|
|
Aging Research 2023
社区居家养老服务对老年人健康的影响
|
Abstract:
在2018年中国老年社会追踪调查(CLASS)数据支持的基础上，样本老年人自评健康状况作为因变量，并将社区居家养老服务分为生活、心理及医疗服务三个自变量，研究社区居家养老服务对老年人健康的影响，为社区居家养老服务的发展方向提供建议。本文运用二元Logistic回归分析，实证分析三大类社区居家养老服务自变量对老年人自评健康状况的影响是否显著。回归分析结果表明，老年人生理因素中，年龄、居住地、婚姻状况、社会参与、生活满意度五个自变量对老年人自评健康状况具有显著影响。接受过社区居家养老服务中生活服务大类下的老年饭桌或送饭、心理服务大类下的上门探访、心理咨询三项服务的老年人自评健康状况更倾向于“健康”。
Based on the data support of the 2018 China Elderly Social Tracking Survey (CLASS), the self-rated health status of the sample elderly was used as the dependent variable, and community home-based elderly care services were divided into three independent variables: life, psychology, and medical services. The impact of community home-based elderly care services on the health of the elderly was studied, providing suggestions for the development direction of community home-based elderly care services. This article uses binary logistic regression analysis to empirically analyze whether the independent variables of three major types of community home-based elderly care services have a significant impact on the self-rated health status of the elderly. The regression analysis results indicate that among the physiological factors of the elderly, age, place of residence, marital status, social participation, and life satisfaction have a significant impact on their self-evaluation of health status. Elderly people who have received elderly dining or meal delivery services under the community home care service category, as well as home visits and psychological counseling services under the psychological service category, tend to have a higher self-rated health status towards “healthy”.
| [1] | 王延中, 龙玉其, 宁亚芳. “十四五”时期中国社会保障建设的目标任务与政策建议[J]. 社会保障评论, 2020, 4(3): 3-14. |
| [2] | 杜鹏, 李龙. 新时代中国人口老龄化长期趋势预测[J]. 中国人民大学学报, 2021, 35(1): 96-109. |
| [3] | 杨继瑞, 薛晓. 社区居家养老的社会协同机制探讨[J]. 经济理论与经济管理, 2015(6): 106-112. |
| [4] | 晚清. 强居家社区 重健康支撑 国务院印发《“十四五”国家老龄事业发展和养老服务体系规划》[J]. 关注, 2022(2): 10-12. |
| [5] | 张程川. 社区居家养老服务存在的问题及对策[J]. 西部学刊, 2021(21): 151-153. |
| [6] | 赵娜. 社区居家养老服务存在的问题及对策[J]. 经济研究导刊, 2021(8): 82-84. |
| [7] | 张可欣. 社区居家养老服务问题及对策研究[J]. 特区经济, 2022(9): 74-77. |
| [8] | 韩非, 罗仁超. 基于可达性测度的城市社区居家养老服务供需匹配研究——以南京为例[J]. 经济地理, 2020, 40(9): 91-101. |
| [9] | 王梅欣. 社区居家养老服务供需失衡及影响因素研究[J]. 东方论坛-青岛大学学报(社会科学版), 2022(5): 127-137. |
| [10] | 封铁英, 马朵朵. 社区居家养老服务如何包容性发展? 一个理论分析视角[J]. 社会保障评论, 2020, 4(3): 77-89. |
| [11] | 白淑英, 刘欣. 社区居家养老服务的内生性发展研究[J]. 扬州大学学报(人文社会科学版), 2022, 26(5): 74-86. |
| [12] | Magelssen, M., Gjerberg, E., Pedersen, R., F？rde, R. and Lillemoen, L. (2016) The Norwegian National Project for Ethics Support in Community Health and Care Services. BMC Medical Ethics, 17, Article No. 70.
