本文選題：居住方式　切入點(diǎn)：醫(yī)療服務(wù)利用　出處：《華東理工大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：隨著人口老齡化的不斷加劇,老年人的健康已經(jīng)成為社會(huì)廣泛關(guān)注的問題。傳統(tǒng)的居住模式和家庭結(jié)構(gòu)發(fā)生了巨大變化,動(dòng)搖了傳統(tǒng)的家庭照顧的基礎(chǔ),醫(yī)療服務(wù)利用也因居住方式的改變而不同。另外,醫(yī)療技術(shù)的改進(jìn)和人們健康觀念的改善,對(duì)健康也會(huì)產(chǎn)生不同的影響。本研究基于2011年中國(guó)老年人健康長(zhǎng)壽影響因素調(diào)查數(shù)據(jù),實(shí)證分析了居住方式、醫(yī)療服務(wù)利用及老年人健康之間的內(nèi)在關(guān)系,研究結(jié)果如下：(1)居住方式對(duì)我國(guó)老年人的健康具有重要的影響�？偟膩�(lái)說(shuō),獨(dú)居老人的健康程度最高,養(yǎng)老機(jī)構(gòu)的老人健康程度最低。具體而言,獨(dú)居老人的生理健康和認(rèn)知健康最好,其次是與子女居住和與配偶居住,在養(yǎng)老院居住的老人生理健康和認(rèn)知健康最差。同時(shí)還進(jìn)行了分群體研究,發(fā)現(xiàn)獨(dú)居的城市老人、女性老人、高齡老人的生理健康更好；養(yǎng)老機(jī)構(gòu)的農(nóng)村老人、女性老人、高齡老人的生理健康更差；獨(dú)居的農(nóng)村老人認(rèn)知健康更好。(2)醫(yī)療服務(wù)利用作為公共政策實(shí)施的工具,在保障老年人健康方面發(fā)揮了重要的作用。本研究發(fā)現(xiàn),體檢對(duì)于認(rèn)知健康和生理健康有著顯著地正相關(guān)性；及時(shí)治療對(duì)于生理健康、認(rèn)知健康以及自評(píng)健康都起到了顯著地正向影響；而醫(yī)療費(fèi)用支出對(duì)生理健康、認(rèn)知健康和自評(píng)健康有顯著的負(fù)相關(guān)性。分群體檢驗(yàn)時(shí)也發(fā)現(xiàn),醫(yī)療服務(wù)利用也存在不同程度的群體差別。(3)研究還解析了居住方式通過醫(yī)療服務(wù)利用影響健康的機(jī)制。發(fā)現(xiàn)居住方式通過醫(yī)療服務(wù)利用對(duì)老年人的健康產(chǎn)生影響。具體來(lái)說(shuō),獨(dú)居弱化了體檢對(duì)于生理健康產(chǎn)生的正向影響；養(yǎng)老機(jī)構(gòu)居住對(duì)體檢與認(rèn)知健康起到了負(fù)向調(diào)節(jié)作用；養(yǎng)老機(jī)構(gòu)居住弱化了及時(shí)治療對(duì)于認(rèn)知健康的正向影響；養(yǎng)老機(jī)構(gòu)居住弱化了醫(yī)療費(fèi)用對(duì)認(rèn)知健康的正向影響；與配偶居住弱化了醫(yī)療費(fèi)用支出對(duì)于自評(píng)健康的正向影響。因此證明了居住方式通過醫(yī)療服務(wù)利用來(lái)影響老年人的健康水平。
[Abstract]:With the increasing aging of the population, the health of the elderly has become a widespread concern in society. Great changes have taken place in traditional living patterns and family structures, which have shaken the foundation of traditional family care. The use of medical services also varies according to the change in the way of living. In addition, the improvement of medical technology and the improvement of people's health concept, This study, based on the data of 2011 Chinese elderly Health and Longevity influencing factors Survey, empirically analyzed the internal relationship among living style, medical service utilization and elderly health. The results of the study are as follows: (1) the way of living has an important impact on the health of the elderly in our country. In general, the health of the elderly living alone is the highest, and the health of the elderly in the old-age institutions is the lowest. In particular, The physical and cognitive health of the elderly living alone is the best, followed by living with their children and their spouses, and the physical and cognitive health of the elderly living in nursing homes is the worst. The physical health of the elderly is better than that of the elderly; the physical health of the elderly in the rural areas, the elderly and the elderly is worse; the cognitive health of the rural elderly living alone is better; and the use of medical services as a tool for the implementation of public policies is better. It has played an important role in protecting the health of the elderly. This study found that physical examination has a significant positive correlation with cognitive health and physical health, and timely treatment has a significant positive correlation with physical health. Both cognitive health and self-rated health had significant positive effects, while medical expenses had a significant negative correlation with physical health, cognitive health and self-rated health. The study also analyzes the mechanism by which the health of the elderly is affected by the use of medical services. It is found that the health of the elderly is affected by the utilization of the medical services in the way of living. Specifically, it is found that the use of medical services has an impact on the health of the elderly. Living alone weakens the positive effect of physical examination on physical health; living in old-age institutions plays a negative role in regulating physical examination and cognitive health; living in old-age institutions weakens the positive effect of timely treatment on cognitive health. Living in old-age institutions weakens the positive impact of medical expenses on cognitive health; Living with a spouse weakens the positive impact of medical expenses on self-rated health. Therefore, it is proved that the way of living affects the health level of the elderly through the utilization of medical services.
【學(xué)位授予單位】：華東理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R161.7;C913.3

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本文編號(hào)：1583676