居住方式、医疗服务利用对我国老年人健康的影响

发布时间：2018-03-08 11:19

本文选题：居住方式　切入点：医疗服务利用　出处：《华东理工大学》2017年硕士论文　论文类型：学位论文

【摘要】：随着人口老龄化的不断加剧,老年人的健康已经成为社会广泛关注的问题。传统的居住模式和家庭结构发生了巨大变化,动摇了传统的家庭照顾的基础,医疗服务利用也因居住方式的改变而不同。另外,医疗技术的改进和人们健康观念的改善,对健康也会产生不同的影响。本研究基于2011年中国老年人健康长寿影响因素调查数据,实证分析了居住方式、医疗服务利用及老年人健康之间的内在关系,研究结果如下：(1)居住方式对我国老年人的健康具有重要的影响。总的来说,独居老人的健康程度最高,养老机构的老人健康程度最低。具体而言,独居老人的生理健康和认知健康最好,其次是与子女居住和与配偶居住,在养老院居住的老人生理健康和认知健康最差。同时还进行了分群体研究,发现独居的城市老人、女性老人、高龄老人的生理健康更好；养老机构的农村老人、女性老人、高龄老人的生理健康更差；独居的农村老人认知健康更好。(2)医疗服务利用作为公共政策实施的工具,在保障老年人健康方面发挥了重要的作用。本研究发现,体检对于认知健康和生理健康有着显著地正相关性；及时治疗对于生理健康、认知健康以及自评健康都起到了显著地正向影响；而医疗费用支出对生理健康、认知健康和自评健康有显著的负相关性。分群体检验时也发现,医疗服务利用也存在不同程度的群体差别。(3)研究还解析了居住方式通过医疗服务利用影响健康的机制。发现居住方式通过医疗服务利用对老年人的健康产生影响。具体来说,独居弱化了体检对于生理健康产生的正向影响；养老机构居住对体检与认知健康起到了负向调节作用；养老机构居住弱化了及时治疗对于认知健康的正向影响；养老机构居住弱化了医疗费用对认知健康的正向影响；与配偶居住弱化了医疗费用支出对于自评健康的正向影响。因此证明了居住方式通过医疗服务利用来影响老年人的健康水平。
[Abstract]:With the increasing aging of the population, the health of the elderly has become a widespread concern in society. Great changes have taken place in traditional living patterns and family structures, which have shaken the foundation of traditional family care. The use of medical services also varies according to the change in the way of living. In addition, the improvement of medical technology and the improvement of people's health concept, This study, based on the data of 2011 Chinese elderly Health and Longevity influencing factors Survey, empirically analyzed the internal relationship among living style, medical service utilization and elderly health. The results of the study are as follows: (1) the way of living has an important impact on the health of the elderly in our country. In general, the health of the elderly living alone is the highest, and the health of the elderly in the old-age institutions is the lowest. In particular, The physical and cognitive health of the elderly living alone is the best, followed by living with their children and their spouses, and the physical and cognitive health of the elderly living in nursing homes is the worst. The physical health of the elderly is better than that of the elderly; the physical health of the elderly in the rural areas, the elderly and the elderly is worse; the cognitive health of the rural elderly living alone is better; and the use of medical services as a tool for the implementation of public policies is better. It has played an important role in protecting the health of the elderly. This study found that physical examination has a significant positive correlation with cognitive health and physical health, and timely treatment has a significant positive correlation with physical health. Both cognitive health and self-rated health had significant positive effects, while medical expenses had a significant negative correlation with physical health, cognitive health and self-rated health. The study also analyzes the mechanism by which the health of the elderly is affected by the use of medical services. It is found that the health of the elderly is affected by the utilization of the medical services in the way of living. Specifically, it is found that the use of medical services has an impact on the health of the elderly. Living alone weakens the positive effect of physical examination on physical health; living in old-age institutions plays a negative role in regulating physical examination and cognitive health; living in old-age institutions weakens the positive effect of timely treatment on cognitive health. Living in old-age institutions weakens the positive impact of medical expenses on cognitive health; Living with a spouse weakens the positive impact of medical expenses on self-rated health. Therefore, it is proved that the way of living affects the health level of the elderly through the utilization of medical services.
【学位授予单位】：华东理工大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R161.7;C913.3

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