网格化管理对老年人健康状况的影响——基于CLDS数据的实证研究

Empirical Study of the Influence of Grid Management on the Health Status of the Elderly Based on Data of CLDS

目的:分析老年人健康状况及其影响因素,探究网格化管理对老年人健康状况的影响及其作用机制。方法:基于2018年中国劳动力动态调查数据的3011份样本,运用Logit回归、多重线性回归探究网格化管理对老年人健康状况的影响程度,并通过KHB法检验社会资本的中介作用。结果:网格化管理对老年人生理(P<0.05)和心理(P<0.05)健康状况均具有显著促进作用。社会资本在其过程中起到了部分中介作用,其中社会参与发挥中介效应;人际信任发挥遮掩效应。结论:优化网格化治理与健康服务体系,促进健康资源整合与多元主体服务供给;强化网格员队伍建设和管理机制,提升健康服务水平并重塑居民信任度;加快网格化管理与数字融合发展,提高健康服务精准度与社区网格覆盖率。

Objective To analyze the health status of the elderly and its influencing factors,and explore the influence of grid management on the health status of the elderly and its mechanism of action.Methods Based on 3011 samples from the 2018 China Labor-Force Dynamics Survey,Logit regression and multiple linear regression were used to explore the influence of grid manage-ment on the health status of the elderly,and the mediating role of social capital was tested through the KHB method.Results Grid management significantly promoted both physical(P<0.05)and psychological(P<0.05)health status of the elderly.Social capital played a partial mediating role in its process,in which social participation played a mediating effect,interpersonal trust played a masking effect.Conclusion It is suggested to optimize the grid governance and health service system,promote the integra-tion of health resources and the supply of services by multiple subjects,strengthen the construction of the grid member team and management mechanism,improve the level of health services,and reconstruct the trust of residents,accelerate the development of grid management and digital integration,and enhance the precision of health services and the coverage rate of community grids.