老年医疗护理服务试点的政策效应研究——兼论长护险、医养结合政策协同的影响  

Research on the policy effects of elderly medical and nursing services pilots:Also discuss the influence of policy synergy

作　　者：马琦峰 孙可心 郝勇 MA Qi-feng;SUN Ke-xin;HAO Yong(School of Population and Health/Institute of Gerontology,Renmin University of China,Beijing 100872,China;Tianhua College/Center for Social Security and Social Policy Research,Shanghai Normal University,Shanghai 201815,China)

机构地区：[1]中国人民大学人口与健康学院/老年学研究所,北京100872 [2]上海师范大学天华学院/社会保障与社会政策研究中心,上海201815

出　　处：《中国卫生政策研究》2025年第2期16-23,共8页Chinese Journal of Health Policy

基　　金：国家社会科学基金重大项目(20&ZD114)。

摘　　要：目的:评估老年医疗护理服务试点对老年人健康的影响及其差异化表现。方法:使用2014—2023年中国老年社会追踪调查的五期非平衡面板数据,采用倾向得分匹配—双重差分法,分析改革前后老年人的健康状况是否存在变化。结果:老年医疗护理服务试点能够显著改善老年人的健康状况,且这种政策效应集中表现为提高老年人的心理健康绩效;高龄、低学历、与子女分居等处于资源劣势地位的老年群体会在试点中获得更高的心理健康绩效;长护险与老年医疗护理服务试点形成了政策协同,但多项政策叠加实施会消解试点的政策效应。结论:我国的老年医疗护理服务试点已初具成效,但仍存在较大提升空间,建议大力推进地区医疗护理资源整合,精准满足资源劣势老年群体需求,积极加强跨部门协作与信息共享。Objective:To assess the impact of elderly medical and nursing services pilots on the health of the elderly and its differentiated effects.Methods:Using five-period unbalanced panel data from China Longitudinal Aging Social Survey conducted between 2014 and 2023,the study employed a PSM-DID method to analyze changes in the health status of the elderly before and after the reform.Results:The pilots significantly improved the health status of the elderly,with the policy s effects most notably enhancing their psychological health.The elderly groups at a disadvantage in terms of resources,such as those with advanced age,low educational levels,or living apart from their children,can obtain greater mental health benefits from the pilots.The long-term care insurance and elderly medical care services pilots formed a policy synergy,but the implementation of multiple overlapping policies may attenuate the pilot s effects.Conclusions:The pilots have yielded initial results,but there is still considerable room for improvement.It is recommended to actively promote the integration of regional medical and nursing resources,precisely meet the needs of disadvantaged the elderly groups,and strengthen interdepartmental collaboration and information sharing.

关 键 词：医疗护理服务 老年人 健康绩效 倾向得分匹配—双重差分法 政策协同 

分 类 号：R197[医药卫生—卫生事业管理]