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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 To understand the willingness to pay and the influencing factors of family doctor service for urban empty-nesters in urban areas in Chongqing, and to provide basis for improving the financing mechanism of urban family physicians. Methods A multi-stage random sampling method was used to survey 894 urban empty-nesters in Chongqing. The survey included the socio-demographic characteristics, family doctor’s service awareness, needs and willingness to pay of empty-nesters. Univariate and multivariate analyzes were performed using χ 2 test and logistic regression respectively. Results The awareness rates of urban empty-nesters family doctors in urban areas were 81.94%, 87.73% for family doctors and 82.64% for family doctors. The results of multivariate Logistic analysis showed that the factors affecting the willingness to pay of empty nesters in urban areas of Chongqing were educational level, family income level and economic burden of self-rated disease. Conclusion There are more empty nesters in urban Chongqing who are willing to pay for family doctor service. Economic factors are important factors affecting the willingness to pay of urban empty-nesters family doctor service in Chongqing.