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非正式照料的经济价值:基于中国照料者与被照料者视角的意愿调查评估法

Economic Value of Informal Care: Contingent Valuation From the Perspective of Caregivers and Care Recipients in China.

作者信息

Fan Hongli, Gao Jinyan, Chen Lu, Peng Zixuan, Coyte Peter C

机构信息

School of Insurance, Shandong University of Finance and Economics, Jinan, China.

School of Finance, Nankai University, Tianjin, China.

出版信息

Health Econ. 2025 Apr;34(4):699-713. doi: 10.1002/hec.4927. Epub 2025 Jan 7.

Abstract

We estimated the monetary value of informal care from the perspectives of informal caregivers and care recipients in China using the contingent valuation method. Data were obtained from a specially designed survey of 1458 informal caregivers and 972 care recipients. The mean for caregivers' willingness to pay (WTP) for reducing informal care by 1 h per week was CNY32.37 (€4.11), while the mean for willingness to accept (WTA) increasing informal care by 1 h was CNY46.21 (€5.87). The mean for care recipients' WTP (WTA) values for increasing or reducing informal care by 1 h per week were CNY28.74 (€3.65) and CNY44.78 (€5.69), respectively. The WTP and WTA values varied according to care hours and tasks, kinship, and living arrangements, and correlated with the characteristics of both caregivers and care recipients. The WTP and WTA values were also sensitive to a broad range of factors such as health, level of education, employment status, and household income. We highlight the contribution made by informal caregivers to elderly care and recommend the promotion of informal care activities to support and incentivize them.

摘要

我们采用条件价值评估法,从中国非正式照料者和受照料者的角度估算了非正式照料的货币价值。数据来自对1458名非正式照料者和972名受照料者进行的一项专门设计的调查。照料者每周减少1小时非正式照料的支付意愿(WTP)均值为32.37元人民币(4.11欧元),而每周增加1小时非正式照料的接受意愿(WTA)均值为46.21元人民币(5.87欧元)。受照料者每周增加或减少1小时非正式照料的WTP(WTA)值均值分别为28.74元人民币(3.65欧元)和44.78元人民币(5.69欧元)。WTP和WTA值因照料时长和任务、亲属关系及居住安排而异,并与照料者和受照料者的特征相关。WTP和WTA值还对健康、教育水平、就业状况和家庭收入等广泛因素敏感。我们强调了非正式照料者对老年人照料的贡献,并建议推广非正式照料活动以支持和激励他们。

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