中国杭州城市老年人对数字健康技术的使用意愿、付费意愿及其影响因素
Determinants of and Willingness to Use and Pay for Digital Health Technologies Among the Urban Elderly in Hangzhou, China.
作者信息
Yang Keng, Li Yang, Qi Hanying
机构信息
Institute of Economics, Tsinghua University, Beijing, People's Republic of China.
One Belt-One Road Strategy Institute, Tsinghua University, Beijing, People's Republic of China.
出版信息
Risk Manag Healthc Policy. 2023 Mar 27;16:463-478. doi: 10.2147/RMHP.S393767. eCollection 2023.
PURPOSE
In recent years, little research has been conducted on the willingness to use and pay for digital health technologies for elderly people. Thus, this study investigates the willingness to use and pay for digital health technologies and their influential factors among urban elderly in Hangzhou, China.
METHODS
A structured questionnaire was completed by 639 older adults from 12 communities in Hangzhou. This paper presents a descriptive statistics analysis and performs a multivariate regression to identify the determinants of willingness to use and pay for digital health technologies among the elderly.
RESULTS
The result shows the percentage of participants who chose very willing (3.6%) and partly willing (10%) to use was lower than those who were less unwilling (26.4%) and not willing (27.1%) to use. The percentage of participants who are unwilling (less unwilling,30.5%; not willing, 39.7%) to pay for digital health technology is even higher. The regression results show that age, working status, exercise and physical activity, medical insurance, income, life satisfaction and history of illness were significantly associated with willingness to use digital health technology among urban elderly. On the other hand, age, exercise status, income and history of illness were significantly associated with willingness to pay for digital health technologies among older adults.
CONCLUSION
The overall willingness to use and pay for digital health technologies are low among urban older people living in Hangzhou. Our results have important implications for digital health policy making. Practitioner and regulator should develop strategies to improve the supply of digital health technology services to meet different demands of the elderly with different age, working status, exercise and physical activity, medical insurance, income, life satisfaction and history of illness. And medical insurance would be an important instrument to facilitate digital health development.
目的
近年来，针对老年人使用和付费使用数字健康技术的意愿的研究较少。因此，本研究调查了中国杭州城市老年人使用和付费使用数字健康技术的意愿及其影响因素。
方法
来自杭州12个社区的639名老年人完成了一份结构化问卷。本文进行了描述性统计分析，并进行了多元回归，以确定老年人使用和付费使用数字健康技术意愿的决定因素。
结果
结果显示，选择非常愿意（3.6%）和部分愿意（10%）使用的参与者比例低于不太不愿意（26.4%）和不愿意（27.1%）使用的参与者比例。不愿意（不太不愿意，30.5%；不愿意，39.7%）为数字健康技术付费的参与者比例甚至更高。回归结果表明，年龄、工作状态、锻炼和身体活动、医疗保险、收入、生活满意度和疾病史与城市老年人使用数字健康技术的意愿显著相关。另一方面，年龄、锻炼状态、收入和疾病史与老年人为数字健康技术付费的意愿显著相关。
结论
杭州城市老年人使用和付费使用数字健康技术的总体意愿较低。我们的结果对数字健康政策制定具有重要意义。从业者和监管者应制定策略，以改善数字健康技术服务的供应，以满足不同年龄、工作状态、锻炼和身体活动、医疗保险、收入、生活满意度和疾病史的老年人的不同需求。医疗保险将是促进数字健康发展的重要工具。
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