認(rèn)知偏差、健康投資與農(nóng)村老年人健康水平——以高血壓為例
發(fā)布時(shí)間:2018-01-07 21:48
本文關(guān)鍵詞:認(rèn)知偏差、健康投資與農(nóng)村老年人健康水平——以高血壓為例 出處:《經(jīng)濟(jì)學(xué)報(bào)》2016年03期 論文類型:期刊論文
更多相關(guān)文章: 認(rèn)知偏差 ADL/IADL 健康投資 最大似然估計(jì)
【摘要】:在老齡化和留守老人問(wèn)題日益嚴(yán)重的今天,如何有效提高農(nóng)村老年人的健康狀況是非常重要的研究課題。本文以高血壓病為例,研究了影響老年人健康狀況的因素之一——自我健康認(rèn)知偏差。在對(duì)農(nóng)村老年人的體檢結(jié)果中發(fā)現(xiàn),25.8%的老人(71.6%患有高血壓的老人)對(duì)自己的血壓狀況沒(méi)有正確的認(rèn)識(shí),即對(duì)自身健康狀況的認(rèn)知存在偏差。本文通過(guò)建立Ordered Probit模型,并用最大似然估計(jì)(MLE)對(duì)認(rèn)知偏差與老年人的健康狀況是否存在因果關(guān)系進(jìn)行了檢驗(yàn)。結(jié)果發(fā)現(xiàn)在其他條件不變的情況下,自我健康認(rèn)知偏差對(duì)老年人的健康狀況有著顯著的負(fù)向影響,有認(rèn)知偏差的老年人達(dá)到最佳健康狀況的概率比無(wú)認(rèn)知偏差的老年人低23.7%~25.6%。進(jìn)一步的分析發(fā)現(xiàn),有認(rèn)知偏差的老人由于并不清楚自身真實(shí)的健康狀況,對(duì)自身的健康投資明顯低于沒(méi)有認(rèn)知偏差的老人,其中購(gòu)買醫(yī)療保險(xiǎn)的概率低40.1%,用于自身的醫(yī)療支出少34.5%左右。自我健康認(rèn)知偏差導(dǎo)致的健康投資不足是影響老年人健康狀況的重要因素。
[Abstract]:In the aging and the elderly left behind the increasingly serious problem of today, how to improve the health status of rural elderly is a very important research topic. In this paper, hypertension as an example, one of the factors which have impact on the health status of the elderly: self health cognitive biases. Found in the rural elderly health examination results in 25.8%. The elderly (71.6% hypertensive elderly) does not have a correct understanding of their blood pressure condition, the health status of their own cognitive biases. The paper establishes the Ordered model of Probit, and the maximum likelihood estimation (MLE) on cognitive bias and the health status of the elderly whether there is a causal relationship between the test results in the same. Other conditions, health status of self health cognitive bias for the elderly have a significant negative impact, a cognitive bias of the elderly reach most of Jia Jiankang The probability of further analysis of the low 23.7%~25.6%. ratio without cognitive bias of elderly people found that cognitive deviation due to the elderly do not know their own true health and health investment on their own without cognitive bias was significantly lower than that of the elderly, including the purchase of medical insurance for its low rate of almost 40.1%, the medical expenditure is about 34.5% less. Health investment leads to self health cognitive bias is an important factor affecting the health of the elderly.
【作者單位】: 西南財(cái)經(jīng)大學(xué)經(jīng)濟(jì)學(xué)院;美國(guó)羅徹斯特大學(xué);
【基金】:教育部人文社會(huì)科學(xué)研究青年基金項(xiàng)目“中國(guó)家庭財(cái)富的代際轉(zhuǎn)移與代間轉(zhuǎn)移研究”(項(xiàng)目批準(zhǔn)號(hào):13YJC790056) 國(guó)家自然科學(xué)基金青年項(xiàng)目“大宗消費(fèi)對(duì)中國(guó)家庭儲(chǔ)蓄率的影響——基于跨期動(dòng)態(tài)優(yōu)化模型的結(jié)構(gòu)估計(jì)和政策模擬(71303189)”的資助
【分類號(hào)】:R161.7
【正文快照】: 0引言近年來(lái)我國(guó)的老齡化問(wèn)題日益嚴(yán)重,而農(nóng)村老人由于收入水平低、社會(huì)保障程度不足、可獲得的醫(yī)療保健等公共服務(wù)較差,加之很多家庭子女進(jìn)城務(wù)工無(wú)法提供照料,其生活質(zhì)量和健康狀況更加值得關(guān)注。在影響老年人健康水平的決定因素中,收入、教育、醫(yī)保政策、醫(yī)療服務(wù)的可及性,
本文編號(hào):1394371
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