Spillover effects of integrated care: Evidence from the impact of Home- and Community-Based Integrated Care for Older Adults (HCICOA) on spouses’ health and well-being in China

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2025-05-30 DOI:10.1016/j.archger.2025.105907

Yating Liu , Chenlu Hong , Guangwen Liu , Yujie Huang , Boyuan Guan , Yanan Luo

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引用次数: 0

Abstract

Background

Home- and Community-Based Integrated Care for Older Adults (HCICOA) has been rapidly implemented in China to address aging population needs. While its direct benefits for care recipients are well studied, its spillover effects on spouses remain underexplored. This study examines HCICOA’s impact on spouses' health and well-being.

Methods

Using panel data from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2018, we employed a difference-in-differences (DID) approach to estimate HCICOA’s effects on spouses' happiness, life satisfaction, self-reported health, depressive symptoms, chronic diseases, and function status.

Results

HCICOA positively influenced spouses' happiness (β=0.322, P < 0.01), especially among female spouses (β=0.369, P < 0.05), rural residents (β=410, P < 0.01), those with lower education (β=0.394, P < 0.01) and those in western China. However, no significant effects were found on life satisfaction (β=0.084, P = 0.054), self-reported health (β=-0.025, P = 0.577), depressive symptoms (β=0.026, P = 929), chronic diseases (β=-0.046, P = 0.604), or function status (β=0.018, P = 0.860).

Conclusions

HCICOA has a positive spillover effect on spousal happiness, underscoring its broader social advantages. Policymakers should expand implementation of the HCICOA and adopt a family-centered approach in designing HCICOA program to further broaden its coverage and impact.

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综合护理的溢出效应：来自中国老年人家庭和社区综合护理（HCICOA）对配偶健康和福祉影响的证据

家庭和社区老年人综合护理（HCICOA）已在中国迅速实施，以解决人口老龄化的需求。虽然它对受照顾者的直接好处已经得到了很好的研究，但它对配偶的溢出效应仍未得到充分探讨。本研究考察了HCICOA对配偶健康和幸福的影响。方法利用2011年至2018年中国健康与退休纵向研究（CHARLS）的面板数据，采用差分法（DID）估计HCICOA对配偶幸福感、生活满意度、自我报告健康、抑郁症状、慢性疾病和功能状态的影响。结果shcicoa正向影响夫妻幸福感(β=0.322, P <；0.01)，尤其是女性配偶(β=0.369, P <；0.05)，农村居民(β=410, P <；0.01)，学历较低者(β=0.394, P <；0.01)和中国西部地区。然而，对生活满意度（β=0.084, P = 0.054）、自我报告健康状况（β=-0.025, P = 0.577）、抑郁症状（β=0.026, P = 929）、慢性疾病（β=-0.046, P = 0.604）和功能状态（β=0.018, P = 0.860）均无显著影响。结论“双创”对夫妻幸福感具有正向溢出效应，体现了其更广泛的社会优势。政策制定者应扩大HCICOA的实施，在设计HCICOA项目时采取以家庭为中心的方法，进一步扩大其覆盖面和影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.