社区医养康养结合对老年人健康脆弱性的影响研究

Study on the Impact of the Combination of Medical and Health Care in Community on the Health Vulnerability of the Elderly

摘要: 目的：分析社区医养康养结合能否缓解老年人的健康脆弱性。方法：利用2018年公布的中国老年健康影响因素跟踪调查数据，选取2个维度12个变量，构建结构方程模型进行实证分析，基于老年人健康脆弱性进行检验。结果：社区医养康养结合能够对改善老年人的健康状况起到积极作用；社区医养康养结合在一定程度上增强老年人的反脆弱能力，老年人应对风险能力提升，生理健康脆弱性降低，生理健康又能影响心理健康，因此形成一种链式中介效应；此外研究还发现社区医养康养结合的服务需求存在一定的城乡差异。结论：应从养老服务体系、公共卫生服务体系、医疗服务体系出发，优化社区医养康养结合服务，减轻老年人的健康脆弱性。

Abstract: Objective: To analyze whether the combination of community health care and rehabilitation can alleviate the health vulnerability of the elderly. Methods: Based on the tracking survey data of influencing factors of elderly health in China published in 2018, select 2 dimensions and 12 variables to construct a structural equation model for empirical analysis, and test based on the health vulnerability of the elderly. Results: The results show that the combination of community medical care and health care can play a positive role in improving the health status of the elderly. The combination of community medical care and health care can enhance anti-vulnerability ability of the elderly to some extent, improve their ability to cope with risks, reduce the vulnerability of physical health, and physical health can affect mental health, thus forming a chain mediation effect. In addition, the study also found that there are certain differences between urban and rural areas in the service demand. Conclusion: We should start from the old-age service system, public health service system and medical service system to optimize the combination of community medical care and health care services and reduce the elderly vulnerability to human health.