摘要
基于中国老年人健康影响因素跟踪调查数据,利用Heckman选择模型和有序Probit模型实证分析了家庭照料对老年人医疗支出与生活满意度的影响。结果显示:(1)家庭照料使老年人门诊和住院医疗支出分别显著增加约24.3%和16.4%,家庭照料通过提高老年人就医概率渠道促进了医疗支出,进一步释放了老年人医疗服务利用需求。(2)家庭照料显著提升了老年人生活满意度,家庭照料通过降低孤独感、促进自评健康水平和社交活动渠道显著提升了老年人生活满意度。(3)家庭照料对城镇老年人医疗支出和高龄老年人生活满意度的促进作用更加显著。建议制定家庭非正式照料支持政策,加强政府、社会和家庭方面责任主体的融合发展,充分发挥家庭照料在养老服务中的基础性作用,加快医养结合激励政策的实施,统筹城乡社会养老医疗保障体系建设,构建多层次养老医疗服务体系。
Based on Chinese Longitudinal Healthy Longevity Survey data,this paper employs the Heckman selection model and ordered probit model to empirically analyze the impact of informal care on the medical expenditure and life satisfaction of the elderly.The results show that informal care significantly increases the outpatient and inpatient medical expenditure of the elderly by approximately 24.3%and 16.4%.Increasing the probability of timely medical treatment for the elderly is an important channel for the informal care promoting the medical expenditure.Informal care releases the demand for medical services of the elderly.Informal care has significantly improved the life satisfaction of the elderly.Furthermore,informal care has significantly improved the life satisfaction of the elderly by reducing loneliness and improving self-assessment health and social activities.The role of informal care in promoting urban medical expenses and life satisfaction of the elderly is more significant.It is recommended to formulate informal care supporting policies,strengthen the integrated development of government,society and family responsibilities.We should make full use of the informal care in elderly care services,speed up the implementation of incentives for medical and nursing integration,and coordinate the development of social security care System construction.A multi-level elderly medical service system can be constructed,and it should accurately identify vulnerable elderly groups,and increase supporting policy for the rural informal caregivers.
作者
郑超
才学韬
Zheng Chao;Cai Xuetao(School of Economics,Shandong University,Jinan 250100,P.R.China;Industrial and Commercial Bank of China,Beijing 100032,P.R.China)
出处
《山东大学学报（哲学社会科学版）》
CSSCI
北大核心
2020年第4期134-145,共12页
Journal of Shandong University(Philosophy and Social Sciences)
基金
国家社科基金项目“中国老年人长期护理与医疗保障体系改革研究”(15BJY183)。
关键词
家庭照料
老年人
医疗服务利用
生活满意度
Informal care
The elderly
Medical service utilization
Life satisfaction
