[1]林岱衡,张宝莹,谭清立,等.我国长期护理保险社区服务需求研究 ——基于生成-内化逻辑[J].卫生经济研究,2024,41(06):60-63.
　LIN Daiheng,ZHANG Baoying,TAN Qingli,et al.Study on the Community Service Demand of Long-term Care Insurance in China ——Based on the Generation-Internalization Logic[J].Journal Press of Health Economics Research,2024,41(06):60-63.
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我国长期护理保险社区服务需求研究
——基于生成-内化逻辑

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年06期
页码:
60-63
栏目:
医疗保障
出版日期:
2024-05-30

文章信息/Info

Title:
Study on the Community Service Demand of Long-term Care Insurance in China
——Based on the Generation-Internalization Logic
作者:
林岱衡1; 2; 张宝莹1; 谭清立3; 游 慧3; 王洁琪3; 翁樱倍1; 毛 俊1
1.广东药科大学护理学院，广东 广州 510000
2.中山大学肿瘤防治中心，广东 广州 510060
3.广东药科大学医药商学院, 广东 中山 528400
Author(s):
LIN Daiheng;  ZHANG Baoying;  TAN Qingli;  YOU Hui;  WANG Jieqi;  WENG Yingbei;  MAO Jun
School of Nursing, Guangdong Pharmaceutical University, Guangzhou Guangdong 510000, China
关键词:
长期护理保险; 社区服务; 扎根理论; 生成-内化逻辑
Keywords:
long-term care insurance;  community service;  grounded theory;  generation-internalization logic
分类号:
R197
文献标志码:
A
摘要:
目的：分析我国长期护理保险社区服务的需求机制及影响要素，提出优化策略。方法：以随机抽样的形式对广州市社区居民进行开放式问卷调查，基于扎根理论，对119份调查的文本进行编码分析。结果：共提取出5个核心编码、13个主轴编码、216个初始范畴，构建长期护理保险社区服务需求生成-内化模型。结论：自理水平冲突、客观供给水平是影响长期护理保险社区服务需求生成的关键范畴；首优选择适配是长期护理保险社区服务需求内化的核心过程，深受患者经济条件与社会服务质量影响；基层印象和政策宣传彼此影响，两者耦合成为串联长期护理保险社区卫生需求-内化大循环的外部保障。建议：大力提升长期护理保险客观供给能力；基于“拓宽筹资渠道、优化服务模式”，适配首优选择；加强政策宣传，缩小信息差，提升长期护理保险对社区服务需求的保障效率。
Abstract:
Objective To analyze the demand mechanism and influencing factors of long-term care insurance community services in China, and to propose optimization strategies. Methods An open questionnaire survey was conducted among community residents in Guangzhou using random sampling. Based on grounded theory, 119 texts on the demand for long-term care insurance community services and grassroots conditions were coded and analyzed. Results A total of 5 core codes, 13 main axis codes, and 216 initial categories were extracted to construct a generation-internalization model for the community service demand of long-term care insurance. Conclusion Self-care level conflict and objective supply level were the key categories affecting the generation of the community service demand of long-term care insurance. First-preferred adaptation was the core process of the internalization of the community service demand of long-term care insurance, which was deeply influenced by the patients' economic conditions and the quality of social services. The coupling of grassroots impression and policy propaganda influenced each other, and the two became the external guarantee that linked the community health demand-internalization cycle of long-term care insurance. Suggestion It is necessary to greatly enhance the objective supply capacity of long-term care insurance, adapt the first-best choice based on "broadening financing channels and optimizing service models", and strengthen policy promotion to narrow the information gaps, so as to improve the efficiency of long-term care insurance in meeting community service demand.

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更新日期/Last Update: 2024-05-30