预测 基于微观模拟模型的中国城乡老年人的非正式护理需求
Liangwen Zhang1,2, Shuyuan Shen2,3, Wenzheng Zhang1,2
1State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiang An Nan Road, Xiang An District, Xiamen, Fujian Province, P.R. China.
BMC public health
|August 29, 2024
概括
中国中国中国中国.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 在中国,由于文化强调孝敬,对老年人的非正式照顾至关重要.
- 预测护理需求有助于为人口老龄化制定政策.
- 了解影响因素是有效支持系统的关键.
研究的目的:
- 分析当前中国老年人的非正式护理需求和影响因素.
- 预测从2020年到2040年的非正式护理强度,来源和成本的趋势.
- 为非正式护理的资源分配和经济估值提供数据.
主要方法:
- 使用了中国健康与退休长度调查 (CHARLS) 数据库 (2015-2018).
- 在因子分析中采用了两部分模型和多项逻辑.
- 应用多态马尔科夫和微模拟模型用于未来的预测.
主要成果:
- 到2040年,在城市和农村地区,残疾老年人口将大幅增加.
- 非正式照顾的强度和对配偶/子女的依赖仍然很高.
- 预计到2040年,非正式护理总成本将增加一倍以上,超过经济增长.
结论:
- 农村的非正式护理需求将会波动,而城市的需求将会稳步增加,直到2040年.
- 研究结果提供了评估非正式护理和优化资源配置的证据.
- 政策支持系统必须适应不断变化的人口和护理环境.
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