医养结合养老模式的支付意愿影响因素研究

发布时间：2018-07-06 20:58

本文选题：医养结合 + 支付意愿　；参考：《统计与信息论坛》2017年09期

【摘要】：利用安徽省全部16个地市的实地调查数据,研究了医养结合养老模式的支付意愿影响因素。研究发现:第一,老年人收入水平越高,对医养结合养老模式的支付意愿越强;第二,老年人健康状况越差,对医养结合养老模式的支付意愿越强;第三,较高的受教育程度能够显著提升老年人对医养结合养老模式的支付意愿;第四,拥有基本养老保险能够增强老年人对医养结合服务的支付倾向,基本医疗保险报销比例越高,老年人的支付意愿越强;第五,老年人健康状况越差,对居家医养融合养老模式的支付意愿越强,而对社区和机构医养结合养老模式的支付意愿没有显著影响。因此,为了加快推进医养结合养老保障的发展,应该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,扩大基本养老保险的覆盖范围,并且提高养老金保障水平和基本医疗保险报销比例。
[Abstract]:Based on the field investigation data of all 16 cities in Anhui Province, the factors influencing the willingness to pay in combination of medical care and support for the aged were studied. The study found that: first, the higher the income level of the elderly, the stronger the willingness to pay for the old-age care model; second, the worse the health status of the elderly, the stronger the willingness to pay for the old-age model combined with medical care; third, Higher level of education can significantly improve the elderly's willingness to pay for the combination of medical care and support. Fourth, having basic old-age insurance can enhance the elderly's tendency to pay for the combination of medical and nursing services, and the higher the proportion of reimbursement for basic medical insurance is, the higher the proportion of basic medical insurance reimbursement is. The stronger the willingness to pay is, the worse the health status of the elderly is, the stronger the willingness to pay for the family medical care integration pension model, but no significant impact on the community and institutional health care combined with old-age care mode of payment will. Therefore, in order to speed up the development of the old-age security, we should construct the network pattern of the combination of medical and nursing, establish the long-term care insurance system, and expand the coverage of the basic old-age insurance. And raise the level of pension insurance and basic medical insurance reimbursement ratio.
【作者单位】：安徽财经大学财政与公共管理学院;
【基金】：安徽省社会科学规模基金项目《安徽省医养融合养老保障的制度构建研究》(AHSKY2017D01) 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) 安徽财经大学研究生科研创新基金《供给侧改革背景下的医养结合养老模式研究——基于微观数据与中部省区的双重视角》(ACY2016145)
【分类号】：D669.6;R197.1

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