家庭护理与护理：对健康和幸福的影响

IF 5 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-09-05 DOI:10.1016/j.socscimed.2025.118533

Elena Bassoli , Mathieu Lefebvre , Jérôme Schoenmaeckers

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引用次数: 0

摘要

在这篇论文中，我们估计了不同的护理环境对健康和幸福结果的影响。我们使用来自法国CARE调查的数据，该调查采访了60岁及以上的个人，以评估住在家里或住在养老院对死亡率、发病率和福祉指标的不同影响。此外，我们区分了营利性和非营利性养老院的效果。为此，我们采用倾向评分匹配方法，通过将住在家里的人与住在养老院的人相匹配来控制可观察性的选择。我们的结果是三重的。首先，我们观察到住在养老院对健康结果有积极影响，但对其他健康指标（如幸福和紧张）有消极影响。其次，非营利性和公办性养老院的所有权地位很重要，其积极效应更强。第三，住在营利性养老院的人似乎比住在非营利机构的人境况更差。这些发现对未来的组织和长期护理的资助提出了重要的问题。

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Home vs. nursing care: Unpacking the impact on health and well-being

In this paper, we present estimates of the effect of different care settings on health and well- being outcomes. We use data from the French CARE Survey, which interviews individuals aged 60 and above, to assess the differential effect of living at home or in a nursing home on mortality, morbidity and well-being indicators. In addition, we differentiate the effect between for-profit and non-profit nursing homes. To do so, we apply a propensity score matching approach that controls for selection on observables by matching people living at home with those living in nursing homes. Our results are threefold. First, we observe a positive effect of being in a nursing home on health outcomes but a negative effect on other well-being indicators such as happiness and nervousness. Second, the ownership status of the nursing home matters and the positive effect is stronger for non-profit and public nursing homes. Third, residents in for-profit nursing homes appear to to be worse off than those in nonprofit institutions. These findings raise important questions for the future organization and the funding of long-term care.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.