文献类型：期刊文献

中文题名：抑郁对中老年慢性病人群医疗服务利用的影响研究

英文题名：A study on the influence of depression on medical service utilization in middle?aged and elderly people with chronic diseases

作者：韦悦[1];罗恩立[1]

机构：[1]华东理工大学社会与公共管理学院公共政策系,上海200237

年份：2021

卷号：21

期号：6

起止页码：560

中文期刊名：南京医科大学学报（社会科学版）

外文期刊名：Journal of Nanjing Medical University（Social Sciences）

收录：国家哲学社会科学学术期刊数据库

基金：国家社会科学基金一般项目“家庭化迁移与新生代流动女性就业能力研究”(18BRK041)。

语种：中文

中文关键词：抑郁;慢性病;中老年人群;医疗服务利用;自评健康

外文关键词：depression;chronic diseases;middle?aged and elderly people;utilization of medical services;self?rated health

摘要：理解中老年慢性病人群抑郁状况及其与医疗服务利用的关系,对优化医疗资源配置有重要现实意义。文章根据中国健康与养老追踪调查(CHARLS)2015数据,运用Logistic回归模型,以自评健康为中介,从门诊、住院双维度考察抑郁对慢性病人群医疗服务利用的影响机制。结果发现,抑郁情绪使得中老年慢性病人群医疗服务利用率显著提高,门诊服务利用率提高8.4%,住院服务利用率提高4.8%。自评健康发挥部分中介作用,影响门诊服务和住院服务利用的中介效应分别占总效应的46.02%和63.92%。抑郁情绪可直接预测,亦可通过自评健康间接预测中老年慢性病人群医疗服务利用。增加针对慢性病人群抑郁情绪的干预,关注中老年人群自我健康状态的认知能力,提高健康认知水平,以期促进医疗服务资源的合理有效配置。
Understanding the depression status of middle?aged and elderly patients with chronic diseases and its relationship with the utilization of medical services is of great practical significance to optimize the allocation of medical resources.Based on CHARLS 2015,using Logistic regression,we explored the influence of depression on the utilization of medical services of chronically ill people from two dimensions of outpatient and inpatient services,and tried to explain the influence mechanism by taking self?reported health as the mediating variable.The conclusions include:①Depression significantly increased the probability of medical service utilization in middle-aged and elderly people with chronic diseases.The probability of outpatient and inpatient service utilization increased by 8.4 percentage points and 4.8 percentage points,respectively.②Self?rated health played a partial mediating role,and the mediating effect affecting outpatient and inpatient service utilization accounted for 46.02%and 63.92%of the total effect,respectively.Depression can directly predict the medical service utilization in middle?aged and elderly people with chronic diseases or indirectly predict the medical service utilization via self?rated health as the mediating variable.It is suggested to increase the intervention for depression of patients with chronic diseases,pay attention to the cognitive ability of self?rated health status of middle?aged and elderly people,and improve the level of health cognition,so as to promote the rational and effective allocation of medical service resources.