我国失能老年人社区居家服务供给的时空差异分析——基于CLHLS(2008-2018年)四期追踪数据的分析  

The temporal and spatial discrepancies in the home and community-based services supply for the disabled elderly in China:Evidence from the Chinese Longitudinal Healthy Longevity Survey(CLHLS),2008—2018

作　　者：黄子硕 徐庭柯 黄云云 杨清仁 桂佳 傅雅婷 陈春 HUANG Zi-shuo;XU Ting-ke;HUANG Yun-yun;YANG Qing-ren;GUI Jia;FU Ya-ting;CHEN Chun(School of Innovation and Entrepreneurship,Wenzhou Medical University,Wenzhou,Zhejiang 325035,China;不详)

机构地区：[1]温州医科大学创新创业教育学院,浙江325035 [2]温州医科大学公共卫生与管理学院 [3]温州医科大学健康中国研究中心

出　　处：《现代预防医学》2022年第19期3535-3541,共7页Modern Preventive Medicine

基　　金：浙江省自然科学基金(LY22G030006);浙江省哲学社会科学规划年度课题(22NDJC104YB)。

摘　　要：目的分析2008—2018年我国失能老人社区居家养老服务供给的地区差异和空间分布格局,为优化失能老人养老资源配置提供科学依据。方法通过中国老年人健康长寿影响因素跟踪调查数据获取2008—2018年失能老人社区居家养老服务有关资料,采用描述性分析探讨失能老人社区居家养老服务供给变化趋势,采用泰尔指数测量失能老人社区居家养老服务供给的地区差异,采用探索性空间数据分析研究失能老人供给差异的空间分布格局及演变态势。结果2008—2018年我国失能老人社区居家养老服务供给覆盖率从28.82%增长到62.54%;泰尔指数整体呈下降趋势,从0.6138降低到0.0144;2008—2018年全局莫兰指数从-0.1502增长至0.3247,2011—2018年出现的高-高聚集区域主要集中在我国江苏省和上海市,2018年出现的低-低聚集区域主要集中在我国东北地区。结论2008年以来我国失能老人社区居家养老服务供给的地区分布总体差异缩小,但区域内差异仍然占主导地位,且在2018年出现了空间聚集现象。Objective To analyze the regional differences and spatial distribution pattern of home and community-based services supply for the disabled elderly in China from 2008 to 2018,and to provide scientific evidence for optimizing the allocation of elderly care resources for the disabled elderly.Methods Obtaining information on home and community-based services for the disabled elderly from 2008-2018 through data from Chinese Longitudinal Healthy Longevity Survey.The change trend of home and community-based services supply for the disabled elderly in China was analyzed by descriptive analysis method,and the regional difference of home and community-based services supply for the disabled elderly was measured by Theil index.The exploratory spatial data analysis method was used to analyze the spatial distribution pattern and evolution trend of the supply difference of the disabled elderly.Results From 2008 to 2018,the coverage rate of home and community-based services supply for the disabled elderly in China increased from 28.82%to 62.54%.The Theil Index showed an overall downward trend,decreasing from 0.6138 to 0.0144.The coverage rate of service provision for the disabled elderly in China increased year by year from 2008 to 2018,and the Theil index showed an overall decreasing trend.The Global Moran index increased from-0.1502 to 0.3247 from 2008 to 2018,and the high-high aggregation areas that emerged from 2011 to 2018 were mainly concentrated in Jiangsu and Shanghai,and the low-low aggregation areas that emerged in 2018 were mainly concentrated in the Northeast of China.Conclusion The overall difference in the regional distribution of the supply of home and community-based services for the disabled elderly in China has narrowed since 2008,but intra-regional differences still dominate,and a spatial aggregation phenomenon emerged in 2018.

关 键 词：失能老人 社区居家养老服务 供给 泰尔指数 探索性空间数据分析 

分 类 号：R197[医药卫生—卫生事业管理]