中国认知障碍友好社区对卫生保健利用的早期影响：来自上海市行政数据的证据

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

Social Science & Medicine Pub Date : 2025-09-10 DOI:10.1016/j.socscimed.2025.118570

Jingyi Ai , Xi Chen , Jin Feng , Yufei Xie

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引用次数: 0

摘要

本研究探讨了认知障碍友好社区对中国上海老年人医疗保健利用的早期影响。通过利用ci友好社区的推出并采用差异中的差异方法，我们评估了ci友好社区的影响。研究发现，ci友好型社区患者到认知疾病相关科室（CRD）就诊的概率和频率分别显著提高0.7（13.73%）和0.02（17.24%）倍。特别是，对于以前没有接受过CRD治疗的个体，效果更为明显。主要机制可能包括信息和早期筛查效应。此外，ci友好型社区还以其他积极的方式影响医疗保健的利用，例如减少急诊室就诊和促进初级保健的使用。

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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Early effects of cognitive-impairment friendly community on health care utilization in China: Evidence from administrative data in Shanghai

The study examines the early effects of cognitive-impairment (CI) friendly communities on health care utilization among older adults in Shanghai, China. By exploiting the rollout of CI-friendly communities and employing a difference-in-differences approach, we evaluate the impact of CI-friendly communities. We find that CI-friendly communities significantly increase the probability and frequency of visiting cognition-disease-related departments (CRD) by 0.7 (13.73 %) percentage points and 0.02 (17.24 %) times, respectively. In particular, the effect is more pronounced for individuals not previously received CRD care. The dominant mechanisms may include information and early screening effects. Additionally, CI-friendly communities affect health care utilization in other positive ways, such as reducing emergency room (ER) visits and promoting primary care use.

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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.