| 引用本文：王怡欢, 温海红, 张蓉.我国老年长期护理服务质量及其影响因素分析——基于上海市的实证研究[J].中国卫生政策研究,2020,13(6):65-72 |
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| 我国老年长期护理服务质量及其影响因素分析——基于上海市的实证研究 |
| 投稿时间：2020-03-13 修订日期：2020-05-09 PDF全文浏览 HTML全文浏览 |
| 王怡欢1, 温海红2, 张蓉2 |
1. 中国人民大学公共管理学院 健康保障研究中心 北京 100872;
2. 西安交通大学公共政策与管理学院 陕西西安 710049 |
| 摘要:利用上海市调研数据，以60岁及以上老人为研究对象，基于SERVQUAL模型和有序多分类逻辑回归方法分析我国老年长期护理服务质量及其影响因素。研究发现：老人对长期护理服务质量评价不高，且常用临床护理服务质量略低于基本生活照料服务质量。供给方因素中护理机构基础设施、管理水平、护理人员专业水平对长期护理服务质量的提升具有正向激励作用。需求方因素中老人养老金水平对长期护理服务质量的提高具有显著正向激励，而老人的失能程度对服务质量具有显著负向影响，且与男性老人相比，女性老人对长期护理服务质量评价显著更高。研究结果为精确地评估我国老年长期护理服务质量提供了科学依据，对提升失能老人的生活质量，促进我国长期护理服务产业的发展具有重要的政策启示。 |
| 关键词:失能老人 长期护理服务 服务质量 SERVQUAL模型 |
| 基金项目:国家社科基金一般项目“互联网＋”城镇居家社区养老服务水平提升路径研究（17BSH123）；中国人民大学“中央高校建设世界一流大学（学科）和特色发展引导专项资金”（2019041） |
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| Analysis on long-term care service quality of China and its influencing factors: Empirical research based on Shanghai |
| WANG Yi-huan1, WEN Hai-hong2, ZHANG Rong2 |
1. School of Public Administration, Renmin University of China, Health Security Research Center, Beijing 100872, China;
2. School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an Shannxi 710049, China |
| Abstract:Using Shanghai survey data and based on SERVQUAL model and ordinal multi classification logistic regression, this paper analyzed the quality of long-term care service for the elderly in China and its influencing factors. The results showed that the elderly have low evaluation of long-term care services quality, and commonly used clinical care services quality is slightly lower than the basic life care services quality. For the improvement of long-term care service quality, the infrastructure, the management level and the professional level of nursing staff hada positive incentive effect among the supply side factors. With the demand side factors, elderly's pension level had a significant positive incentive, while the disability level showed a negative impact.In addition, compared with the male elderly, the female elderly hada significantly higher evaluation of long-term care service quality. This provides a scientific basis for the accurate assessment of long-term care service quality for the elderly in China. Important policy recommendationsare put forward for improving the quality of life of the disabled elderly and promoting the development of long-term care services industry in China. |
| Key words:Disabled elderly Long-term care service Service quality The SERVQUAL model |
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