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OA北大核心CSTPCD

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.