| 引用本文：杨辰啸, 乔嘉慧, 鲁贝, 李秋莎, 赵兹旋, 杨春晓, 陈钟鸣, 尹文强.退休老年群体劳动参与行为对医疗服务利用的影响研究[J].中国卫生政策研究,2023,16(6):44-51 |
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| 退休老年群体劳动参与行为对医疗服务利用的影响研究 |
| 投稿时间：2023-03-21 修订日期：2023-06-06 PDF全文浏览 HTML全文浏览 |
| 杨辰啸1,2,3, 乔嘉慧1,2,3, 鲁贝1,2,3, 李秋莎2,3,4, 赵兹旋2,3,4, 杨春晓2,3,4, 陈钟鸣1,2,3, 尹文强1,2,3 |
1. 潍坊医学院管理学院 山东潍坊 261053;
2. “健康山东”重大社会风险预测与治理协同创新中心 山东潍坊 261053;
3. 健康相关重大社会风险预警协同创新中心 上海 200032;
4. 潍坊医学院公共卫生学院 山东潍坊 261053 |
| 摘要:目的：探究退休老年群体劳动参与行为对其医疗服务利用的影响，为渐进式延迟退休政策的推出提供建议。方法：使用2020年CFPS数据，采用Logit回归模型和倾向得分匹配进行分析，通过三步回归法与KHB分解法检验变量间的中介效应。结果：Logit模型显示退休后参与劳动对医疗服务利用存在负向影响（P<0.05）；PSM检验显示，退休后参与劳动对门诊服务利用、住院服务利用平均处理效应分别为-0.059、-0.074，对男性老年人和退休收入低的老年人在医疗服务利用方面的作用更明显；自评健康对门诊服务利用和住院服务利用的中介效应分别占总效应的68.25%和39.07%。结论：退休后的劳动参与行为可一定程度缓解医疗资源压力，应鼓励老年人退休后参加劳动，并根据不同人群弹性调整退休政策。 |
| 关键词:退休老年群体 劳动参与 医疗服务利用 自评健康 |
| 基金项目:山东省重点研发计划（软科学项目）（2022RKY07002）；教育部人文社会科学基金项目（22YJAZH137） |
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| Research on the influence of labor participation on the utilization of medical services by the retired elderly |
| YANG Chen-xiao1,2,3, QIAO Jia-hui1,2,3, LU Bei1,2,3, LI Qiu-sha2,3,4, ZHAO Zi-xuan2,3,4, YANG Chun-xiao2,3,4, CHEN Zhong-ming1,2,3, YIN Wen-qiang1,2,3 |
1. School of Management, Weifang Medical University, Weifang Shandong 261053, China;
2. "Health Shandong" Severe Social Risk Prevention and Management Synergy Innovation Center, Weifang Shandong 261053, China;
3. Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, China;
4. School of Public Health, Weifang Medical University, Weifang Shandong 261053, China |
| Abstract:Objective: To explore the influence of labor participation as a group of retired elderly people on their utilization of medical services, and to provide suggestions for the introduction of progressive delayed retirement policy.Methods: Logit regression model and propensity score matching (PSM) are used to analyze CFPS data in 2020, and three-step regression method and KHB decomposition method are used to test the mediating effect between variables.Results: Logit model shows that participation in labor has a negative effect on medical service utilization (P<0.05). The PSM test shows that the average treatment effects of labor participation after retirement on the utilization of outpatient services and inpatient services are -0.059 and -0.074 respectively, and the effects on the utilization of medical services are more obvious for the male elderly and the elderly with low pension. The mediating effect of self-assessment of health on outpatient service utilization and inpatient service utilization accounts for 68.25% and 39.07% of the total effect respectively.Conclusion: Labor participation after retirement can alleviate pressure of medical resources to a certain extent, and it is advised the elderly be encouraged to participate in labor after retirement, and the retirement policy be adjusted flexibly according to different groups. |
| Key words:Retired elderly Labor participation Medical serviceutilization Self-assessment of health |
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