang Province, China

Background

In the context of China's aging population, meeting consumer demand is an essential way for nursing homes to fulfill social responsibilities and improve competitive advantages. However, since little is known about the elderly's service level and price choices for nursing home care, this study aims to explore the non-disabled elderly's nursing home admission intention, service level, and price choices.

Methods

A cross-sectional survey of 402 non-disabled respondents was conducted in three different income level cities of Zhejiang Province, in July and August 2018. Multinomial logistic regression and multiple linear regression were used to identify the determinants of admission intention, service level choice, and price choice.

Results

Education, residence, and number of children were significantly associated with nursing home admission intention. Compared to those with no intention, the elderly with higher income and household wealth were less likely to have conditional intentions, and those living with the family were less likely to have unconditional intentions. Compared to medium-level services, the elderly with higher monthly income (relative risk ratio [RRR] 3.07, 95% confidence interval [CI]: 1.801 to 5.233), household wealth (RRR 5.451, 95% CI: 2.249 to 13.216), and age (RRR 1.528, 95% CI: 1.004 to 2.326) were more likely to prefer high-level services, while older adults with higher monthly income (RRR 0.516, 95% CI: 0.344 to 0.774), and those with pensions (RRR 0.267, 95% CI: 0.076 to 0.931) were less likely to prefer low-level services. The elderly's price preference increased by 398 CNY as monthly income increased by 1 000 CNY, and by 270 CNY as the housing number increased by one. Having pensions increased price preference (468 CNY), whereas having health insurance decreased price preference (–690 CNY).

Conclusion

The elderly's intention of nursing home admission was primarily affected by sociodemographic factors, while price and service level choices were primarily affected by financial factors. Nursing homes should use the market segmentation method to provide precision nursing home care for different groups of non-disabled elderly.

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来源期刊
Global health journal (Amsterdam, Netherlands)
Global health journal (Amsterdam, Netherlands) Public Health and Health Policy
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