How does construction of the healthcare data center affect the health of older adults?evidence from China.

IF 3.1 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Frontiers in Medicine Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI:10.3389/fmed.2025.1589319
Yao Yao, Pengyu Xu
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引用次数: 0

Abstract

Background: The construction of the National Healthcare Data Center (NHDC) has driven data aggregation and interoperability, and created the conditions necessary for older adults to improve their health through digital health management. This study aimed to evaluate the effect of healthcare data center construction on improving the health of the older adults and elaborate on the role of health management within the underlying mechanism.

Methods: The difference-in-differences (DID) model was used as an empirical strategy for causal identification. It included baseline regressions, robustness checks, heterogeneity analysis and mechanism analysis.

Results: The NHDC construction significantly improves health of older adults, which is reflected in higher subjective health ratings, reduced prevalence of chronic diseases and multimorbidity, enhanced physical function, and improved mental health. Heterogeneity analysis indicates that the effect is more significant among rural residents, individuals under 60 years of age, and male seniors. Increased active health management efforts by the older adults, along with a higher likelihood of receiving health management services, play a significant role in the channels of effect.

Conclusion: The construction of the healthcare data center characterized by driving data aggregation and interoperability improves the health of older adults by promoting their digital health management.

医疗数据中心的建设如何影响老年人的健康?来自中国的证据。
背景:国家卫生健康数据中心(NHDC)的建设推动了数据的聚合和互操作性,为老年人通过数字化健康管理改善健康创造了必要条件。本研究旨在评价医疗数据中心建设对老年人健康改善的作用,阐述健康管理在其中的作用机制。方法:采用差异中差异(DID)模型作为因果识别的实证策略。包括基线回归、稳健性检验、异质性分析和机制分析。结果:NHDC结构显著改善了老年人的健康状况,表现为主观健康评分提高,慢性病和多病患病率降低,身体功能增强,心理健康改善。异质性分析表明,农村居民、60岁以下个体和男性老年人的影响更为显著。老年人积极的健康管理努力的增加,以及接受健康管理服务的可能性的增加,在影响渠道中发挥了重要作用。结论:以推动数据聚合和互操作为特征的医疗数据中心建设,通过促进老年人数字化健康管理,改善老年人健康状况。
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
Frontiers in Medicine
Frontiers in Medicine Medicine-General Medicine
CiteScore
5.10
自引率
5.10%
发文量
3710
审稿时长
12 weeks
期刊介绍: Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world
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