俄勒冈州成人寄养照料对养老院照料的可替代性
The substitutability of adult foster care for nursing home care in Oregon.
作者信息
Nyman J A, Finch M, Kane R A, Kane R L, Illston L H
机构信息
Institute for Health Services Research, University of Minnesota, Minneapolis 55455-0392, USA.
出版信息
Med Care. 1997 Aug;35(8):801-13. doi: 10.1097/00005650-199708000-00006.
OBJECTIVES
This study investigates the degree of substitutability of adult foster care for nursing home care in Oregon.
METHODS
Using three tests, the authors determined (1) the extent to which an additional adult foster care resident in a county reduces the number of nursing home residents in that county, (2) which characteristics of residents and facilities are important in sorting residents into either nursing homes or adult foster care facilities, and (3) the price elasticity of demand for adult foster care, using the county as the unit of observation.
RESULTS
It was found that for every additional foster care resident in a county, a nursing home loses 0.85 residents-almost a one-to-one substitution ratio.
CONCLUSIONS
Despite the high degree of substitutability, residents perceive important differences in the characteristics of the two forms of care. Indeed, private residents are, on average, willing to pay twice as much for nursing home care as for adult foster care, suggesting that these differences are important. Finally, private consumers are sensitive to price differences among adult foster care facilities. The implications for policy are discussed.
目标
本研究调查了俄勒冈州成人寄养照料对疗养院照料的可替代程度。
方法
作者通过三项测试确定了：（1）一个县中新增一名成人寄养照料居民会使该县疗养院居民数量减少的程度；（2）居民和设施的哪些特征在将居民分类到疗养院或成人寄养照料设施中很重要；（3）以县为观察单位，成人寄养照料的需求价格弹性。
结果
研究发现，一个县每新增一名寄养照料居民，疗养院就会减少0.85名居民——几乎是一对一的替代率。
结论
尽管可替代程度很高，但居民认为这两种照料形式在特征上存在重要差异。事实上，自费居民平均愿意为疗养院照料支付的费用是成人寄养照料的两倍，这表明这些差异很重要。最后，自费消费者对成人寄养照料设施之间的价格差异很敏感。文中讨论了其对政策的影响。
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