有偏健康感知对中老年人自我医疗使用的影响——基于CHARLS微观数据的实证研究  

The Effect of Biased Health Perception on Self-Health Care Utilization among Middle Aged and Elderly:Evidence from China

作　　者：温兴祥 吕文慧[1] WEN Xingxiang;LV Wenhui(School of Economics,Nanjing University of Finance and Economics,Nanjing,210023)

机构地区：[1]南京财经大学经济学院

出　　处：《中国经济问题》2024年第5期164-179,共16页China Economic Studies

基　　金：国家社会科学基金一般项目(20BJY165)。

摘　　要：本文使用中国健康与养老追踪调查微观数据,实证检验有偏健康感知对我国中老年人自我医疗使用的影响。通过比较体检问卷中的高血压客观信息和中老年人对自身高血压状况的主观回答,构建个体层面的有偏健康感知变量。结果表明,有偏健康感知会显著降低中老年人自我医疗使用的可能性。另外,本文发现有偏健康感知也会显著降低中老年人门诊或住院形式的正规医疗的可能性,表明中老年人的自我医疗和正规医疗并非替代关系。为了应对我国人口老龄化带来的健康挑战,本文建议加强针对中老年人的专项健康知识普及行动、构筑全民参与的健康体检项目。This paper use China Health and Retirement Survey data to study the impact of biased health perception on self-health care utilization among Chinese middle-aged and elderly.We construct the individual level biased health perception variables as the difference between individuals'objective hypertension status and their subjective answer to the hypertension.We find that biased health perception significantly lowers the self-health care rate among middle-aged and elderly.We also found that biased health perception significantly reduced the likelihood of outpatient or hospitalization,indicating a non-substitute relationship between self-care and formal care.We suggest that strengthen special health education and construct national screening program as policy response to the high biased health perception rate among middle aged and elderly,which will counteract the negative health effect therein.

关 键 词：医疗卫生服务需求 健康信息 健康老龄化 

分 类 号：D669.6[政治法律—政治学] R197.1[政治法律—中外政治制度]