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医疗支持和照护服务对老年人自评健康的影响

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目的 探讨健康老龄化服务体系中医疗支持、照护服务对老年人自评健康的影响,为健康中国建设提供参考.方法 利用CHARLS 2018年调查数据,使用统计描述及有序(Ordered)Probit回归模型进行分析.结果 老年人整体自评健康水平不高,平均得分为2.902分.家庭长期照护和社交参与是老年人自评健康的积极影响因素(P<0.01);居家社区养老服务数量和医疗服务质量正向显著影响老年人健康感知(P<0.05);职工养老保险与自评健康的关系在1%水平上呈现出正向显著性.结论 医疗支持和照护服务能够改善老年人健康状况,应构建支持性家庭养老政策体系和老年人社会参与支持体系,推动居家、社区和机构养老服务融合发展,增加高质量医养结合服务供给,优化医疗和养老保险制度,以提升我国健康老龄化水平.
Impact of medical support,caregiving services on older adults'self-rated health
Objective To explore the impact of medical support and caregiving services in the healthy ag-ing service system on the self-rated health of the elderly in China,and to provide reference for the construction of healthy China.Methods Data from the CHARLS 2018 survey were analyzed using statistical descriptive and Or-dered(Ordered)Probit regression models.Results The overall self-assessed health level of the elderly was not high,and the average score was 2.902 points.Long-term family care and social participation were positive influ-ence factors for the self-assessed health of the elderly(P<0.01);the number of home-based community elderly care services and the quality of health care services positively and significantly affected the health perception of the elderly(P<0.05);and the relationship between employees'pension insurance and the self-assessed health showed a positive significance at the 1%level.Conclusions Medical support and caregiving services can improve the health status of the elderly.It is necessary to establish a supportive family elderly care policy system and a social participation support system for the elderly,so as to promote the integrated development of home,community,and institutional elderly care services,increase the supply of high-quality medical and elderly care integrated services,optimize the medical insurance system and elderly insurance system,and hence healthy aging in China is promoted.

Healthy agingActive ageingSelf-rated healthMedical servicesElderly servicesCommu-nity home-based elderly careSocial support

柏花、柏喜花、姜欣羽

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湖南农业大学公共管理与法学学院,湖南长沙 410128

健康老龄化 积极老龄化 自评健康 医疗服务 养老服务 社区居家养老 社会支持

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(12)