互联网使用对老年慢性病患者卫生服务利用的影响研究
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作者单位:

安徽医科大学卫生管理学院,安徽 合肥 230032

作者简介:

程智(2001—),男,安徽六安人,硕士研究生在读,研究方向为社会医学与卫生事业管理;

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中图分类号:

C913.6

基金项目:

安徽省卫生健康委“安徽省卫生总费用核算”项目(K2021209)


Study on the impact of Internet use on health service utilization among older adults with chronic diseases
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School of Health Management,Anhui Medical University,Hefei 230032 ,China

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    摘要:

    文章基于2018年和2020年中国健康与养老追踪调查数据,采用固定效应模型分析互联网使用对中国老年慢性病患者卫生服务利用的影响,并通过分组回归进行异质性检验。结果显示,互联网使用显著降低了老年慢性病患者的卫生服务利用率,而是否使用手机支付无显著影响; 互联网使用对卫生服务利用的显著影响存在于在婚、有医疗保险的子群体中;自评健康状况、抑郁评分对卫生服务利用具有显著影响。互联网使用可能通过拓宽健康信息获取渠道降低老年慢性病患者的线下卫生服务需求。据此提出应加强适老化数字健康服务改造,针对非网民群体强化社区健康支持,并依据婚姻状态等特征制定精准干预策略以优化数字健康服务。

    Abstract:

    In order to explore the impact of Internet use on the utilization of healthcare services for older adults with chronic diseases in China,this study used a fixed effects model analysis based on the data of China Health and Retirement Longitudinal Study(CHARLS)from 2018 to 2020 on health-seeking behavior,and conducted a heterogeneity test through grouped regression. The results showed that Internet use significantly reduced the offline healthcare visit rate of older adults with chronic diseases,while the use of mobile payment had no significant effect. The significant impact of internet use on healthcare service utilization was found in the sub-groups of those who are married and medically insured. Self-rated health status and depression scores also have a significant impact on health service utilization. These findings suggest that Internet use may lower the offline health service demand among older adults with chronic diseases by expanding the access to health information. It is necessary to strengthen the age-friendly transformation of digital health services,enhance community health support for non-Internet users ,and develop targeted intervention strategies based on characteristics of marital status to optimize digital health services.

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程智,赵虎,雷易简,张梦雨,汤质如.互联网使用对老年慢性病患者卫生服务利用的影响研究[J].南京医科大学学报(社会科学版),2025,25(5):467~471

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  • 收稿日期:2025-06-12
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  • 在线发布日期: 2025-10-31
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