摘要
居家养老是中国老年人养老的主要模式,社区卫生服务的医疗条件、水平与社区环境对老年居民健康共同发挥基础保障功能。文章利用2018年中国家庭追踪调查数据(CFPS),采用分层线性回归模型探讨个体差异下社区卫生服务水平、社区环境对老年人健康状况的影响。结果显示,社区卫生服务水平对老年人自评健康状况有重要影响,社区环境差异能够解释老年人自评健康差异的15.92%。社区环境因素在社区卫生服务促进老年人健康状况的关联过程中起显著的调节作用。城市社区因老年人期望较高且存在替代医疗资源,在社区医疗条件和医疗水平对其自评健康影响中起负向调节作用,在融洽的邻里关系下社区环境对老年人健康水平起正向调节作用。基于上述结果,在应对人口快速老龄化老年人医疗需求的制度安排中,应注重发挥社区环境在基层卫生服务实践中的健康促进功能,营造良好的社区互动氛围,将社区卫生服务和社区文化环境共同融入现代社区建设和发展规划。
Given that home care is the main mode of the elderly care in China, the medical conditions, medical level and community environment of community health services play the basic role to guarantee the health of the elderly. Based on the data of the China Household Tracking Survey(CFPS 2018), the paper discusses the impact of community health service level and community environment on the health status of the elderly under individual differences by using the hierarchical linear regression model. The results show that the level of community health service has an important effect on the health status self-assessment of the elderly, and the difference of community environment could explain 15.92% of the self-assessment health difference of the elderly. Community environmental factors have a significant regulatory effect on the association of community health services, which promote the health status of the elderly. In urban communities, because of the high expectations of the elderly and the existence of alternative medical resources, the community environment plays a negative role in regulating medical conditions and medical level on their self-assessment health, and plays a positive role in regulating the health level of the elderly under harmonious neighborhood relations. Based on the above results, in the institutional arrangement to deal with the medical needs of the elderly with rapid aging population, the government should pay attention to the function of health promotion in the practice of primary health services, create better atmosphere of community interaction, and integrate community health services and community cultural environment into modern community construction and development planning.
出处
《中国人口科学》
CSSCI
北大核心
2021年第4期114-125,128,共13页
Chinese Journal of Population Science
基金
国家社科基金面上项目“我国老年人口健康预期寿命变动趋势及其区域差异研究”(编号:18BRK013)的阶段性成果。
作者简介
吴炳义,潍坊医学院管理学院,教授;董惠玲,潍坊医学院公共卫生学院,博士研究生;武继磊,北京大学人口研究所,副教授;乔晓春,北京大学人口研究所,教授。
