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医疗服务可及性对老年人生活满意度的影响

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提升老年人生活满意度是积极应对人口老龄化的重要举措。使用 2014 年和 2018 年中国老年人健康影响因素跟踪调查(CLHLS)数据,探究医疗服务可及性对老年人生活满意度的影响及其作用机制,结果表明:医疗服务可及性对老年人生活满意度存在积极影响,地理可及性和知识/服务可及性均能显著提升老年人生活满意度;提升医疗服务可及性能够有效改善老年人的健康状况,进而提升老年人的生活满意度。异质性分析表明,医疗服务可及性对有充足经济来源、有家人照料以及有情感支持的老年人生活满意度的影响更大。因此,提升老年人的生活满意度可从以下几方面入手:大力推进医疗服务的可及性与均等化,优化医疗资源的配置;加强健康保健知识的宣传教育,提升医疗服务的利用率;同时加快建设友好型社区,充分发挥家庭、社区的功能,鼓励老年人积极参与社会活动,提升老年人的生活品质。
The impact of medical service accessibility on the life satisfaction of the elderly
Enhancing life satisfaction among older adults is an important initiative for healthy aging.Using tracking data from the 2014 and 2018 Chinese Longitudinal Healthy Longevity Survey(CLHLS)of older adults,we explored the impact of healthcare accessibility on life satisfaction of older adults and its mechanism of action.The results show that healthcare service accessibility has a positive impact on life satisfaction of older adults,and both geographic accessibility and knowledge/service accessibility can significantly enhance life satisfaction of older adults.Improving health status is an important mechanism by which healthcare service accessibility enhances life satisfaction of older adults.Heterogeneity analyses show that health service accessibility has a greater impact on the life satisfaction of older persons with sufficient financial resources,family care and emotional support.Therefore,improving the life satisfaction of the elderly can be approached from the following aspects:vigorously promoting the accessibility and equalization of medical services,optimizing the allocation of medical resources,to strengthen the promotion and education of health care knowledge,and to improve the utilization rate of medical services.At the same time,we should accelerate the construction of friendly communities,fully leverage the functions of families and communities,encourage elderly people to actively participate in social activities,and improve their quality of life.

healthcare accessibilityhealth statusemotional supportaginglife satisfaction

罗明忠、岳凤姣、林玉婵

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华南农业大学经济管理学院,广东广州 510642

医疗服务可及性 健康状况 情感支持 老龄化 生活满意度

国家社会科学基金重大项目国家自然科学基金面上项目

23&ZD11272373043

2024

佛山科学技术学院学报(社会科学版)
佛山科学技术学院

佛山科学技术学院学报(社会科学版)

CHSSCD
影响因子:0.156
ISSN:1008-018X
年,卷(期):2024.42(3)
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