Study on the Impact of Community Medical Services on Elderly Health Cognitive Bias and Medical Treatment Choices&#x02014;&#x02014;Data Analysis Based on CLASS (2020)

doi:10.19546/j.issn.1674-3830.2025.1.011

China Health Insurance ›› 2025, Vol. 0 ›› Issue (1) : 83-93. DOI: 10.19546/j.issn.1674-3830.2025.1.011

Study on the Impact of Community Medical Services on Elderly Health Cognitive Bias and Medical Treatment Choices——Data Analysis Based on CLASS (2020)

Author information +

History +

Abstract

In the context of a healthy aging strategy, establishing a health management service system for the elderly with community medical services at its core is crucial. Based on data from the China Longitudinal Aging Social Surveyin2020, this study thoroughly analyzed the impact of community medical services on health cognitive biases, medical treatment choices among the elderly. The results indicated that community-based health support, education services were effective in reducing health cognitive biases of the elderly, encouraging them to engage in positive health-seeking behaviors, such as visiting hospitals or community clinics. Furthermore, health cognitive bias plays a partial mediating role between the utilization of community medical services, the choice of medical treatment for the elderly. In this study, we propose recommendations to enhance the supply of community medical services, strengthen community health education for the elderly, improve their health literacy, reduce health cognitive biases based on the personalized, diversified, professional medical service needs of the elderly, in order to continuously improve the efficiency of medical service supply in grassroots communities, further optimize the utilization of medical services, health decision-making among the elderly

Key words

community medical services / health cognitive biases / medical treatment options

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Study on the Impact of Community Medical Services on Elderly Health Cognitive Bias and Medical Treatment Choices——Data Analysis Based on CLASS (2020)[J]. China Health Insurance. 2025, 0(1): 83-93 https://doi.org/10.19546/j.issn.1674-3830.2025.1.011

References

[1] United Nations.World population ageing2019: highlights[EB/OL].(2019)[2024-12-11].https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf.
[2] National Institute on Aging.Chronic conditions common among older adults.[2024-12-21].https://www.nia.nih.gov/news/topics/chronic-conditions.
[3] World Health Organization.Ageing and Health.[EB/OL].(2020)[2024-12-21] .https://www.cdc.gov/aging/ healthybrain/brfss-faq-cognitive.htm.
[4] 陈淑毓.智慧医疗对老年人健康的影响研究 ——基于江西省赣州市的调查[J].运筹与模糊学,2023,13(5):4600-4610.
[5] 宋羽真,张强,周芯竹.我国老年人慢性病患病状况及健康生活方式分析——基于CLHLS 2018数据的实证分析[J].运筹与模糊学,2023, 13(4):4041-4051.
[6] GRANOVTTER M.Problems of explanation in economic sociology networks and organization(eds) by Nitin[M].Nohria & Robert C Eccles: Harvard Business School Press, 1992.
[7] 韩志琰.基于医疗服务分流的农村医疗机构住院患者就医选择行为及满意度研究[D].济南:山东大学,2012.
[8] CHRISMAN N J.The health seeking process:an approach to the natural history of illness[J].Culture medicine and psychiatry,1977,1(04):351-377.
[9] 姚兆余,张娜.农村居民就医行为及其影响因素的分析——基于苏北地区X镇的调查[J].南京农业大学学报(社会科学版),2007(03):12-17.
[10] AHAMED F, GHOSH T, KAUR A, et al.Prevalence of chronic morbidities and healthcare seeking behavior among urban community dwelling elderly population residing in Kalyani municipality area of West Bengal, India[J].Journal of family medicine and primary care, 2021, 10(11): 4193-4199.
[11] 石文杰,陈帅,甄天民,等.基于文献计量的我国患者就医选择偏好及影响因素分析[J].中国医药科学,2021,11(06):160-163.
[12] 阚亚楠.慢性阻塞性肺疾病患者就医行为现状及其影响因素分析[D].苏州:苏州大学,2020.
[13] 章琛越,朱雪娇.减少脑卒中患者延迟就医行为健康教育的研究进展[J].中华护理教育, 2021,18(8):759-764.
[14] 陈瑞雪.北京市朝阳区居民中医就诊行为及影响因素研究[D].北京:北京中医药大学,2019.
[15] 和红,闫辰聿.社区居家养老意愿下居住方式和子女支持对老年人基层卫生服务需求的影响[J].中国卫生政策研究,2021,14(03):64-72.
[16] 舒展,肖金光,陈俊衣,等.社区服务和新型农村合作医疗对农村老年人疾病经济负担影响[J].中国公共卫生,2020,36(09):1257-1263.
[17] LIANG X, GUO H, JIN C, et al.The effect of new cooperative medical scheme on health outcomes and alleviating catastrophic health expenditure in China: a systematic review[J].PLoS one, 2012, 7(8): e40850.
[18] 韩正彪,戚景琳,王云辉.用户网络健康信息搜索对健康风险认知偏差的影响——基于CGSS数据的实证研究[J].图书与情报,2023(05):62-71.
[19] LOUIE G H, WARD M M.Association of measured physical performance and demographic and health characteristics with self-reported physical function: implications for the interpretation of self-reported limitations[J].Health and quality of life outcomes, 2010, 8(1):1-13.
[20] SPITZER S, WEBER D.Reporting biases in self-assessed physical and cognitive health status of older Europeans[J].PLoS one, 2019, 14(10): e0223526.
[21] SAKURAI R, FUJIWARA Y, ISHIHARA M, et al.Age-related self-overestimation of step-over ability in healthy older adults and its relationship to fall risk[J].BMC geriatrics, 2013, 13(01): 1-9.
[22] SIMON H A.A behavioral model of rational choice[J].The Quarterly journal of economics, 1955, 69(01): 99-118.
[23] 高其法.不确定性和认知偏差对健康行为转变的影响研究[J].中国全科医学,2014(31):3734-3737.
[24] 李瑶,刘俊霞,李磊.新农保对农村老年人医疗服务利用的影响及异质性研究[J].农业技术经济,2022(08):112-124.
[25] 朱梦云.健康老龄化视角下农村老龄人口医疗服务和健康改善探析[J].老龄化研究,2023, 10(03):575-581.
[26] 张宝山,金豆,马梦佳,等.消极刻板印象对老年人医疗决策的影响及归因偏差的作用[J].心理学报,2022,54(08):951-963.
[27] HEIDER F.The psychology of interpersonal relations[M].New York: John Wiley, 1958.
[28] OAKES P J, TURNER J C, HASLAM S A.Stereotyping and social reality[J].British journal of social psychology, 1991, 30(2): 299-323
[29] EKSTROM L W.Liars, medicine, and compassion[J].Journal of medicine and philosophy, 2012, 37(2): 159-180.
[30] 吴敏,梁俏谊,熊鹰.老年健康主客观一致性评估与就医行为[J].湖北经济学院学报,2022,20(04):82-90.
[31] 沈群红,张琼.社会分层视野下患者认知与医疗行为[EB/OL].(2013-11-20)[2024-12-15].https://www.sppm.tsinghua.edu.cn__local/A/B6/CC/9144F3A7EE3E126EF9EAA9C1168_73D65212_91213.pdf.
[32] 张研,王晨舟,卢珊,等.分级诊疗的治理逻辑与农村居民认知偏差效应分析[J].中国卫生政策研究,2022,15(12):24-30.
[33] 朱兴华.基于Logistic回归模型的我国城市社区居民就医选择的影响因素研究[J].应用数学进展,2021,10(10):3239-3246.