健康发展与政策研究2025，Vol.28Issue(3)：251-259,9.DOI:10.12458/HDPR.202504075
退休对男性职工住院服务的影响
The impact of retirement on inpatient services for male employees
摘要
Abstract
Objective With growing substantial retirement-related medical burdens and strained healthcare fund expenditures,to investigate the impact of retirement on inpatient service utilization and hospitalization costs.Methods This study utilized urban employee medical insurance claims data from City G from 2021 to 2022,employing a fuzzy regression discontinuity design to empirically analyze the effects of retirement on inpatient service utilization and costs among male employees.Disease-specific and procedure-based mechanisms were further explored.Results Retirement substantially increases hospital admissions for male employees by 22.63%(P＜0.01),while no significant impact on total hospitalization costs is observed(P＞0.1).Retirement increases admissions by 26.24%(P＜0.01)for diabetes mellitus patients and 25.12%(P＜0.01)for coronary heart disease patients,with corresponding total hospitalization costs rising by 31.65%(P＜0.01)and 23.37%(P＜0.01),respectively.For elective treatments(e.g.,knee/hip replacement and inguinal hernia repair),admissions increase by 20.08%(P＜0.05),though cost increases remain statistically insignificant(P＞0.1).Conversely,retirement reduces admissions by 30.79%(P＜0.01)and total hospitalization costs by 42.25%(P＜0.05)for stress-related conditions like peptic ulcers.Robustness checks,including continuity tests,alternative retirement age thresholds,and bandwidth adjustments,have been conducted to confirm the reliability of the findings.Conclusions Retirement elevates hospitalization frequency among male employees without significantly altering overall costs.The results reveal that after retirement,urban employees in City G have retirement effects such as leveraging higher inpatient reimbursement rates,pursuing elective treatments,and reduced occupational stress.关键词
退休/城镇职工/住院服务/真实世界数据/模糊断点回归Key words
retirement/urban employees/inpatient service/real-world data/fuzzy regression discontinuity design(RDD)分类
医药卫生引用本文复制引用
周四娟,应晓华..退休对男性职工住院服务的影响[J].健康发展与政策研究,2025,28(3):251-259,9.基金项目
国家自然科学基金项目(72074051) （72074051）
