重庆市城市空巢老人家庭医生式服务支付意愿及其影响因素分析  

Analysis of the willingness to pay and the influencing factors for family doctor services among empty-nest elderly in Chongqing

作　　者：谭华伟 陈菲[1] 张培林[2] 刘宪[2] 王政 谭创[1] 黄建[1] 

机构地区：[1]重庆医科大学公共卫生与管理学院、医学与社会研究中心、健康领域社会风险预测治理协同创新中心,重庆400016 [2]重庆市第九人民医院,重庆400700 [3]重庆市渝中区教师进修学院,重庆400015

出　　处：《现代预防医学》2015年第8期1444-1447,共4页Modern Preventive Medicine

基　　金：重庆市社会科学规划项目(2013YBSH048)

摘　　要：目的了解重庆市城市空巢老人家庭医生式服务支付意愿及其影响因素,为完善城市家庭医生式服务筹资机制提供依据。方法采用多阶段随机抽样方法对重庆市864名城市空巢老年人进行问卷调查,调查内容包括空巢老人人口社会学特征、家庭医生式服务知晓、需要情况以及支付意愿等方面。以χ2检验和Logistic回归分别进行单因素和多因素分析。结果重庆市城市空巢老人家庭医生知晓率为81.94%,家庭医生式服务需要率为87.73%,家庭医生式服务支付意愿率为82.64%。多因素Logistic分析结果显示,影响重庆市城市空巢老人支付意愿的因素为受教育程度、家庭收入水平、自评疾病经济负担。结论愿意为家庭医生式服务付费的重庆市城市空巢老人较多。经济因素是重庆市城市空巢老人家庭医生式服务支付意愿的重要影响因素。Objective The study was conducted to assess the willingness to pay and the influencing factors for family doctor services among empty-nest elderly in Chongqing, so as to provide a reference for improving the funding mechanism of urban family doctor services. Methods 864 urban empty-nest elderly were selected by multi-stage random sampling and were surveyed for their sociological characteristics, awareness of family doctor services, demand for family doctor services, and willingness to pay.Chi-square test and logistic regression were used for univariate and multivariate analyses. Results The rate of awareness of family doctor services among the empty-nest elderly was 81.94%, the rate of demand was 87.73%, and 82.64% of the surveyees indicated willingness to pay for the services. Multivariate logistic analysis showed that their willingness to pay were influenced by education level, family income, and self-evaluated economic burden. Conclusion A relatively large number of empty-nest elderly in Chongqing are willing to pay for family doctor services. Economic condition is an important influencing factor for their willingness to pay for such services.

关 键 词：家庭医生制度 城市空巢老人 支付意愿 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]