The impact of intelligent devices utilization on household medical expenditure of older adults in China

Abstract With the rapid development of artificial intelligence, there is an increasing utilization of intelligent devices by older adults. The relationship between the utilization of intelligent devices and household medical expenditure has garnered widespread attention in academic circles. This pap...

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Main Authors: Jingjing Wang, Lianjie Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-06627-0
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author Jingjing Wang
Lianjie Wang
author_facet Jingjing Wang
Lianjie Wang
author_sort Jingjing Wang
collection DOAJ
description Abstract With the rapid development of artificial intelligence, there is an increasing utilization of intelligent devices by older adults. The relationship between the utilization of intelligent devices and household medical expenditure has garnered widespread attention in academic circles. This paper employs data from the 2020 China Longitudinal Aging Social Survey (CLASS) to investigate the impact of intelligent device utilization by 9,718 older adults on household medical consumption. The research findings indicate that the utilization of intelligent devices significantly reduces household medical expenditure, and this conclusion remains valid after placebo tests and endogeneity treatments. From the perspective of heterogeneity, the impact of intelligent device utilization on household medical expenditure is more pronounced among higher age, those living with family, residents of eastern and western regions, and areas with high digital coverage. Quantile regression results reveal a “inverted U-shaped” trend in the impact of intelligent device utilization on household medical expenditure, with an initial increase followed by a decrease. Mechanism analysis suggests that intelligent device utilization reduces household medical expenditure by improving the health behaviors and decreasing the demand for medical services. Based on these findings, this paper argues that enterprises and research institutions should continue to develop intelligent devices tailored to the characteristics of older adults. The government should provide financial subsidies to purchase intelligent devices for older adults. By fully enhancing the utilization of intelligent devices in elderly health management, we can together provide a reference for controlling the excessive growth of medical expenses.
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spelling doaj-art-0e298fc562984938bc1eb7e20f336e6f2025-08-20T03:03:24ZengNature PortfolioScientific Reports2045-23222025-07-0115111810.1038/s41598-025-06627-0The impact of intelligent devices utilization on household medical expenditure of older adults in ChinaJingjing Wang0Lianjie Wang1School of Public Administration, Zhejiang University of Finance and EconomicsDepartment of Sociology, Jiangnan UniversityAbstract With the rapid development of artificial intelligence, there is an increasing utilization of intelligent devices by older adults. The relationship between the utilization of intelligent devices and household medical expenditure has garnered widespread attention in academic circles. This paper employs data from the 2020 China Longitudinal Aging Social Survey (CLASS) to investigate the impact of intelligent device utilization by 9,718 older adults on household medical consumption. The research findings indicate that the utilization of intelligent devices significantly reduces household medical expenditure, and this conclusion remains valid after placebo tests and endogeneity treatments. From the perspective of heterogeneity, the impact of intelligent device utilization on household medical expenditure is more pronounced among higher age, those living with family, residents of eastern and western regions, and areas with high digital coverage. Quantile regression results reveal a “inverted U-shaped” trend in the impact of intelligent device utilization on household medical expenditure, with an initial increase followed by a decrease. Mechanism analysis suggests that intelligent device utilization reduces household medical expenditure by improving the health behaviors and decreasing the demand for medical services. Based on these findings, this paper argues that enterprises and research institutions should continue to develop intelligent devices tailored to the characteristics of older adults. The government should provide financial subsidies to purchase intelligent devices for older adults. By fully enhancing the utilization of intelligent devices in elderly health management, we can together provide a reference for controlling the excessive growth of medical expenses.https://doi.org/10.1038/s41598-025-06627-0Older adultsIntelligent devices utilizationFamily medical expensesHealthy ChinaHealth behaviors
spellingShingle Jingjing Wang
Lianjie Wang
The impact of intelligent devices utilization on household medical expenditure of older adults in China
Scientific Reports
Older adults
Intelligent devices utilization
Family medical expenses
Healthy China
Health behaviors
title The impact of intelligent devices utilization on household medical expenditure of older adults in China
title_full The impact of intelligent devices utilization on household medical expenditure of older adults in China
title_fullStr The impact of intelligent devices utilization on household medical expenditure of older adults in China
title_full_unstemmed The impact of intelligent devices utilization on household medical expenditure of older adults in China
title_short The impact of intelligent devices utilization on household medical expenditure of older adults in China
title_sort impact of intelligent devices utilization on household medical expenditure of older adults in china
topic Older adults
Intelligent devices utilization
Family medical expenses
Healthy China
Health behaviors
url https://doi.org/10.1038/s41598-025-06627-0
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