| 引用本文：和红, 闫辰聿.社区居家养老意愿下居住方式和子女支持对老年人基层卫生服务需求的影响[J].中国卫生政策研究,2021,14(3):64-72 |
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| 社区居家养老意愿下居住方式和子女支持对老年人基层卫生服务需求的影响 |
| 投稿时间：2020-11-12 修订日期：2021-02-05 PDF全文浏览 HTML全文浏览 |
| 和红, 闫辰聿 |
| 中国人民大学社会与人口学院 中国人民大学健康科学研究所 北京 100872 |
| 摘要:目的：探讨居住方式和子女支持对老年人基层卫生服务需求的影响，使基层卫生服务更具针对性，以满足不同居家类型老年人的卫生服务需求。方法：利用2016年中国老年社会追踪调查数据，采用负二项Hurdle回归模型(NBH模型)分析。结果：与子女同住会显著提高城乡居家老年人对基层卫生服务的需求(P<0.05)，子女经济支持则会显著降低需求(P<0.05)；当老年人至少具有一项基层卫生服务需求时，子女情感支持会显著降低其对基层卫生服务的需求(P<0.05)。此外，户口、自评健康、是否有慢病、ADL水平、子女数都是社区居家养老老年人基层卫生服务需求的影响因素(P<0.05)。结论和建议：家庭照护在社区居家养老中发挥着重要作用，应将家庭责任融入社区居家健康养老制度中去；基层医疗卫生机构应根据居家养老老年人的家庭特征，有针对性的提供服务；应当关注农村老年人、失能老年人、患有慢病老年人的需求，丰富基层医疗卫生机构的服务内容，提升服务质量，更好的满足具有社区居家养老意愿老年人的医疗卫生需求。 |
| 关键词:基层卫生服务 居住方式 子女支持 |
| 基金项目:中国人民大学公共健康与疾病预防控制交叉学科重大创新平台成果；北京市社科基金项目研究基地重点项目 （17JDSRA004） |
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| Impact of living styles and children's support on the demand for primary health services of the elderly under the willingness of community home care |
| HE Hong, YAN Chen-yu |
| Institute of Health Science Research, School of Sociology and Population Studies, Renmin University of China, Beijing 100872, China |
| Abstract:Objective: To explore the influence of living styles and children's support on the demands of primary health services of the elderly, so as to make the primary health services more targeted, with a straightforward purpose to meet the demands of different types of nursing home services among elderly population. Methods: Analysis was carried out using the negative binomial hurdle regression model (NBH model) based on the data from the Social Follow-up Survey conducted among the elderly in 2016 in China. Results: Living with children significantly increased the demand for primary health services of the elderly (P<0.05), the financial support of children significantly reduced the demand for primary health services (P<0.05), and the children's emotional support significantly reduced the elderly's demand for primary health services at any time of needed, even once (P<0.05). In addition, household registration, self-rated health, chronic disease, ADL level and the number of children were the factors that influenced elderly's demand for primary healthcare services (P<0.05). Conclusions and Suggestions: Family care plays an important role in community home care, and family responsibility should be integrated into the home-based community healthcare system. The government should pay attention to the practical needs of elderly population in rural areas; disabled elderly and elderly with chronic diseases in general, enrich the service content of primary healthcare institutions, improve the medical service quality, and enhance the betterment of healthcare needs of the elderly who are willing to provide for the community home care. |
| Key words:Primary health service Living styles Children's support |
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