Effect of Integrated Medical and Elderly Care Services on Seniors'Social Participation:An Analysis of Various Mediating Factors Pertaining to Physical and Mental Well-being
Clarifying the mechanisms by which the policies of integrated medical and elderly care services in pilot cities affects the social participation of older persons is a practical need to actively respond to the aging of the population.Based on the theory of positive aging,we explored the mechanism of the policies of the pilot cities combining medical and elderly care to promote the social participation of the elderly.Using data from the China Health and Retirement Longitudinal Study(CHARLS)in 2020,the paper empirically analyzes the impact of policies in pilot cities for the inte-gration of medical and elderly care on social participation among the elderly,and uses a multiple mediation effect model to analyze the mediating role of physiological and psychological health in the process of policies affecting social partici-pation among the elderly in pilot cities for the integration of medical and elderly care.The results of the study suggest that the policies of the pilot cities have a significant effect on the social participation of the elderly,which is still valid after the robustness tests of replacing the explanatory variables,split-sample test,replacing different data,and propensi-ty score matching.The effect of the policies of the pilot cities on the social participation of the elderly varies in terms of age,gender,education level,residence,and region.ADL and depression level play a mediating role in the effect of health-care integration pilot cities'policies on social participation of the elderly.Accordingly,this paper suggests that to better play the important role of the policy of integrating medical and elderly care in the active aging strategy of pilot cities,it is necessary to achieve both publicity and quality improvement,and promote the integrated medical care and elderly care service model,to expand the content of the healthcare integration of elderly care services by matching the supply with the demand,and to improve the effect of the healthcare integration of elderly care by focusing on the physiological and psychological aspects.
integrated medical and elderly carepilot city policy on integrated medical and elderly caresocial participa-tionhealthy aging
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