Impact of family and community health environment on the health status of elderly patients with chronic diseases
10.3969/j.issn.1674-2982.2025.03.006
- VernacularTitle:家庭和社区健康环境对老年慢性病患者健康状况影响研究
- Author:
Si-hui JIN
1
;
Sheng-peng GUO
1
;
Hu-feng WANG
1
Author Information
1. 中国人民大学公共管理学院 北京 100872;中国人民大学医改研究中心 健康与医改政策实验室 北京 100872
- Publication Type:Journal Article
- Keywords:
Family health;
Patients with chronic disease;
Health ecology theory;
Hierarchical Linear Model(HLM)
- From:
Chinese Journal of Health Policy
2025;18(3):41-47
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to clarify the role of family and community health environments in improving the health status of elderly patients with chronic diseases,and provide recommendations and references for optimizing and enhancing chronic disease management capabilities.Methods:Based on data from the 2018 China Health and Retirement Longitudinal Study(CHARLS),this study analyzes a sample of 9,388 elderly patients with chronic diseases.A hierarchical linear model(HLM)is employed to examine the effects of family and community health environments on chronic disease management outcomes,as well as their variations across urban-rural settings and disease types.Results:The findings indicate that a supportive family health environment significantly improves both self-rated health(β=0.097,P<0.001)and disease control outcomes(β=0.033,P<0.05)among elderly patients with chronic diseases.In contrast,community health environments contribute positively only to self-rated health(β=0.062,P<0.001)but do not significantly affect disease control outcomes.Moreover,no moderating effect of community health environments was observed on the relationship between family health environments and either self-rated health or disease control.The effects of family and community health environment on self-rated health and control results were different between urban and rural areas,while the effects of family health environment on control results were different in disease types.Conclusion:The explanatory power of the family health environment on the health status of elderly patients with chronic diseases is higher than that of the community health environment.However,the two have not been effectively integrated.It is recommended to incorporate the health needs of elderly patients with chronic diseases into the optimization of healthy family construction and to establish a four-in-one comprehensive chronic disease management system involving"patients,families,communities,and primary healthcare institutions."new models for chronic disease management should be explored and innovated.
