社区居家养老模式比较符合我国新形势的国情要求，首先，老年人作为市场化居家养老的服务主体，其市场化居家养老服务需求、影响因素关乎养老服务工作朝着高质量方向迈进。在人口老龄化的发展大趋势下，本研究梳理了国内外相关文献对市场化居家养老服务的研究和探讨内容，对本研究所涉及的相关资料和政策制度和文献内容进行了汇总和归纳、梳理；界定了研究过程中需要说明的相关概念和理论基础；其次，从珠海市及高新区居家养老服务现状出发，梳理了珠海市及高新区老年人居家养老服务发展情况、发展基础和发展环境，并根据对珠海高新区社区老年人进行访谈，对相关社区服务人员、市场化居家养老服务经营主体进行座谈，取得的第一手的资料从五个方面出发做了现状分析；接着，基于理论基础和利用微观调查的学习者样本数据，采用二元Logistic模型，实证分析了珠海高新区老年人市场化居家养老服务需求影响因素状况。发现社区居家养老工作普遍存在资金投入不足、人员有限、专业性不强、设施匮乏、服务内容单一等问题，而市场化居家养老服务可作为社区居家养老服务的补充，因此，研究市场化居家养老服务需求、影响因素关乎养老服务工作朝着高质量方向迈进。
在珠海高新区老年人市场化居家养老服务需求影响因素分析中，社区内设置有市场化居家养老服务工作站、老年人获取过市场化居家养老服务、老年人居家养老服务选择意愿越趋向于市场化服务、老年人与子女同住、老年人有较为固定收入、男性老年人、老年人受教育程度越高对市场化居家养老服务需求的影响效应较强且呈现正向影响，对提高老年人参与市场化居家养老服务补充社区居家养老服务内容的需求可能会更强；而老年人对社区服务满意度越高、子女对老年人的照顾越充分、老年人自身生活的自理能力越好、老年人身体状况越好对市场化居家养老服务需求的影响效应较强且呈现负向影响，进而也会抑制老年人参与使用市场化居家养老服务补充社区居家养老服务内容的需求。研究发现，老年人对市场化居家养老服务的认知情况和对居家养老服务的满意度情况对提高老年人市场化居家养老服务需求的影响更强，而老年人家庭环境特征、个体特征对其市场化居家养老服务需求的影响的抑制作用更强。最后，基于研究背景、现状调查和影响因素分析内容及珠海市和高新区的实际情况，从提高老年人市场化居家养老认知力、创新居家养老模式、扩大服务人才队伍、按照“四同步”要求完善养老设施配置、加强监督管理等方面提出了对策建议。

The community home-based care model is more in line with the national conditions of China's new situation. First of all, the elderly are the service subjects of market-based home-based care, and their market-based home-based care service needs and influencing factors are related to the high-quality care service. Under the development trend of aging population, this study combs the research and discussion contents of market-oriented home-based aged care services in domestic and foreign related literatures, and summarizes and summarizes the relevant materials, policy systems and literature contents designed in this study. The related concepts and theoretical basis that need to be explained in the research process are defined. Secondly, starting from the present situation of home care service for the elderly in Zhuhai and High-tech Zone, this paper combs the development situation, development basis and development environment of home care service for the elderly in Zhuhai and High-tech Zone, and makes an analysis of the present situation from five aspects based on interviews with the elderly in Zhuhai High-tech Zone. Then, based on the theoretical basis and the sample data of micro-survey, this paper empirically analyzes the influencing factors of market-oriented home care service demand for the elderly in Zhuhai High-tech Zone by using binary Logistic model. It is found that there are many problems in community home-based care for the aged, such as insufficient capital investment, limited personnel, weak professionalism, lack of facilities and single service content, and the market-based home-based care for the aged can be used as a supplement to the community home-based care for the aged. Therefore, studying the demand and influencing factors of market-based home-based care for the aged is related to the high-quality direction of the service for the aged.
In the analysis of the influencing factors of the demand for market-oriented home care services for the elderly in Zhuhai High-tech Zone, it is found that there are market-oriented home care service workstations in the community, the elderly get market-oriented home care service , the elderly tend to choose market-oriented services, the elderly live with their children, the elderly have a relatively fixed income, and the older men and the older people with higher education level have a strong influence on the demand for market-oriented home care services, which may have a stronger demand for improving the elderly's participation in market-oriented home care services to supplement the content of community home care services. However, the higher the satisfaction of the elderly with community services, the more fully their children take care of them, the better their self-care ability, and the better their physical condition have a strong and negative impact on the demand for market-oriented home-based care services, which in turn will inhibit the elderly from participating in the use of market-oriented home-based care services to supplement the demand for community home-based care services. It is found that the elderly's cognition and satisfaction with the market-oriented home care service have a stronger influence on improving the demand for market-oriented home care service for the elderly, while the family environment characteristics and individual characteristics of the elderly have a stronger inhibitory effect on their demand for market-oriented home care service. Finally, based on the research background, current investigation and analysis of influencing factors, and the actual situation of Zhuhai and Hi-tech Zone, some countermeasures and suggestions are put forward from the aspects of improving the elderly's cognitive ability of market-oriented home-based care, innovating home-based care mode, expanding the service talent team, improving the allocation of old-age facilities according to the requirements of "four synchronizations" and strengthening supervision and management.