基于农村空巢老人健康需求状况的医疗服务可及性研究  

On the Availability of Medical Care Based on Health Needs Situation of Rural Empty Nesters

作　　者：郑吉友[1] 张喜凤 ZHENG Jiyou;ZHANG Xifeng(School of Management,Shenyang Normal University,Shenyang 110034,China)

机构地区：[1]沈阳师范大学管理学院,辽宁沈阳110034

出　　处：《辽宁大学学报（哲学社会科学版）》2024年第4期40-52,共13页Journal of Liaoning University(Philosophy and Social Sciences)

基　　金：国家社科基金一般项目“人口老龄化背景下农村空巢老人健康服务供需匹配机制研究”(22BGL254)。

摘　　要：实施积极应对人口老龄化国家战略,提高农村社区医疗服务可及性,为老年人提供高质量的老年健康服务,是我国坚持以人民为中心发展思想的重要体现。文章基于中国老年健康影响因素跟踪调查(CLHLS)数据,探究医疗服务可及性与农村空巢老人健康需求的关系;以农村空巢老人为研究对象,运用二元logistic回归分析,分析农村空巢老人健康需求的影响因素,以论证医疗服务的有效供给如何满足农村空巢老人健康需求。结果显示,医疗服务供给可及性对农村空巢老人的健康需求存在较为显著的影响,医疗服务可及性是影响农村空巢老人健康需求的重要因素。因此,完善农村社区基本医疗服务,增强农村医疗卫生资源的供给能力,是改善农村空巢老人健康行为方式的必要路径。政府可通过互联网远程医疗提高农村社区的医疗服务可及性,满足农村空巢老人多元化的健康需求,增进农村空巢老人的健康福祉。Implementing the national strategy of actively responding to the aging population,improving the accessibility of rural community medical services,and providing high-quality elderly health services for the elderly in rural areas are an important embodiment of China's adherence to the people-centered development thought.Based on the Chinese elderly health influence factors tracking survey(CLHLS)data,this paper explores the relationship between the accessibility to medical services and the health demand of the rural empty nesters,setting rural empty nesters as research objects,using binary logistic regression analysis,and analyzes the factors influencing the health demand of rural empty nesters,to verify the effective supply of medical services can meet the health demand of rural empty nesters.The results show that the accessibility of medical service supply has a significant impact on the health demand of rural empty nesters,and the accessibility of medical service is an important factor affecting the health demand of rural empty nesters.Therefore,improving the basic medical services in rural communities and enhancing the supply capacity of rural medical and health resources are the necessary paths to improve the healthy behavior mode of rural empty nesters.The government can improve the accessibility of medical services in rural communities through Internet tele-medicine,to meet the diverse health demand of rural empty nesters and improve the health and well-being of rural empty nesters.

关 键 词：农村空巢老人 人口老龄化国家战略 医疗服务可及性 

分 类 号：C913.6[经济管理]