The Relationship Between Regional Healthcare Resource Allocation and the Risk of Anxiety and Depression in the Elderly Population
Objective To explore the relationship between regional medical resource allocation and the risk of anxiety and depression among the elderly in China.Methods Microdata from the 2018 Chinese Longitudinal Healthy Longevity Survey(CLHLS)and macro-level data from the 2018 China Statistical Yearbook were utilized.A total of 12450 individuals aged 60 and above from 23 regions were selected as the research sample.The impact of regional healthcare resource allocation on the risk of depression and anxiety in the elderly was assessed using a Logit model.Results The results showed that after controlling for age,gender,chronic diseases and other factors,the risk of anxiety and depression in the elderly decreased by 12.5%and 14.7%respectively for every additional 1000 health technicians in the region;the risk of depression among the elderly was reduced by 17.4%for each additional bed in medical institutions per 1000 people in the region.In addition,the heterogeneity results showed that increasing the number of health technicians per 1000 population had a significant effect on reducing the risk of anxiety and depression in rural elderly,and increasing the number of beds in medical institutions per 1000 population had a significant effect on reducing the risk of anxiety and depression in urban elderly.Conclusion The allocation of regional medical resources is negatively related to the risk of anxiety and depression in the elderly.The government should continuously improve the allocation of medical resources in various regions of China,and focus on increasing the number of health technical personnel per thousand population in rural areas,and the number of medical institution beds per thousand population in urban areas.