Abstract: In the context of population ageing, this study utilizes data from the China Longitudinal Aging Social Survey (CLASS) and the China Health and Retirement Longitudinal Study (CHARLS) to construct a measurement indicator system and demarcate alert-boundary zones. From national, regional, and urban-rural perspectives, we systematically investigate supply-demand matching levels and trends of China's healthy ageing services. The results show that the supply-demand matching levels of healthy ageing services in China have gradually improved yet remain predominantly within alert-boundary zones. High demand that exceeds insufficient supply constitutes the primary mismatch driver. The imbalances primarily manifest in long-term care, free physical examinations, home-based medical visits/medication delivery, and health management services. Moreover, there is significant regional and urban-rural heterogeneity in the supply-demand imbalances of healthy ageing services, which faces the dual challenges of high-level imbalances and low-level matching. Less developed regions exhibit marked deviations between actual and potential demands among older people. Therefore, the supply of healthy ageing services should be strengthened through targeted interventions addressing supply-demand imbalances, and initiatives should be taken to promote regionally balanced development of healthy ageing services.

Keywords: Healthy Ageing, Supply-Demand Matching, Service Demand, Regional Heterogeneity, Urban-Rural Disparities

摘要： 在人口老龄化加速演进的背景下，利用中国老年社会追踪调查(CLASS)和中国健康与养老追踪调查(CHARLS)数据，构建测度指标体系并划分警限区域，从全国、区域、城乡视角探究中国健康老龄化服务供需适配水平及其变动趋势。研究发现，中国健康老龄化服务供需适配水平逐渐改善，但整体仍位于警戒区，供需不适配的主要原因在于需求旺盛、供不应求;供需不平衡主要表现在长期照料、免费体检、上门看病/送药与健康管理服务方面;健康老龄化服务供需适配存在显著的区域和城乡异质性，面临高层次不均衡与低水平适配的双重困境，欠发达地区老年人的现实需求与潜在需求存在明显偏差。对此，应强化健康老龄化服务供给，聚焦供需适配的主要矛盾采取针对性举措，推动健康老龄化服务的区域均衡发展。

关键词: 健康老龄化, 供需适配, 服务需求, 区域异质性, 城乡差异