A discrete choice experiment study on the utilization preferences of community residents for "Internet+ Nursing Service"
10.3760/cma.j.cn115682-20250121-00345
- VernacularTitle:基于离散选择实验的社区居民"互联网+护理服务"利用偏好研究
- Author:
Bin XU
1
;
Zhenyu SUN
;
Zhudan YIN
;
Dongfu QIAN
Author Information
1. 南京医科大学第一附属医院神经外科ICU，南京 210000
- Publication Type:Journal Article
- Keywords:
Internet+;
Preference;
Discrete choice experiment;
Home nursing
- From:
Chinese Journal of Modern Nursing
2025;31(32):4391-4397
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate community residents' utilization preferences for "Internet + Nursing Service" and provide evidence for improving service uptake.Methods:Based on literature review, semi-structured interviews, and expert consultation, six service attributes and their levels were identified. Using a discrete choice experiment, 12 choice sets were generated through orthogonal design. Convenience sampling was employed to recruit 294 community residents in Nanjing from January to October 2024. A structured questionnaire was administered, and a conditional logit model was used to explore residents' preferences for "Internet + Nursing Service".Results:A total of 294 questionnaires were distributed, and all were validly returned, with an effective response rate of 100.0%. Preference analysis revealed that nurse type, service continuity, hospital classification, medical insurance coverage, and service price significantly influenced residents' preferences for "Internet + Nursing Service" ( P<0.05). Relative importance analysis indicated that the most valued attributes, in descending order, were medical insurance coverage (41.7%), nurse type (17.9%), service price (12.7%), hospital classification (12.1%), service continuity (11.7%), and waiting time (3.9%). When the proportion of medical insurance coverage reached 80%, residents' willingness to pay was the strongest. Conclusions:Medical insurance coverage is the key factor affecting community residents' choice of "Internet + Nursing Service". Residents prefer services provided by general hospitals and expert nurses. It is recommended to improve medical insurance and pricing policies, allocate resources precisely, and enhance service quality to promote the development of "Internet + Nursing Service".
