| 引用本文：姜佳缘,王思懿,田侃,等.医养结合政策试点对老年人有偿劳动的影响研究[J].中国卫生政策研究,2025,18(5):58-65 |
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| 医养结合政策试点对老年人有偿劳动的影响研究 |
| 投稿时间：2025-05-01 修订日期：2025-05-19 PDF全文浏览 HTML全文浏览 |
| 姜佳缘1，王思懿1，田侃2，喻小勇1,2 |
| 1.南京中医药大学养老服务与管理学院 江苏南京 210023;2.南京中医药大学养老服务与管理研究院 江苏南京 210023 |
| 摘要:目的 本文探讨医养结合政策试点对老年人有偿劳动的影响。方法 使用2013—2020年CHARLS面板数据，采用双重差分模型验证医养结合政策试点对老年人有偿劳动的影响。结果 研究结果表明，试点地区老年人的有偿劳动参与率较非试点地区平均提高10.3%。在医养结合政策试点对老年人有偿劳动的影响过程中，健康水平起中介作用，社会保障水平则表现出遮掩效应。同时，试点显著提高老年人对农业工作、非农工作、农业自雇的劳动参与率，抑制了农业他雇的参与率。异质性分析发现，试点对农村及中西部地区老年人的提升作用更为明显。结论和建议：医养结合政策试点对老年人有偿劳动有显著提升作用。建议完善医养结合服务体系建设；分阶段提高保障水平并配套劳动激励措施；加大对农村及中西部地区医养结合试点城市的推广力度；构建健康服务与劳动政策的协同机制。 |
| 关键词:医养结合 老年人 有偿劳动 双重差分 |
| 基金项目:江苏省社会科学基金（22GLB012）； 江苏高校哲学社会科学研究（2022SJYB0332）； 江苏省卫生健康事业发展专项《卫生监督调研相关工作研究》； 南京中医药大学哲学社会科学项目（24XRC008） |
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| Impact of integrated healthcare and elderly care policy pilots on older adults’ participation in paid work |
| JIANG Jia-Yuan1, WANG Si-Yi1, TIAN Kan2, YU Xiao-Yong1,2 |
| 1.School of Elderly Care Services and Management， Nanjing University of Chinese Medicine， Nanjing Jiangsu 210023， China;2.Research Institute of Elderly Care Services and Management， Nanjing University of Chinese Medicine， Nanjing Jiangsu 210023， China |
| Abstract:Objective This study examines the impact of integrated healthcare and elderly care policy pilots on paid work among older adults.Methods Using CHARLS panel data （2013—2020）， we employed a difference-in-differences （DID） model to assess the policy effects.Results The results indicate a 10.3% average increase in paid work among older adults in pilot areas. Mechanism analysis reveals that health status mediated this effect， while social security exhibited a suppression effect. The policy significantly increased participation in agricultural work， non-agricultural employment， and self-employed farming but reduced participation in hired agricultural labor. Heterogeneity analysis shows stronger effects in rural and central-western regions.Conclusion and Suggestions： The integrated care policy effectively promotes older adults’ paid work engagement. We recommend strengthening service systems， implementing phased benefit improvements with work incentives， expanding pilot coverage in rural and central-western regions， and fostering health-labor policy coordination. |
| Key words:Integrated healthcare and elderly care Older adults Paid work DID |
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