上海市浦东新区三甲医院出院老年患者医院-家庭过渡期护理服务需求及支付意愿研究  

Study on Demand and Willingness to Pay for Hospital-home Transitional Care Service Among Discharged Older Patients in Grade-A Tertiary Hospitals in Pudong New Area of Shanghai

作　　者：张呈蕊 栾伟 ZHANG Chengrui(Shanghai Jiao Tong University School of Nursing,Shanghai,200025,China)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海中医药大学附属曙光医院护理部,上海201203

出　　处：《医学与社会》2024年第6期23-29,共7页Medicine and Society

基　　金：上海市卫生健康委员会卫生行业临床研究专项行业学(协)会项目,编号为202150032;上海市教育科学研究项目,编号为C2023136;上海现代护理职业教育集团特聘兼职教师项目,编号为hlzjtpgr202328。

摘　　要：目的:调查上海市浦东新区三甲医院出院老年患者医院-家庭过渡期护理服务需求及支付意愿,为今后制定医院-家庭过渡期护理服务的收费、报销方式提供参考。方法:采用分层随机抽样法对上海市浦东新区三甲医院380名出院老年患者进行问卷调查,统计描述医院-家庭过渡期护理服务需求和支付意愿、可接受的支付金额及报销比例,运用logistic回归对可接受的支付金额进行影响因素分析。结果:出院老年患者对医院-家庭过渡期护理服务需求高,大多(95.3%)有支付意愿,可接受的支付金额为251.89元/月、37.30元/项,可接受的报销比例为每月24.79%、每项33.75%。可接受的支付金额主要受到慢性病患病情况、医疗资源空间距离、家庭对医疗决策的影响程度等因素的影响。结论:上海市浦东新区三甲医院的多数出院老年患者存在医院-家庭过渡期护理服务需求。出院老年患者可接受的支付金额偏低,应进一步深入卫生经济学研究来为日后医院-家庭过渡期护理服务的收费提供标准。Objective:To investigate the demand and willingness to pay for hospital-home transitional care services among older patients discharged from grade-A tertiary hospitals in Pudong New Area of Shanghai,so as to provide references for the pricing and reimbursement approaches of hospital-home transitional care services in the future.Methods:A cross-sectional survey utilizing stratified random sampling techniques was conducted among 380 older patients discharged from grade-A tertiary hospitals in Pudong New Area of Shanghai.The demand for hospital-home transitional care services,willingness to pay,acceptable payment amount,and reimbursement rate were described statistically.The logistic regression was used to analyze the influencing factors of the acceptable payment amount.Results:There was a high demand for hospital-home transitional care services among discharged older patients.A majority(95.3%)expressed a willingness to pay,with an acceptable monthly payment amount of 251.89 yuan and 37.30 yuan per service.The desired reimbursement rates were 24.79% monthly and 33.75% per service.Factors affecting the acceptable payment amount included the status of chronic diseases,distance to medical resources,and the extent of family influence on medical decisions.Conclusion:The majority of discharged older patients exhibit the demand for hospital-home transitional care services in grade-A tertiary hospitals in Pudong New Area of Shanghai.The acceptable payment amount and desired reimbursement rate are relatively low,warranting in-depth health economics research to establish a pricing standard for hospital-home transitional care services in the future.

关 键 词：过渡期护理服务 需求 支付意愿 浦东新区 

分 类 号：R-05[医药卫生]