通讯作者: 尹文强, yinwq1969@126.com

DOI：10.12201/bmr.202306.00017

Research on the Impact of Working after Retirement on the Utilization of Medical Services for the Elderly——the Mediating Effect Based on Health

• 摘要：目的 探究退休老年群体劳动参与行为对其医疗服务利用的影响，为渐进式延迟退休政策的推出提供建议。方法 使用2020年CFPS数据，利用Stata17.0统计软件，通过Logit回归模型和倾向得分匹配(PSM)研究退休老年人劳动参与对医疗服务利用的影响。通过三步回归法与KHB分解法检验自评健康在退休后劳动参与和老年人医疗服务利用之间的中介效应。结果 Logit模型显示退休后劳动参与对医疗服务利用存在负向影响(P<0.05)；PSM检验显示，退休后劳动参与对门诊服务利用、住院服务利用平均处理效应分别为-0.059、-0.074，对男性老年人和低退休金老年人在医疗服务利用方面的作用更明显；自评健康作为中介对门诊服务利用和住院服务利用的中介效应分别占总效应68.25%和39.07%。结论 退休后劳动参与可一定程度缓解医疗资源压力，应鼓励老年人退休后参与劳动，并根据不同人群弹性调整退休政策。

  关键词： 退休老年群体；劳动参与；医疗服务利用；自评健康; ; ; 

   

  Abstract: Objective To understand the influence and mechanism ofworking after retirement labor participation behavior of retired elderly groups on their utilization of medical services, and to provide suggestions for the introduction of progressive delayed retirement policy. Methods Using 2020 CFPS data, Stata17.0 statistical software was used to study the influence of labor participation on medical service utilization in retired elderly people by Logit regression model and propensity score matching (PSM). The three-step regression method and KHB decomposition method were used to explore the mechanism of labor participation affecting the utilization of medical services for the elderly working after retirement. Results The Logit model showed that post-retirement labor participation had a negative impact on the utilization of medical services, and after correcting the endogenous problem, the average treatment effects of post-retirement labor participation on outpatient service utilization and inpatient service utilization were -0.059 and -0.074, respectively, and the effect on male elderly and high-generation support elderly in medical service utilization was more obvious. The mediating effect of self-rated health as an intermediary on the utilization of outpatient services and inpatient services accounted for 77.04% and 40.76% of the total effects, respectively. Conclusion working after retirement can alleviate the pressure of medical resources to a certain extent, and the elderly should be encouraged to participate in labor after retirement, and flexible adjustment of retirement policies should be made according to different groups of people.

  Key words: retired elderly; Labor participation; Utilization of outpatient medical service; self-rated health

  提交时间：2023-06-30

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• 序号	提交日期	编号	操作
  1	2023-03-21	bmr.202306.00017V1	下载

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