家庭医生签约服务对老年人健康的影响——来自中国老年社会追踪调查的最新证据

江西财经大学学报 ›› 2025, Vol. 0 ›› Issue (3): 50-62.

家庭医生签约服务对老年人健康的影响——来自中国老年社会追踪调查的最新证据

马琦峰, 孙可心, 谢立黎

中国人民大学人口与发展研究中心/老年学研究所,北京 100872

收稿日期:2024-12-06 修回日期:2025-03-30 出版日期:2025-05-25 发布日期:2025-09-17
通讯作者: 谢立黎,中国人民大学副教授,主要从事老年社会参与和老年人生活质量研究,联系方式yvettexie@ruc.edu.cn。
作者简介:马琦峰,中国人民大学博士研究生,主要从事养老服务和老年健康研究;孙可心,中国人民大学博士研究生,主要从事老年友好型社会研究。
基金资助:
国家社会科学基金重大项目“实施积极应对人口老龄化国家战略”（21ZDA106）

The Impact of Contracted Family Doctor Services on the Health of Older Adults: The Latest Evidences from CLASS

Ma Qi-feng, Sun Ke-xin, Xie Li-li

Renmin University of China, Beijing 100872, China

Received:2024-12-06 Revised:2025-03-30 Online:2025-05-25 Published:2025-09-17

摘要/Abstract

摘要： 基于2023年中国老年社会追踪调查数据,实证检验了家庭医生签约服务对老年人健康的影响效应,并分析了其作用机制及影响差异。研究发现,家庭医生签约服务能够有效促进老年人的生理健康,但并未显著改善其心理健康与社会健康。机制分析表明,家庭医生签约服务主要通过改善晚年健康行为和促进健康服务利用两条路径发挥作用。异质性分析发现,城镇户籍、慢性病数量越多、自理能力越差以及使用互联网的老年人在接受家庭医生签约服务后能够获得更多的健康绩效,且服务满意度较高的老年人也会获得更多的健康绩效。基于此,为进一步提升家庭医生签约服务在老年群体中的健康绩效,建议未来相关工作应从扩大服务供给、强化服务链接、优化服务结构和加强服务监管四个方面推进。

关键词: 老年人健康, 家庭医生签约服务, 健康行为, 健康服务

Abstract: Based on the data from the 2023 China Longitudinal Aging Social Survey (CLASS), this study empirically examines the impact of family doctor contract services on the health of the elderly, and analyzes its mechanism of action and differences in the impact. The findings show that family doctor contract services can effectively promote the physical health of elderly people, but do not significantly improve their mental and social health. The mechanism analysis reveals that family doctor contract services mainly function through two pathways: Improving health behaviors in later life and promoting the utilization of health services. The heterogeneity analysis reveals that the older people with registered residence in cities and towns, with more chronic diseases, with poorer self-care ability, and having access to the Internet can obtain more health performance after receiving the services signed by family doctors; and the elderly with higher service satisfaction will also obtain more health performance. Based on this, in order to further improve the health performance of family doctor contract services among the elderly population, it is suggested that the future related work should be promoted from four aspects: Expanding service supply, strengthening service links, optimizing service structure, and strengthening service supervision.

Key words: older adults, contracted family doctor services, health behavior, health services

中图分类号:

R197
C913

马琦峰, 孙可心, 谢立黎. 家庭医生签约服务对老年人健康的影响——来自中国老年社会追踪调查的最新证据[J]. 江西财经大学学报, 2025, 0(3): 50-62.

Ma Qi-feng, Sun Ke-xin, Xie Li-li. The Impact of Contracted Family Doctor Services on the Health of Older Adults: The Latest Evidences from CLASS[J]. Journal of Jiangxi University of Finance and Economics, 2025, 0(3): 50-62.

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