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A preference for quality: Australian general public's willingness to pay for home and residential aged care
Social Science & Medicine ( IF 4.9 ) Pub Date : 2021-09-25 , DOI: 10.1016/j.socscimed.2021.114425
Billingsley Kaambwa 1 , Gang Chen 2 , Jyoti Khadka 3 , Rachel Milte 4 , Christine Mpundu-Kaambwa 4 , Taylor-Jade Woods 1 , Julie Ratcliffe 4
Affiliation  

In Australia and many other countries internationally, aged care services are provided to older people in their own homes or residential care facilities. The majority of these services are funded by the federal government using taxpayer contributions from the general public. However, the monetary value Australians place on aged care services, and the factors that predict this value, have not been examined. We, therefore, sought to determine the general public's willingness to pay (WTP) for aged care services and examine which factors influence this WTP. A cross-sectional contingent valuation survey was administered to a nationally representative cohort of 10,285 Australians between September and October 2020 from the general population aged 18 years and over. Respondents were asked to indicate their WTP values for satisfactory and high-quality aged care services to be provided in the future. A two-part regression model was used to explain what factors explained variation in WTP. In total, 80% (61%) of respondents were willing to pay to access satisfactory (high) quality home care (counterpart figures for residential care were 64% (45%)). On average, respondents were willing to pay between $126 and $158 ($145 and $237) per week to receive satisfactory-quality (high-quality) home care and between $333 and $520 ($308 and $680) per week for satisfactory-quality (high-quality) residential care. Respondents were willing to pay an additional $120 per week on average to access high-quality aged care. Higher WTP values were generally associated with being younger, male, recent experience with aged care through a close family member accessing aged care and ability to pay. These results suggest general public support for payment of individual co-contributions to access aged care services in the future.



中文翻译:

对质量的偏好:澳大利亚公众愿意为家庭和住宅老年护理付费

在澳大利亚和国际上许多其他国家,老年护理服务是在老年人自己的家中或住宅护理设施中提供的。这些服务中的大部分是由联邦政府使用来自公众的纳税人捐款资助的。然而,澳大利亚人对老年护理服务的货币价值以及预测该价值的因素尚未得到检验。因此,我们试图确定公众对老年护理服务的支付意愿 (WTP),并研究哪些因素会影响该 WTP。在 2020 年 9 月至 2020 年 10 月期间,对 10,285 名来自 18 岁及以上普通人群的澳大利亚人的全国代表性队列进行了一项横断面偶然估值调查。受访者被要求表明他们未来提供满意和高质量的老年护理服务的支付意愿值。使用两部分回归模型来解释哪些因素可以解释 WTP 的变化。总共有 80% (61%) 的受访者愿意付费以获得令人满意的(高质量)家庭护理(住宿护理的对应数字为 64% (45%))。平均而言,受访者愿意每周支付 126 美元至 158 美元(145 美元至 237 美元)以获得令人满意的质量(高质量)家庭护理,每周支付 333 美元至 520 美元(308 美元至 680 美元)以获得令人满意的质量(高质量)。质量)住宅护理。受访者愿意平均每周额外支付 120 美元以获得高质量的老年护理。较高的 WTP 值通常与年轻、男性、最近通过亲密的家庭成员获得老年护理和支付能力获得老年护理的经验。这些结果表明,公众支持支付个人共同出资以在未来获得老年护理服务。

更新日期:2021-09-27
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