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

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。

An analysis on influencing factors of elders' medical consumption behavior under the background of pension combined with medical service: A case study of Nanjing

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.