The Impact Of Care Models On Health Level Of Disabled People

China has been an aging country since 1999,and increasing age means loss of self-care ability and deterioration of health status,which leads to an increase in the number of disabled people and demand for care services,and the state of disability will seriously affect the life expectancy and quality of life of the elderly,so how to establish a more comprehensive disability care system has become a widely discussed issue in society and academia.Under the influence of China’s traditional culture,the traditional family care model is dominant,while the current core of family size,the lack of institutional care resources and caregivers,and the overwhelming financial burden of the government have led to a series of new problems for the care system of the disabled in China.In the context of the Central Committee of the Communist Party of China’s emphasis on the concept of "healthy aging" and "active aging",to realize healthy aging and active aging,it is necessary to analyze the problems of the current disability care system and analyze which care model will be more conducive to the recovery of the health level of the disabled.In order to achieve the goal of "active aging",it is necessary to analyze the problems of the current system of care for the disabled,and to analyze which care model is more conducive to the recovery of the health level of the disabled.This study uses data from the Chengdu Municipal Medical Insurance Bureau from 2017 onwards for those who applied for long-term care insurance,and data from a random follow-up survey conducted by the West China Hospital Geriatrics Center in 2021 on applicants for long-term care insurance in Chengdu,and uses the 2017 Chengdu Municipal Medical Insurance Bureau data as the base period data to extract variables on living arrangements,financial resources,and daily care provision as explanatory variables in the sample.The variables on the health level of the sample in the 2021 follow-up survey data were extracted as explanatory variables,and the health level was examined from both objective and subjective aspects,with subjective self-rated health as a measure of subjective health level,and ability to perform daily living-Barthel index,frailty rating assessment-FRAIL index,and malnutrition risk assessment-SNAQ index as objective health level The objective health level was measured by Barthel index,FRAIL index and SNAQ index.Based on the research data,two samples of moderately disabled persons and severely disabled persons were analyzed based on the initial level of disability assessment.The study used Ordered Probit regression method to verify the effect of different care models on the health level of moderately and severely disabled persons by using the key dimensions of living arrangement,financial resources,and daily care provision as the key dimensions to distinguish different care models.The results show that,on the whole,disabled persons who are financially independent,live alone or live with their spouses,and are provided daily care by their spouses have better daily living ability and subjective self-assessment of their health.Disabled persons living in social institutions have poor daily living ability and subjective self-assessment of their health status;Among them,independent economic resources and the care support of family members can significantly reduce the risk of malnutrition of severely disabled people.For severely disabled people,the care support of family members can lead to a more positive assessment of their own health.The financial support of family members is detrimental to the ability of people with disabilities to carry out daily living,and for persons with less disabilities,financial support from family members is not conducive to subjective self-assessment of health,which suggests the adequacy of financial support and the importance of paying attention to the needs of persons with disabilities.On this basis,countermeasures are proposed in terms of paying attention to the improvement of the self-care ability of disabled persons,giving full play to the role of informal family care,the construction and improvement of the institutional care model system,and improving the awareness of health management of disabled persons.