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医疗保健数据中心的建设如何影响老年人的健康?来自中国的证据。

How does construction of the healthcare data center affect the health of older adults?evidence from China.

作者信息

Yao Yao, Xu Pengyu

机构信息

School of Economics and Management, Southeast University, Nanjing, China.

出版信息

Front Med (Lausanne). 2025 Jun 2;12:1589319. doi: 10.3389/fmed.2025.1589319. eCollection 2025.

Abstract

BACKGROUND

The construction of the National Healthcare Data Center (NHDC) has driven data aggregation and interoperability, and created the conditions necessary for older adults to improve their health through digital health management. This study aimed to evaluate the effect of healthcare data center construction on improving the health of the older adults and elaborate on the role of health management within the underlying mechanism.

METHODS

The difference-in-differences (DID) model was used as an empirical strategy for causal identification. It included baseline regressions, robustness checks, heterogeneity analysis and mechanism analysis.

RESULTS

The NHDC construction significantly improves health of older adults, which is reflected in higher subjective health ratings, reduced prevalence of chronic diseases and multimorbidity, enhanced physical function, and improved mental health. Heterogeneity analysis indicates that the effect is more significant among rural residents, individuals under 60 years of age, and male seniors. Increased active health management efforts by the older adults, along with a higher likelihood of receiving health management services, play a significant role in the channels of effect.

CONCLUSION

The construction of the healthcare data center characterized by driving data aggregation and interoperability improves the health of older adults by promoting their digital health management.

摘要

背景

国家医疗数据中心(NHDC)的建设推动了数据聚合与互操作性,并为老年人通过数字健康管理改善健康创造了必要条件。本研究旨在评估医疗数据中心建设对改善老年人健康的效果,并阐述健康管理在潜在机制中的作用。

方法

采用双重差分(DID)模型作为因果识别的实证策略。它包括基线回归、稳健性检验、异质性分析和机制分析。

结果

NHDC建设显著改善了老年人的健康状况,表现为更高的主观健康评分、慢性病和多种疾病患病率的降低、身体功能的增强以及心理健康的改善。异质性分析表明,这种效果在农村居民、60岁以下人群和老年男性中更为显著。老年人积极健康管理努力的增加以及接受健康管理服务可能性的提高,在影响渠道中发挥了重要作用。

结论

以推动数据聚合与互操作性为特征的医疗数据中心建设,通过促进老年人的数字健康管理来改善他们的健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f00/12171187/452182d77ebd/fmed-12-1589319-g001.jpg

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