通讯作者: 马琦峰, ruc_maslow@163.com

DOI：10.12201/bmr.202508.00037

Policy Spillover Effects of Healthy City Initiatives in the Context of Urban-Rural Integration: Evidence from Healthy Aging in Rural Areas

• 摘要：目的：评估健康城市试点通过政策溢出效应影响农村地区健康老龄化的基准方向、作用机制及其异质性表现。方法：使用2014-2023年中国老年社会追踪调查的五期面板数据,构建双重差分模型,检验试点政策实施前后农村地区的健康老龄化水平是否发生显著变化。结果：健康城市试点政策对农村地区健康老龄化具有显著的正向溢出效应,这集中表现为促进老年人的心理与社会健康；健康城市试点通过促进医疗服务利用、改善晚年健康行为促进农村地区健康老龄化；高学历、与子女同住,以及处于经济发达、医疗资源丰富地区的农村老年群体获益更大。结论：健康城市试点政策能够跨越城市边界,通过政策外溢效应惠及农村地区健康老龄化。未来政策需着力深化优质医疗卫生资源的下沉与整合工作、加大农村适老化健康支持性环境建设投入、面向相对弱势群体提升精准健康干预策略,以提升政策溢出效应的均衡性与普惠性。

  关键词： 健康城市; 政策溢出; 农村老年人; 健康老龄化; 城乡融合

   

  Abstract: Objective: To assess the baseline direction, mechanisms, and heterogeneous manifestations of the spillover effects of Healthy City pilot policies on healthy aging in rural areas. Methods: Utilizing five-wave panel data from the China Longitudinal Aging Social Survey (CLASS) spanning 2014–2023, a difference-in-differences model was constructed to examine whether significant changes occurred in healthy aging levels within rural areas following policy implementation. Results: The Healthy City pilot policy exerted significantly positive spillover effects on healthy aging in rural areas, primarily manifested through improvements in older adults’ psychological and social health. These effects operated via enhanced medical service utilization and improved health behaviors in later life. Rural older adults with higher education levels, those co-residing with children, and those residing in economically developed or medically well-resourced areas experienced greater benefits. Conclusion: Healthy City pilot policies can transcend urban boundaries and benefit rural healthy aging through policy spillover effects. Future policies should focus on: deepening the integration and deployment of high-quality medical resources to rural areas; increasing investment in constructing age-friendly supportive health environments in rural settings; and enhancing targeted health intervention strategies for relatively disadvantaged groups—thereby improving the equity and inclusiveness of policy spillovers.

  Key words: Healthy city; Policy spillover; Rural older adults; Healthy aging; Urban-rural integration

  提交时间：2025-08-18

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-06-16	bmr.202508.00037V1	下载

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