医养结合养老模式的需求影响因素研究  

Study on the Factors Affecting the Demands for the Combined Medical and Care Services for the Elderly

作　　者：童莹[1] 秦立建[1] TONG Ying QIN Li - jian(Institute of Finance and Public Management, Anhui University of Finance and Economics, Bengbu, Anhui 233030, Chin)

机构地区：[1]安徽财经大学财政与公共管理学院,安徽蚌埠233030

出　　处：《安徽理工大学学报（社会科学版）》2017年第1期25-32,共8页Journal of Anhui University of Science and Technology:Social Science

基　　金：国家社科基金"农民工基本医疗保险的异地转接研究"(13CGL102);教育部人文社科基金"新型农村合作医疗与城镇居民基本医疗保险两制衔接研究"(12YJC790152);中国博士后科学基金"新医改背景下城乡医疗保障一体化研究"(2012M510316);中国博士后特别资助项目"农村劳动力转移的健康选择机制研究"(2013T60058);安徽省自然科学基金项目"健康和教育人力资本代际传导对收入流动的影响机制研究"(1608085MG153);安徽省高校人文社科研究重点项目"安徽省公立医院治理结构和规制政策评估研究"(SK2016A0018);安徽财经大学重大项目"打造本;硕和MPA三位一体的公共管理学科建设研究"(acjy201608zd);安徽财经大学研究生科研创新基金(ACYC2016145)

摘　　要：利用安徽省16地市的实地调查数据,研究了医养结合养老模式的需求影响因素。研究发现,第一,收入对老年人医养结合养老模式的需求影响呈倒U型结构,即随着收入水平的增长,老年人对医养结合的需求呈先增长后下降的状况;第二,健康状况越差,老年人对医养结合养老模式的需求越大;第三,相比中老年人群体,76岁及以上的高龄老人对医养结合养老模式的需求更为明显。为提升老年人对医养结合需求,应构建医养结合养老模式的差异化网络格局、建立长期护理保险制度、加快基本养老保险的覆盖范围,并且提高养老金保障水平。Based on the actual data from 16 regions and cities in Anhui Province, this paper studies the factors affecting the demands for the combined medical and care services for the elderly. The findings are as follows. Firstly, the effect of income on the demands for the combined medical and care services for the elderly demonstrates a U -shaped structure, the demands growing first and then decreasing afterwards with the increasing income. Secondly, worse health may lead to greater demands for the combined medical and care services. Thirdly, compared with the middle -aged group and initial senile group, people aged 76 or above may have greater demands for this kind of services. In order to boost the elderly＇ s demands for this combined services, the differentiated network of the combined medical and care services for the elderly should be constructed, constructing the long - term insurance system of care, expanding the coverage of the basic pension system for the old and improving the sum of the pension.

关 键 词：医养结合 需求影响因素 PROBIT模型 

分 类 号：D669.6[政治法律—政治学]