Altern Ther Health Med. 2024 Aug;30(8):78-85.
To investigate the preference of elderly patients for "Internet + Nursing Service", so as to provide reference for accurately matching their service needs.
Based on discrete choice experiments, the elderly patients' "Internet + Nursing Service" choice preference questionnaire was prepared, and 410 elderly patients were interviewed face-to-face. The Conditional Logit Model was used for quantitative analysis of the experimental data.
The six attributes included in the study had a significant impact on the elderly patients' preference for "Internet + Nursing Service" (P < .05). Among non-economic attributes, "medical insurance reimbursement ratio -70%" has the highest utility (.263, P < .001), with "hospital size - larger (.205, P < .05)" and "medical insurance reimbursement ratio -50%" (.188, P < .05) ranking second and third, respectively. The relative importance of the attribute of medical insurance reimbursement proportion is the highest (26.44%), and the relative importance of service content is the lowest (9.78%). If the proportion of medical insurance reimbursement increases from 30% to 70%, patients are willing to pay 202.9 yuan, and the probability of choosing "Internet + Nursing Service" increases by 6.1%.
Patients prefer to choose a higher proportion of medical insurance reimbursement, a larger medical institution, a higher level of nurses, low single service costs, a basic package, and "Internet + Nursing Service" led by the government and hospitals. Improvement of the price and medical insurance payment policy is recommended, along with the enhancement of the ability of primary nursing services, strengthening of the management of Internet enterprise platforms, and scientific assessment of the needs of patients for personalized nursing services.
调查老年患者对“互联网+护理服务”的偏好，为准确匹配其服务需求提供参考。
基于离散选择实验法，编制老年人“互联网+护理服务”选择偏好问卷，对 410 名老年人进行面对面访谈。采用条件 Logit 模型对实验数据进行定量分析。
研究纳入的 6 个属性对老年人“互联网+护理服务”偏好均有显著影响（P<0.05）。在非经济属性中，“医保报销比例-70%”效用值最高（0.263，P<0.001），“医院规模-大”（0.205，P<0.05）和“医保报销比例-50%”（0.188，P<0.05）次之，医保报销比例的属性相对重要性最高（26.44%），服务内容的属性相对重要性最低（9.78%）。医保报销比例每提高 10%，患者愿意多支付 202.9 元，选择“互联网+护理服务”的概率增加 6.1%。
患者更倾向于选择医保报销比例高、医疗机构规模大、护士级别高、单项服务费用低、基础包、政府和医院主导的“互联网+护理服务”。建议完善价格和医保支付政策，提升基层护理服务能力，加强互联网企业平台管理，科学评估患者个性化护理服务需求。
