The Elderly In Hohhot City Paid Their Willingness And Influence Factors To The Medical And Nursing Institutions

Objective To understand the status quo of the willingness to pay of the elderly in Hohhot for the combination of medical and elderly care institutions,analyze the relevant factors affecting the willingness to pay of the elderly,and provide reference for the construction and development of the medical and elderly care service model system in minority areas in my country.The comprehensive development of my country’s medical and elderly care system.Methods This study is a cross-sectional study,using the method of proportional sampling to investigate the elderly aged 60 and over in four main urban areas of Hohhot City in 2021:Huimin District,Saihan District,Yuquan District,and Xincheng District.The method of questionnaire survey was adopted,and the contents of the questionnaire included the basic situation of individuals and families,the needs and willingness to pay for the combination of medical care and elderly care,the status of personal health and disease burden,and the status of social support.Statistical methods include two independent sample t-test,one-way ANOVA,Pearson correlation analysis and multiple linear regression analysis.Results 1.A total of 1042 questionnaires were distributed and returned in this study,of which 1008 were valid,and the effective recovery rate of the questionnaire was 96.74%.Among them,there were 519 males(51.49%)and 489 females(48.51%).The average age was 69.47±6.42 years old,the youngest was 60 years old and the oldest was 90 years old.The average monthly payment of elderly care institutions that can accept medical and nursing care is 2076.49±36.79 yuan,the maximum willingness to pay is 5000 yuan/month,and the minimum willingness to pay is 100 yuan/month.According to the group survey of willingness to pay,the number of people with 1,001-2,000 yuan is the largest(322 people,accounting for 31.94%),followed by 1,000 yuan and below per month(314 people,accounting for 31.15%),2001-3,000 yuan(275 people)people,accounting for 27.78%),only 97 elderly people accept monthly payment of more than 3,000 yuan,accounting for 9.62%.2.The results of two independent samples t test and one-way analysis of variance showed that the willingness to pay of elderly people in Hohhot for the combination of medical and elderly care institutions was significantly affected by gender,residence type,region,education level,occupation before retirement,monthly income level,There were statistically significant differences in whether there was endowment insurance,housing satisfaction,understanding of the combination of medical care and nursing,self-assessment of physical self-care status,and burden of disease diagnosis and treatment(P<0.05).The results of Pearson correlation analysis showed that age,drug expenditure,total social support scores were positively correlated with willingness to pay(P<0.05).3.In the multiple linear regression model,the influencing factors of the elderly’s willingness to pay for the combination of medical and elderly care institutions include the type of residence,marital status,living status,monthly income level,understanding of the combination of medical and elderly care,disease diagnosis and treatment burden,drug expenditure and social support total score.Among them,the monthly income level has the greatest influence on the willingness to pay of the elderly(β=366.509),and the influence of drug expenditure is the least(β=0.02).The specific results are explained as follows:the willingness to pay of the elderly will increase by 366.509 yuan for each stage of increase in the monthly income level;the willingness to pay will increase by 271.751 yuan when the marital status changes from married with a spouse to no spouse;for each increase in the burden of disease diagnosis and treatment,the elderly will increase by 271.751 yuan.People’s willingness to pay decreased by 241.130 yuan;the living status changed from non-single living to single-living,the willingness to pay decreased by 238.082 yuan;as the place of residence changed from urban to rural,the willingness to pay decreased by 226.761 yuan;each level of understanding of the combination of medical care and elderly care increased,the elderly People’s willingness to pay increased by 104.725 yuan;for every 1 point increase in the total social support score,the elderly’s willingness to pay increased by 16.257 yuan.The willingness to pay of the elderly increases by 0.02 yuan for every additional 1 yuan of drug expenditure.