主观幸福感与医疗保健利用：一项中介分析。
Subjective well-being and healthcare utilization: A mediation analysis.
作者信息
Kesavayuth Dusanee, Shangkhum Prompong, Zikos Vasileios
机构信息
Department of Economics, Faculty of Economics, Kasetsart University, Bangkok, 10900, Thailand.
School of Economics, University of the Thai Chamber of Commerce, 126/1 Vibhavadee-Rangsit Road, Dindaeng, Bangkok, 10400, Thailand.
出版信息
SSM Popul Health. 2021 Apr 18;14:100796. doi: 10.1016/j.ssmph.2021.100796. eCollection 2021 Jun.
Abstract
Subjective well-being measures are gaining recognition as important determinants of health outcomes. This paper examines whether life satisfaction matters for healthcare usage in the older population and, if so, what might help explain this relationship. To that end, we develop a mediation framework and test whether lifestyle choices and social capital are pathways through which life satisfaction at baseline influences subsequent healthcare usage. Using Heckman's approach to correct for sample selection bias, we find that those high in life satisfaction may need less outpatient care. We also show that this effect is explained by increased physical activity.
摘要
主观幸福感指标正日益被视为健康结果的重要决定因素。本文探讨生活满意度对老年人群医疗保健使用是否重要，若重要，哪些因素可能有助于解释这种关系。为此，我们构建了一个中介框架，并检验生活方式选择和社会资本是否是基线生活满意度影响后续医疗保健使用的途径。使用赫克曼方法校正样本选择偏差后，我们发现生活满意度高的人可能需要较少的门诊护理。我们还表明，这种效应可以通过增加体育活动来解释。
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