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非正式照料能否替代正式照料?来自中国北京残疾老年人的证据。

Can Informal Care Be a Substitute for Formal Care? Evidence from Older People with Disabilities in Beijing, China.

作者信息

Cai Jiaoli, Jiang Nan, Coyte Peter C

机构信息

School of Economics and Management, Beijing Jiaotong University, No. 3 Shangyuancun, Haidian District, Beijing 100044, China.

Institute of Health Policy, Management and Evaluation, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, ON M5T 3M6, Canada.

出版信息

Healthcare (Basel). 2024 Dec 11;12(24):2508. doi: 10.3390/healthcare12242508.

DOI:10.3390/healthcare12242508
PMID:39765935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11728084/
Abstract

BACKGROUND

The demand for long-term care is increasing as the elderly population continues to grow, prompting a critical examination of care modalities.

METHODS

This study employs data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) to assess the relationship between informal and formal care for older people with disabilities in Beijing. The analysis employs the Probit model and incorporates the application of instrumental variable techniques and propensity score matching to ensure robustness in the results.

RESULTS

The findings highlight the important role of informal care.

CONCLUSIONS

Policymakers should incorporate support policies for informal care into the overall design of the system, provide support to informal caregivers, and reduce their burden. Our research conclusions provide empirical reference for cities with similar characteristics to Beijing.

摘要

背景

随着老年人口持续增长,长期护理需求不断增加,这促使人们对护理模式进行批判性审视。

方法

本研究采用中国健康与养老追踪调查(CLHLS)的数据,以评估北京残疾老年人的非正式护理和正式护理之间的关系。分析采用Probit模型,并运用工具变量技术和倾向得分匹配法以确保结果的稳健性。

结果

研究结果凸显了非正式护理的重要作用。

结论

政策制定者应将非正式护理支持政策纳入系统的整体设计中,为非正式护理者提供支持并减轻其负担。我们的研究结论为与北京具有相似特征的城市提供了实证参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82e4/11728084/ed6021ac7257/healthcare-12-02508-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82e4/11728084/ed6021ac7257/healthcare-12-02508-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82e4/11728084/ed6021ac7257/healthcare-12-02508-g001.jpg

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本文引用的文献

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The relationships between informal and formal social care for older people in England: A comparison before and after the Care Act 2014.英国老年人非正式和正式社会照料之间的关系:2014年《照护法案》前后对比
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Impact of formal care consumption on informal care use in Europe: What is happening at the beginning of dependency?
欧洲正规护理消费对非正规护理使用的影响:在依赖初期发生了什么?
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Impact of Formal Care Use on Informal Care from Children after the Launch of Long-Term Care Insurance in Shanghai, China.长期护理保险在中国上海推出后对子女提供非正式护理的影响。
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Urban-rural differences in the association between access to healthcare and health outcomes among older adults in China.中国老年人医疗保健可及性与健康结果之间关联的城乡差异。
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