健康中国背景下发展农村老年人互联网医疗健康服务的研究

Research on the Development of Internet Medical and Health Services for the Rural Elderly in the Context of the Healthy China

摘要: 自新冠疫情席卷全球，如今我国已处于疫情防控常态化的情况，且在人口老龄化程度持续加深的双重夹击下，医疗机构面临的服务压力越来越大。特别是在农村地区，疫情对农村老年人的日常生活和健康造成了巨大的冲击。“互联网+医疗健康”自2018年初步形成一个较为完整的商业产品以来，在国家多项政策的扶持和支持下，至2021年底，全国已有超1600余家互联网医院上线。本文将基于2018年中国老年社会追踪调查(CLASS)数据，再结合二元Logistic回归模型，分析农村老年人对于“互联网+医疗健康”的使用意愿、影响农村老年人使用“互联网+医疗健康”的因素，从而加快在农村地区发展“互联网+医疗健康”，提高医疗健康质量。结果显示，想要提高农村地区老年人参与“互联网+医疗健康”的积极性，不仅要重视培养老年人的健康理念，还要提高当地的经济投入和互联网普及程度，逐渐提高医疗健康服务质量。

Abstract: Since the COVID-19 epidemic swept the world, China is now in a situation of normalized epidemic prevention and control, and with the double whammy of an ageing population that continues to grow, healthcare institutions are under increasing pressure to provide services. In rural areas in particular, the epidemic has had a huge impact on the daily lives and health of older people in rural areas. Since the initial formation of a more complete commercial product in 2018, the “Internet+ Medical Health” has been supported and backed by a number of national policies, and by the end of 2021, more than 1600 Internet hospitals will have come online across the country. Based on data from the 2018 China Elderly Social Tracking Survey (CLASS), and combined with a binary logistic regression model, this paper will analyze rural elderly people’s willingness to use “Internet+ medi-cal health” and the factors affecting their use of “Internet+ medical health”, in order to accelerate the development of “Internet+ medical health” in rural areas and improve the quality of health care. The results show that in order to increase the enthusiasm of the elderly in rural areas to participate in “Internet+ medical health”, it is necessary not only to focus on cultivating the health concepts of the elderly, but also to improve the local economic investment and Internet penetration, and grad-ually improve the quality of health services.