首页|中国健康老龄化水平的动态演进及服务效能驱动研究

中国健康老龄化水平的动态演进及服务效能驱动研究

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改善老年健康水平,实现健康老龄化是健康中国建设的题中之意.在中国迈入中度老龄化社会的背景下,准确把握中国健康老龄化的实现水平及其服务效能的驱动作用对于改善老年人福祉、推进健康老龄化的实践进程具有重要现实意义.文章基于健康老龄化概念内涵的演变历程并结合中国实际,将健康老龄化定义归纳为通过营造良好的环境和强化内在能力建设,使人们进入老年后能够维持各项功能的正常发挥,积极参与社会生活并寻求自身再发展,从而推动整个经济社会的健康发展.根据这一概念定义,本文从基础支撑、功能发挥、健康发展三个维度构建健康老龄化的测度指标体系,并在把握中国健康老龄化水平及其变动趋势的基础上,进一步采用QAP方法探究健康老龄化服务对健康老龄化水平的影响.研究结果表明:2014-2020年中国整体及三大地区的健康老龄化水平均呈现稳步增长态势,但整体水平仍然偏低、大部分省份得分低于整体均值,无论是健康老龄化水平还是增长幅度均呈现东高、西低的差序格局,省际绝对差异呈现扩大态势;中国健康老龄化水平存在显著的区域差异,并呈现下降趋势,地区间差异成为主要来源且保持稳定,在地区内差异上,东部地区和西部地区均呈现下降趋势,中部地区则呈现波动上升趋势;中国健康老龄化水平空间分异明显,整体上东部地区发展较好,而东北、西南以及中部地区健康老龄化水平低;中国健康老龄化水平呈现显著的空间依赖关系,东部地区表现出明显的高-高集聚特征,而西北、西南地区则呈现连片低-低集聚演化态势;健康老龄化服务中的人力支持差异、物力支持差异、服务可及性差异、服务规范性差异以及服务效率差异对形成健康老龄化水平差异具有显著的正向驱动作用,且健康老龄化服务可及性对健康老龄化水平差异的作用强度最大.为此,强化健康老龄化建设投入(包括服务可及性建设、人财物投入等)并促进区域协同发展和重点区域治理将有助于提升中国健康老龄化水平.
A Study on the Dynamic Evolution of China's Healthy Aging and the Driving Effect of Service Effectiveness
Actively responding to the aging of the population and achieving healthy aging are the essence of building a healthy China.In the context of China's population aging entering a moderate aging society,accurately grasping the level of realization of healthy aging in China and the driving role of service efficiency is of great practical significance for improving the well-being of the elderly and promoting the practical process of healthy aging.Based on the evolution of the concept of healthy aging and combined with China's reality,this article argues that healthy aging in the context of a healthy China actually refers to the ability of people to maintain the normal functioning of various functions,actively participate in social life,and seek their own redevelopment through creating a good environment and strengthening internal capacity building after entering old age,thus promoting the healthy development of the entire economy and society.Based on this conceptual definition,the paper constructs a measurement index system for healthy aging from three dimensions:element support,function play,and healthy development.On the basis of understanding the level and changing trends of healthy aging in China,the QAP method is further used to explore the impact of healthy aging services on the level of healthy aging.The results show that from 2014 to 2020,the level of healthy aging in China as a whole and in the three major regions has shown a steady growth trend,but the overall level is still low,and most provinces score lower than the overall average.Both the level of healthy aging and the growth rate show a pattern of high in the east and low in the west,and the absolute differences between provinces are also expanding;Moreover,there are significant regional differences in the level of healthy aging in China,but the differences show a downward trend,and the inter-regional differences have become the main source and remain stable.As for the intra-regional differences,both the eastern and western regions show a downward trend,while the central region shows a fluctuating upward trend;In terms of spatial distribution,the level of healthy aging in China is significantly different,with the eastern region developing better overall,while the northeast,southwest,and central regions have become the low-lying areas of healthy aging;In terms of spatial correlation,the level of healthy aging in China shows significant spatial dependence,with obvious high-high agglomeration characteristics in the eastern region,while the northwest and southwest regions show a continuous low-low agglomeration evolution trend;In terms of driving factors,differences in human support,material support,service accessibility,service standardiza-tion,and service efficiency in health aging services have significant positive driving effects on the formation of differences in health aging levels.However,the accessibility of health aging services has the greatest impact on the differences in health aging levels.To this end,strengthening investment in the construction of healthy aging,including service accessibility construction,human and financial investment,and promoting regional coordinated development and key regional governance,can effectively improve the level of healthy aging in China.

Healthy AgingActive AgingService EffectivenessRegional DifferencesSpatiotemporal Differentiation

刘慧君、吴鹏

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西安交通大学 公共政策与管理学院,陕西 西安 710049

健康老龄化 积极老龄化 服务效能 区域差异 时空分异

2025

人口学刊
吉林大学

人口学刊

北大核心
影响因子:2.307
ISSN:1004-129X
年,卷(期):2025.47(1)