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台灣公共衛生雜誌 ScopusTSSCI

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篇名 台灣民眾對居家服務的貨幣價值評估:假設市場評價法的應用
卷期 32:3
並列篇名 The monetary value of home care service: an application of the contingent valuation method
作者 曾妙慧
頁次 251-263
關鍵字 居家服務假設市場評價法願付價格願接受價格home care servicecontingent valuation methodwillingness to paywillingness to acceptScopusTSSCI
出刊日期 201306

中文摘要

目標:了解台灣民眾對於居家服務的貨幣價值評估,並檢視影響民眾貨幣價值評估之因素。方法:利用假設市場評價法之開放式直接詢價法,以台灣地區年滿20歲及以上之民眾為對象進行電話訪問,搜集民眾對於居家服務的貨幣價值評估,包括「願付價格」與「願接受價格」,共取得1,083份有效樣本。結果:當受訪者的家人有照顧的需求發生時,願意支付平均每小時新台幣107元(N=685)雇用照顧服務員照顧家人;當未來家人需要照顧時,受訪者願意犧牲自己的自由時間、或是辭去工作在家照顧家人,所能接受政府支付的最低補償價格,即「照顧津貼」為平均每小時新台幣144元(N=624);做為一個居家照顧服務員提供非親屬居家服務時,受訪者願意接受的最低薪資為平均每小時新台幣166元(N=547)。結論:在政策意涵上,本研究所得的平均願付價格每小時107元可作為未來社會長期照護保險訂定部份負擔的上限參考值;社會長期照護保險制度下若設計照顧津貼,其額度設定可以低於實物給付的水準;在訂定社會長期照護保險的給付標準時,可將每小時166元做為考量定價的起始點。

英文摘要

Objectives: To investigate how much monetary value people in Taiwan put on home careservice, and to examine the factors that affected public assessment of the monetary value of homecare service. Methods: Using the open-ended contingent valuation method, this study determinedthe monetary values of home care service, including willingness to pay and willingness to accept,by telephone interviews. A total of 1,083 telephone interviews targeted people aged 20 and olderin Taiwan. Results: If a need for home care occurred, then the respondents were willing to payan average of NT$ 107 per hour (N= 685) to employ a care worker to take care of their familymember. The minimum compensation that the respondents wanted in order to sacrifice their freetime or to quit their jobs to take care of a family member at home averaged NT$ 144 per hour (N=624). As a care worker to care for non-relatives, the minimum wage that respondents were willingto accept averaged NT$ 166 per hour (N= 547). Conclusions: These results have the followingpolicy implications: First, the average willingness to pay, 107 NT dollars per hour, can serve asa reference value for the upper limit of the deductible in long-term care insurance. Second, if acare allowance is built into the long-term care insurance system, then it can be set at a lower levelthan payment in kind. Third, 166 NT dollars can be used as the starting value for long-term careinsurance benefits.

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