老龄化背景下陪诊服务需求与接受意愿研究——以贵阳市为例

Research on the Demand and Acceptance Willingness of Medical Escort Services in the Context of Population Aging—A Case Study of Guiyang City

摘要: 为探讨老年群体选择陪诊服务的使用意愿及其关键影响因素，并为构建规范化、可信赖的陪诊服务体系提供政策依据，本文对贵阳市群体采用混合研究方法，结合对606份有效问卷的结构方程模型(SEM)分析，并对老年人、子女、从业人员进行深度访谈。研究结果发现，感知有用性、信任与知觉行为控制对使用意愿具有显著正向影响，态度与主观规范对行为意向的影响未达显著水平。访谈资料揭示了当前行业面临服务标准缺失、公众认知不足与市场监管空白三大困境。本文基于研究结果建议从明确行业监管主体、构建社区嵌入式服务网络、推动科技赋能与适老化改造、加强从业人员队伍建设及开展公众教育五个方面，系统推动陪诊服务的专业化与可持续发展。

Abstract: To investigate the willingness of elderly individuals to use escort services and identify its key influencing factors, thereby providing a policy basis for building a standardized and trustworthy escort service system, this study adopted a mixed-methods approach with a sample from Guiyang City. It combined structural equation modeling (SEM) analysis of 606 valid questionnaires with in-depth interviews with elderly users, their adult children, and service practitioners. The findings indicate that perceived usefulness, trust, and perceived behavioral control exert significant positive effects on usage intention, whereas attitude and subjective norm did not reach significant levels. Interview data further reveal three major challenges currently facing the industry: the absence of service standards, insufficient public awareness, and a regulatory vacuum. Based on these results, this paper proposes systematic recommendations for advancing the professionalization and sustainable development of escort services across five dimensions: clarifying regulatory authorities, constructing community-embedded service networks, promoting technological empowerment and age-friendly adaptation, strengthening the practitioner workforce, and enhancing public education.