摘要
文章基于2015和2018年中国健康与养老追踪调查(CHARLS)数据,运用双重差分倾向得分匹配法进行实证检验,考察社区居家养老服务对老年人生理健康和心理健康的影响。研究结果表明:(1)社区居家养老服务显著提高了老年人的生理健康水平。(2)社区居家养老服务有效改善了老年人的心理健康水平,显著降低了老年人的抑郁得分。(3)异质性检验表明,社区居家养老服务对60~69岁、受教育水平较低、独居及农村地区老年人的健康改善效果更为突出。(4)与健康服务相比,生活照护和精神慰藉服务对老年人健康的改善作用更明显。文章认为,社区居家养老服务应针对差异化老年群体精准施策,重视生活照护及精神慰藉服务对老年人身心健康的积极影响,强化健康服务的实质成效。
Based on data of CHARLS in 2015 and 2018,the paper adopts the Propensity Score Matching-Difference in Differences method to test the impact of community home-based elderly careon thephysical and mental healthoftheelderly.The results show firstly that the community home-based elderly care can improve the physical health of the elderly.Second,the community home-based elderly care can improve the mental health of the elderly,and significantly reduce their depression scores.Thirdly,the heterogeneity test shows that the effect is more significant for theelderly who are aged 60~69,less-educated,living aloneand in rural areas Finally,compared with heal thservices,the positive effects of life care and spiritual comfort are more obvious The paper points out that community home-based elderly care needs precise policies of differentiated elderly groupspay attention to the positive impact of life care and spiritual comfort services on the physicaland mental health of the elderly,and strengthen the substantive effectiveness of health service projects.
作者
吕宣如
章晓懿
Lv Xuanru;Zhang Xiaoyi
出处
《中国人口科学》
CSSCI
北大核心
2022年第3期111-125,128,共16页
Chinese Journal of Population Science
基金
国家社会科学基金重点项目“全面推进健康中国建设研究”(编号:22AZD082)的阶段性成果。
