| 引用本文：邓敏, 杨莉, 陈娜.医养结合下老年人医疗消费行为影响因素分析——以南京市为例[J].中国卫生政策研究,2017,10(1):52-57 |
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| 医养结合下老年人医疗消费行为影响因素分析——以南京市为例 |
| 投稿时间：2016-10-08 修订日期：2016-12-11 PDF全文浏览 HTML全文浏览 |
| 邓敏, 杨莉, 陈娜 |
| 南京中医药大学卫生经济管理学院 江苏南京 210023 |
| 摘要:目的：在“医养结合”背景下，老年人能否合理、有效、充分的利用医疗资源，建立良好的医疗消费行为和消费意向，对于实现健康养老、提高老年人生活幸福感具有重要意义。方法：基于南京地区的微观调查数据，利用计划行为理论和结构方程模型对影响该地老年人医疗消费行为和消费意向进行系统分析，从行为态度、主观规范和知觉行为控制分析医疗消费行为的影响因素。结论：老年人感知看病行为的难易程度与其医疗消费行为意向不存在显著因果关系；老年人的医疗消费行为意向受到其所处的社会网络中各类社会关系的影响；老年人的医疗消费行为受到行为信念、规范信念、行为态度和主观规范的作用。 |
| 关键词:医疗消费行为 老年人 计划行为理论 医养结合 |
| 基金项目:江苏高校哲学社会科学研究指导项目（2016SJD840006）；国家社会科学基金（15CRK015） |
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| An analysis on influencing factors of elders' medical consumption behavior under the background of pension combined with medical service: A case study of Nanjing |
| DENG Min, YANG Li, CHEN Na |
| School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing Jiangsu 210023, China |
| Abstract:Objective:Under the background of "pension combined with medical service", for the elders to reasonably, effectively and fully utilize the medical resources, it is of vital significance to establish good medical consumptive behavior and consumption intention, to promote healthy old age and improve elders' health and happiness to help them cultivate a fine habit in their practical life. Methods:Based on the micro-survey data of investigation in Nanjing, this paper systematically analyzed the factors influencing elders' medical consumption behavior by using the theory of planned behavior and structural equation model. Results:Different factors were classified into behavioral attitudes, subjective norms and perceived behavior control, and significant variables were found out through behavior model as well as though measuring their relative effects. Conclusion:There is no significant casual relationship between the perceived behavior control and medical consumption behavioral intention. The elders' medical consumption behavior intention is affected by various social network relationships. The belief strength, normative belief, behavioral attitudes and subject norms can affect elders' medical consumption behavior. |
| Key words:Medical consumption behavior Elder Theory of planned behavior Pension combined with medical service |
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