| 引用本文：白晨.医养结合背景下城乡社区老年健康管理服务供给及效果研究——来自“中国老年健康影响因素跟踪调查”的证据[J].中国卫生政策研究,2020,13(3):31-37 |
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| 医养结合背景下城乡社区老年健康管理服务供给及效果研究——来自“中国老年健康影响因素跟踪调查”的证据 |
| 投稿时间：2019-12-30 修订日期：2020-03-02 PDF全文浏览 HTML全文浏览 |
| 白晨 |
| 中国人民大学劳动人事学院 北京 100872 |
| 摘要:本文利用“中国老年健康影响因素追踪调查（CLHLS）”十年的数据，实证考察了医养结合背景下，城乡社区老年健康管理服务供给及效果。结果发现，尽管我国社区健康管理服务的供给水平不断提升，但总体水平较低，城乡差异仍然突出，特别是“精神慰藉”等心理健康服务仍然不足；提高社区健康管理服务有助于降低城乡老人发生大病、认知受损及负面情绪等风险，同时也有助于提高老年人特别是农村老人的生活满意度。因此，要特别注重提高服务供给的城乡均等化水平，同时也要有针对性地增加与促进老年精神及认知健康相关服务内容。 |
| 关键词:社区健康管理服务 医养结合 CLHLS 城乡差异 |
| 基金项目:国家科技部重点研发计划项目（2018YFC2000400） |
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| Study on the supply and effects of community health management service for urban-rural elderly under the background of pension combined with medical service: Evidence from CLHLS |
| BAI Chen |
| The School of Labour and Human Resources, Renmin University of China, Beijing 100872, China |
| Abstract:Using the 10-year penal data from Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study empirically investigated the supply and effect of elderly health management services in urban and rural communities under the background of pension combined with medical service. It was found that, although great and constant progress had been made in enhancement of community health management service supply systems, the overall supply was still at a relatively low level with notable and prominent disparities between urban and rural areas, especially for mental health services where spiritual consolation was found to be insufficient. Besides, more community health management service supply not only has close association with relatively low risk of serious diseases, cognitive impairment, and depression symptom but also helps to promote life satisfaction of the elderly in urban and rural areas. Consequently, special attention should be paid to promoting the community health management service equity in both urban and rural areas, and more mental or cognitive health related services should also be specifically delivered among elderly in all locations. |
| Key words:Community health management service Pension combined with medical service CLHLS Urban-rural disparity |
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