首页|社区居家养老服务能否有效提升老年人心理健康水平?——基于内生转换回归模型的实证分析

社区居家养老服务能否有效提升老年人心理健康水平?——基于内生转换回归模型的实证分析

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通过拓展Grossman健康生产函数构建社区居家养老服务的健康效应理论分析框架,基于 2018 年中国老年社会追踪调查数据,采用内生转换回归模型分析社区居家养老服务利用对老年人心理健康的影响及其作用机制.研究发现,社区居家养老服务利用显著提升了老年人的心理健康水平,且这一提升效应具有包容性特征,对受教育程度较低的中西部地区女性老年人的作用更为突出.和精神慰藉与咨询援助服务相比,基础生活服务对老年人心理健康的提升效应更为明显.因此,发展居家养老服务可以作为老龄化背景下提升老年人心理健康水平的有效策略,应全面提升以生活支持服务为基础的社区居家养老服务的有效供给水平.
Can Community Home Care Services Effectively Improve the Mental Health of the Elderly?Empirical Analysis Based on Endogenous Switching Regression Model
This article constructs a theoretical analysis framework of the health effects of community home care services by expanding the Grossman health production function.Based on the 2018 China Longitudinal Aging Social Survey data,this study uses the endogenous switching regression model to empirically analyze the impact of community home care services on the mental health of the elderly and the mechanisms.The study found that the use of community home care services significantly improves the mental health of the elderly,and this improvement effect is inclusive,showing a more prominent effect on female elderly people in the central and western regions with lower education levels.At the same time,community home care services mainly improve the mental health of the elderly through basic life services.Compared with spiritual comfort and counseling assistance services,basic life services have a more obvious effect on improving the mental health of the elderly.Therefore,the development of home-based elderly care services can be an effective strategy to improve the mental health of the elderly in the context of aging.It is necessary to comprehensively improve the effective supply level of community home-based elderly care services based on daily life services.

community home care servicesagingmental healthhealth production functionendogenous switching regression model

何志鹏、王艳南、曾起艳

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中国农业大学经济管理学院

浙江农林大学经济管理学院

社区居家养老服务 老龄化 心理健康 健康生产函数 内生转换回归模型

2024

社会建设

社会建设

ISSN:
年,卷(期):2024.11(6)