成都市居家养老服务供给问题研究

发布时间：2018-03-05 16:48

本文选题：居家养老　切入点：居家养老服务　出处：《西南交通大学》2017年硕士论文　论文类型：学位论文

【摘要】：随着老龄化问题的不断加剧,社会将面临巨大的养老压力。成都市于1992年开始步入老龄化社会,截至2015年底,成都市60岁以上老年人口占全市户籍人口总数的21.17%,接近深度老龄化。由于经济压力和情感因素,居家养老成为大部分老年人的养老选择。2015年,成都市政府出台《养老服务业"加强规划引导,实施品牌战略,带动相关产业发展"的实施方案》,提出到2020年,成都将形成"9064"养老服务格局。这意味着将有200多万老年人要在家里养老,对居家养老服务的需求与日俱增。目前,成都市居家养老服务行业正处于蓬勃发展的阶段,取得了一定的成果。但是,在实际调研中,成都市的大量社区日间照料中心运营困难,许多老年人的居家养老服务需求无法得到满足,这显示出成都市的居家养老服务供给存在很大的问题。本文从公共服务的有效供给入手,以公共产品理论、福利多元主义理论和治理理论作为理论基础,运用文献法、访谈法、实地调研法和案例分析法,对成都市居家养老服务的需求与供给进行深入研究。通过对现有文献的梳理,可以看出,学者多以案例分析方法对某个社区日间照料中心的居家养老服务供给状况或者某一居家养老服务供给主体进行具体研究,对一个城市层面的供给情况研究的比较少。所以,本文从成都市层面,对居家养老服务的需求与供给进行综合研究,期望为成都市政府制定居家养老服务政策提供一定的参考价值。通过实地调研与访谈,本文先对成都市老年人的人群特点和居家养老服务需求进行了调查,接着对成都市居家养老服务供给的场所、内容、方式、人员、价格等方面进行了深入分析。目前,以社会组织为主的社会力量已经成为成都市最主要的居家养老服务供应力量,一定程度上增强了政府的公共服务能力,减轻了家庭的负担,部分服务机构的成功经验和模式值得总结和推广。但是,由于政府部分政策脱离实际、宣传不足、监管保障体系尚未建立等原因,成都市居家养老服务供给与实际需求还是有一定的差距,存在的问题主要包括服务集中供给场所建设不完善,照料护理服务偏少,服务提供方式单一,服务人员缺口大且素质不高,老年人购买力差,服务机构运营困难等。最后,结合成都市老年人对居家养老服务的实际需求,文章提出了相应的对策建议,主要包括加大政府投入,促进服务多样化提供,加快人才队伍建设,广泛开展宣传,建立监督保障体系等。
[Abstract]:With the aggravation of the aging problem, the society will be faced with enormous pressure for the aged. Chengdu began to enter the aging society on 1992, and until end of 2015, The elderly population over 60 years old in Chengdu accounts for 21.17% of the total household registration population in Chengdu, close to the depth of aging. Due to economic pressure and emotional factors, home pension has become the pension choice for most elderly people. In 2015, Chengdu Municipal Government issued "Enhancement of Planning and guidance, implementation of Brand Strategy, Promotion of Development of related Industries" in the "Endowment Service Industry", which was put forward until 2020. Chengdu will form a "9064" pension service pattern. This means that more than 2 million elderly people will have to support their families at home, and the demand for home care services is increasing day by day. At present, Chengdu's home-based pension service industry is in a period of vigorous development. Some achievements have been made. However, in the actual investigation, a large number of community day care centers in Chengdu are difficult to operate, and many elderly people's needs for home care services cannot be met. This shows that there are great problems in the supply of home pension services in Chengdu. This paper starts with the effective supply of public services, takes the theory of public goods, welfare pluralism and governance as the theoretical basis, and applies the literature method and interview method. Field investigation method and case analysis method, in-depth study on the demand and supply of home pension service in Chengdu. Through combing the existing literature, we can see, Most scholars use the case study method to study the situation of home pension service supply in a community day care center or the main body of home care service supply, but there is little research on the supply situation of a city level. This paper makes a comprehensive study on the demand and supply of home pension service from the angle of Chengdu city, hoping to provide some reference value for Chengdu municipal government to formulate the policy of home pension service. In this paper, the characteristics of the elderly in Chengdu and the demand for family old-age care services are investigated, and then the places, contents, methods, personnel, prices and other aspects of the provision of home old-age care services in Chengdu are analyzed in depth. At present, Social forces dominated by social organizations have become the most important supply of home pension services in Chengdu, to a certain extent, strengthening the public service capacity of the government and lightening the burden on families. The successful experiences and models of some service organizations are worth summing up and popularizing. However, due to the fact that some government policies are divorced from reality, the propaganda is insufficient, and the regulatory and security system has not yet been established, etc. There is still a certain gap between the supply of home pension service and the actual demand in Chengdu. The existing problems mainly include the imperfect construction of centralized service supply, less care and nursing services, and a single mode of service provision. The gap of service personnel is large and the quality is not high, the purchasing power of the elderly is poor, the service organization is difficult to operate and so on. Finally, according to the actual demand of the elderly in Chengdu, the paper puts forward the corresponding countermeasures and suggestions. It mainly includes increasing government investment, promoting the diversification of service, speeding up the construction of talent team, widely spreading propaganda, establishing supervision and security system, and so on.
【学位授予单位】：西南交通大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6

【引证文献】