https://doi.org/10.1186/s12910-016-0158-5 |
| [13] | Nancarrow, S.A., Moran, A.M. and Parker, S.G. (2009) Looking inside the Black Box of Community Rehabilitation and Intermediate Care Teams in the United Kingdom: An Audit of Service and Staffing. Quality in Primary Care, 17, 323-333. https://doi.org/10.1111/j.1365-2524.2009.00846.x |
| [14] | Moetlo, G.J., Pengpid, S. and Peltzer, K. (2011) An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa. Indian Journal of Palliative Care, 17, 137-142. |
| [15] | Bullen, T., et al. (2015) The Use of Emergency Medication Kits in Community Palliative Care. American Journal of Hospice and Palliative Medicine, 32, 581-587. https://doi.org/10.1177/1049909114536922 |
| [16] | Nanney, E., Smith, S., Hartwig, K. and Mmbando, P. (2010) Scaling up Palliative Care Services in Rural Tanzania. Journal of Pain and Symptom Management, 40, 15-18. https://doi.org/10.1016/j.jpainsymman.2010.04.002 |
| [17] | Salsberry, P.J., et al. (1993) Home Health Care Services for AIDS Patients: One Community’s Response. Journal of Community Health Nursing, 10, 39-51. https://doi.org/10.1207/s15327655jchn1001_5 |
| [18] | Le, B., et al. (2017) Palliative Care in General Practice: GP Integration in Caring for Patients with Advanced Cancer. Australian Family Physician, 46, 51-55. |
| [19] | Busisiwe, N. and Leana, U. (2006) Community Impact of HIV Status Disclosure through an Integrated Community Home-Based Care Programme. African Journal of AIDS Research: AJAR, 5, 265-271.
https://doi.org/10.2989/16085900609490388 |
| [20] | Williams, A.M., et al. (2001) An Evaluation of Contracted Palliative Care Home Care Services in Ontario, Canada. Evaluation and Program Planning, 24, 23-31. https://doi.org/10.1016/S0149-7189(00)00044-6 |
| [21] | Fuhrman, M.P. (2009) Home Care for the Elderly. Nutrition in Clinical Practice, 24, 196-205.
https://doi.org/10.1177/0884533609332173 |
| [22] | 王莉莉, 吴子攀. 英国社会养老服务建设与管理的经验与借鉴[J]. 老龄科学研究, 2014, 2(7): 61-70. |
| [23] | 刘芳, 董奋义. 计量经济学中多重共线性的诊断及处理方法研究[J]. 中原工学院学报, 2020, 31(1): 44-55. |
| [24] | 许兴龙, 周绿林. 多层次社会资本与农村老年人健康状况[J]. 云南民族大学学报(哲学社会科学版), 2022, 39(1): 112-114. |
| [25] | 唐丹, 乔欣, 邓雨萌. 鳏与寡对老年人抑郁水平的影响: 社会网络的调节作用[J]. 心理发展与教育, 2021, 37(6): 889-896. |
| [26] | 武志伟. 社会参与对低龄老人自我认同的建构机制分析[J]. 东岳论丛, 2020, 41(12): 176-183. |
| [27] | 何文炯, 张雪, 刘来泽. 社会参与模式对老年人心理健康的影响——基于个人-家庭平衡的视角[J]. 治理研究, 2022, 38(5): 12-24. |
| [28] | 王琼. 城市社区居家养老服务需求及其影响因素——基于全国性的城市老年人口调查数据[J]. 人口研究, 2016, 40(1): 98-112. |
| [29] | 吕宣如, 章晓懿. 社区居家养老服务对老年人健康水平的影响[J]. 中国人口科学, 2022(3): 111-128. |
| [30] | 阳义南, 李思华. 社区养老精神慰藉服务对老年人心理健康的影响——基于多指标多因素结构方程模型[J]. 四川轻化工大学学报(社会科学版), 2021, 36(3): 1-15. |
| [31] | 王晓峰, 郭东阳, 孙传勇. 我国社区居家养老的困境及破解——基于社区边界区分的视角[J]. 吉林大学社会科学学报, 2021, 61(3): 108-115. |
| [32] | 李长远. 国外社会组织参与居家养老服务的典型经验及借鉴[J]. 中国海洋大学学报(社会科学版), 2015(6): 94-99. |
| [33] | 崔树义, 杨素雯, 田杨. 供需视角下社区居家养老服务提质增效研究——基于山东省1200名老年人的调查[J]. 山东社会科学, 2020(9): 127-133. |
| [34] | 丛春霞, 彭歆茹. 城市居民居家养老服务供需问题研究[J]. 东北财经大学学报, 2017(1): 49-56. |
| [35] | 陈俊羽, 徐桂华. 我国社区居家养老模式现状分析及对策[J]. 护理研究, 2015, 29(5): 528-530. |
| [36] | 陈璐, 文琬. 互补还是替代:家庭照料与社区居家养老服务[J]. 中国卫生政策研究, 2021, 14(11): 35-42. |
