摘要
电子健康档案既属于国家基本公共卫生服务项目,也是推进医防融合的重要支撑,其实施效果对流动人口的健康产生深远影响。本文基于2017年中国流动人口动态监测调查数据,系统考察了电子健康档案的建立与动态使用对流动人口健康水平的影响。研究发现,建立电子健康档案能够有效提高流动人口的健康水平,在经过一系列稳健性检验后该结论依然成立。从机制分析来看,健康素养是一个重要的解释路径,电子健康档案的建立可以提升流动人口的健康素养进而改善其健康水平。电子健康档案的建立与动态使用至关重要,健康档案的动态使用能够提高流动人口的健康水平,这一调节机制首先作用于流动人口的健康素养,通过健康素养的提升最终改善流动人口的健康水平。本文认为,政府部门应从提升电子健康档案建档率、以社区为单位加强健康档案宣传和坚持档案建立与动态使用并重助力医防融合等方面进一步提高中国流动人口健康水平。
Electronic health records is not only a basic public health service project of the country,but also an important support for promoting the integration of medical and preventive measures.The implementation effect will have a significant impact on the health of mobile populations.Based on the data of 2017 China Mobile Population Dynamic Monitoring Survey,this paper systematically examines the impact of the establishment and dynamic usage of electronic health records on the health level of floating populations.The result shows that:(1)Establishing electronic health records can effectively improve the health level of floating populations.After conducting robustness tests and using"willingness to stay"and"willingness to settle down"as instrumental variables to alleviate potential endogeneity issues,the conclusion still holds.(2)From the perspective of mechanism analysis,health literacy is an important explanatory path,and the establishment of electronic health records can enhance the health literacy of floating populations and thereby improve their health levels.(3)The establishment and dynamic use of electronic health records are crucial.The dynamic use of records can positively regulate the impact of record establishment on the health level of floating populations.This regulatory mechanism first acts on the health literacy of floating populations,and ultimately improves their health level through health literacy.Finally,this study proposes specific policy recommendations from three aspects:improving the filing rate of electronic health records to improve the health level of floating populations,strengthening health record promotion at the community level to enhance residents'health literacy,and adhering to the balance between file establishment and dynamic use to support the integration of medical and preventive measures.
作者
李子豪
LI Zihao(School of Government Management,Nanjing University,Nanjing Jiangsu 210023)
出处
《中南财经政法大学学报》
CSSCI
北大核心
2024年第3期70-82,共13页
Journal of Zhongnan University of Economics and Law
基金
2024年江苏省研究生科研创新计划项目“互联网医疗发展对医患信任的影响研究:基于公众风险感知视角”。
关键词
电子健康档案
基本公共卫生服务
流动人口健康
健康素养
医防融合
Electronic Health Records
Basic Public Health Services
Health of Floating Population
Health Literacy
Medical and Preventive Integration
