单身生活是否会重塑医疗保健的使用? 中国老年人的长度证据
Aohan Gao1, Yijun Chen2, Yue Hou3
1School of Accounting, Tangshan College, No. 9, University West Road, Tangshan, Hebei Province, 063000, China.
BMC primary care
|January 7, 2026
概括
在中国,独自生活的老年人不太可能去看医生,他们更喜欢初级保健中心. 这凸显了需要更好的社区支持和可访问的初级保健,特别是对于弱势群体.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 中国人口正在快速老龄化,这给老年人,尤其是独居者,提供医疗保健的机会带来了挑战.
- 了解将孤独生活与健康结果联系在一起的机制对于有效的老年护理政策至关重要.
- 这项研究调查了生活安排如何影响中国老年人寻求医疗保健的行为.
研究的目的:
- 检查单独生活对中国老年人寻求医疗保健偏好和行为的影响.
- 确定孤独生活影响后期健康结果的途径.
- 为旨在改善老龄人口获得医疗保健的政策干预提供信息.
主要方法:
- 利用来自中国家庭小组研究 (2010-2020) 对60岁及以上成年人的纵向数据.
- 使用具有个体和时间固定的效应的线性概率模型来分析医疗保健利用率和偏好.
- 对人口,家庭和健康状况变量进行控制;根据性别,hukou和收入进行异质性分析.
主要成果:
- 独自生活显著降低了咨询医生的概率20.2%,对老年女性的影响更大.
- 独自生活的老年人对初级医疗保健中心的偏好更强10.9%.
- 在低收入和城市居民中,由于可访问性和成本因素,对医疗保健中心的偏好更高.
结论:
- 基于社区的干预和提高初级保健质量对于减少治疗延迟和促进早期寻求护理至关重要.
- 政策应通过解决情绪障碍和提高健康素养来解决老年妇女,低收入人士和农村居民的特殊弱点.
- 持续投资于初级保健基础设施,专业化和转诊系统是必要的,以重建信任和改善老年人获得医疗保健的机会.
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