人口研究 ›› 2017, Vol. 41 ›› Issue (4): 46-59.

• 论文 • 上一篇    下一篇

中国失能老人长期照护服务使用的影响因素分析——基于安德森健康行为模型的实证研究

彭希哲1宋靓珺2黄剑焜3   

  1. 复旦大学人口与发展政策研究中心;复旦大学社会发展与公共政策学院
  • 出版日期:2017-07-29 发布日期:2017-09-26
  • 作者简介:彭希哲,复旦大学人口与发展政策研究中心教授、博士生导师; 宋靓珺,复旦大学社会发展与公共政策学院博士研究生; 黄剑焜,复旦大学社会发展与公共政策学院硕士研究生。
  • 基金资助:
    本研究是国家自然科学基金重大项目“应对老龄社会的基础科学问题研究” ( 编号:71490735) 的阶段性研究成果。

Determinants of Long-Term Care Services among Disabled Older Adults in China: A Quantitative Study based on Andersen's Behavioral Model

Peng Xizhe1Song Liangjun2Huang Jiankun3   

  1. Center for Population and Development Policy Studies,Fudan University;,School of Social Development and Public Policy,Fudan University
  • Online:2017-07-29 Published:2017-09-26
  • About author:Peng Xizhe is Professor,Center for Population and Development Policy Studies,Fudan University; Song Liangjun is PhD,School of Social Development and Public Policy,Fudan University; Huang Jiankun is Master Student,School of Social Development and Public Policy,Fudan University.
  • Supported by:
     

摘要: 文章利用 2014 年中国老人健康长寿跟踪调查数据( CLHLS) ,将安德森健康行为模型 作为理论框架剖析中国失能老年人群对长期照护服务使用的影响因素。实证研究表明: 安德森模型 中的 3 类变量中只有使能因素和需求因素对服务的选择产生了显著影响,前倾因素则不显著。据此, 文章得出与前人研究不同的结论:在中国当前的现实情境和文化背景下,老人对于长期照护服务的使 用更多的是受到客观环境的影响,即便个人有使用某种健康服务的特征和倾向,但仍受制于政策环 境、个人与家庭能力以及健康状况等能力和需求要素。此外,文章引入家庭照料者意愿这一变量,对 安德森模型进行本土化改造的探索,并对服务需求评估工具、家庭发展能力和社区服务未来走向等内 容进行深入探讨。

 

关键词: 失能老人, 长期照护, 安德森模型, 老龄化

Abstract: This paper employs the Andersen's Behavioral Model as the theoretical framework to ana- lyze the determinants of utilization of formal long-term care service ( including the home/community- based LTC and institution-based LTC) using the dataset of CLHLS 2014 in China. The logistic regressions show that the enabling and need but not the predisposing factors are significant determinants of formal LTC use in China. The Paper further argues that the long-term care service utilization in the Chinese context is subject to the social-culture environment,the importance of which is highlighted. In addition,we have modified the Andersen's Model for LTC use by adding the willingness of family caregivers as the cultural factors based on the Chinese socioeconomic situation. The paper concludes with discussions on the as- sessment of LTC,the capability development of family,and the future trends of community-based service.

Keywords: Disabled Older Adults, Long-term Care, Andersen's Behavioral Model, Ageing

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