兰州学刊2024,Issue(1) :116-129.

长期护理服务供给对老年人死亡率的影响

The Impact of Long-term Care on the Mortality Rate of the Elderly

刘欢
兰州学刊2024,Issue(1) :116-129.

长期护理服务供给对老年人死亡率的影响

The Impact of Long-term Care on the Mortality Rate of the Elderly

刘欢1
扫码查看

作者信息

  • 1. 苏州大学社会学院
  • 折叠

摘要

《"十四五"公共服务规划》明确了"老有所养"到"老有颐养"等民生事业发展导向,而"老有所终"作为"老有所养"的重要补充,对老年人晚年生活质量有着重要的意义.借助CLHLS三期追踪数据,利用面板二元模型与有序Logit模型,实证考察了长期护理服务供给对老年人死亡率的影响及其效应.研究显示:一是长期护理服务供给对老年人是否死亡有显著负向作用,且对老年人死亡时间有显著正向作用,其效应分别为2.3254和0.4111;二是相较于无长期护理服务人员,有长期护理服务且越偏向正式长期护理服务的老年人死亡率更低、存活时间更长,且在家庭规模、医疗服务可及性、性别、年龄等方面表现出群体异质性;三是长期护理服务供给对老年人死亡率的影响存在中介效应,其传导机制为"长期护理服务供给—自理能力改善—疾病率降低—生存质量优化".因此,需要逐步优化长期护理保障制度发展理念和评价体系等,突出正式长期护理服务供给的重要性,优化家庭护理服务供给方式,以期为"老有所终"目标实现提供政策支持.

Abstract

Using CLHLS tracking data,a panel binary model and an ordered Logit model were used to empirically investigate the impact and effects of long-term care services on elderly mortality rates.Research has shown that long-term care services have a significant negative effect on whether elderly people die,and a significant positive effect on the time of death for elderly people,with effects of 2.3254 and 0.4111,respectively.Compared to elderly people without long-term care services,elderly people with family or formal long-term care services have a higher and longer survival rate and time,and exhibit group heterogeneity in terms of family size,access to medical services,gender,age,and other aspects.The impact of long-term care services on the mortality of the elderly has a mesomeric effect,and its transmission mechanism is"LTCs-Improvement of ADL-Reduction of disease rate-Optimization of quality of life(QOL)".Therefore,it is necessary to gradually optimize the development concept and evaluation system of the long-term nursing security system,in order to provide policy support for the realization of the goal of"a secure end to old age".

关键词

"老有所终"/死亡率/长期护理/ADL/老年人

Key words

"providing for the elderly"/mortality/long term care/ADL/elderly

引用本文复制引用

基金项目

浙江省哲学社会科学规划项目(23NDJC218YB)

教育部人文社会科学重点研究基地重大项目(22JJD630015)

出版年

2024
兰州学刊
兰州市社会科学院 兰州市社会科学界联合会

兰州学刊

CHSSCD
影响因子:0.401
ISSN:1005-3492
参考文献量5
段落导航相关论文