以老年人需求为导向的社区照顾服务研究
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摘要
中国人口老龄化的快速发展致使养老保障负担日益沉重、基本医疗保险基金支出高速增长、社会服务需求尤其是老年人的照顾需求迅速膨胀。迈进老龄化社会门槛的中国,家庭之忧已经演化成社会之忧、国家之忧。这就提醒我们,老年人的问题决不仅仅是个别家庭的事情,而是整个社会应当给予高度重视的事情。本文通过研究新乡市社区不同特征老年人对照顾服务的需求状况,进一步探究满足其照顾需求的服务能力。
     开篇绪论部分概述了本文选题的背景、研究意义,对社区照顾服务的相关概念进行了界定,并对其相关的文献进行了梳理、归纳,是整篇文章的理论铺垫。本文研究设计部分,主要采用了问卷调查的研究方法。调查问卷主要由三个部分组成,包括老年人特征、社区照顾服务需求和社区照顾服务供给能力现状。通过调查问卷进行收集数据,并且对数据进行统计分析。服务需求决定服务供给的立足点,了解社区老年人的服务需求才能更有效地推进社区照顾服务的发展。为此,我们在新乡市的12个区(市)县,对老年人的社区照顾服务需求进行调查。在数据分析中主要采用描述性统计分析。文章在对问卷进行统计分析之后,发现医疗保健服务需求是当前老年人最迫切的需求,其次为休闲娱乐服务需求。另外还发现不同性别、婚姻状况和经济状况的老年人对日常生活服务需求影响突出;年龄、身体状况与老年人的医疗保健服务需求影响突出;年龄、工作状况和健康状况对老年人的精神慰藉服务有很明显的影响;年龄、教育背景、经济状况和健康状况与老年人的休闲娱乐服务需求的关联很大。但是,总体来看,影响社区照顾服务需求的因素是复合的,而非某一个单一因素。由于老年人的供给是以老年人的需求来提供的,本文在研究不同特征的老年人对社区照顾服务需求的基础上对老年人社区照顾服务供给能力进行了评价,通过对老年人社区照顾的供给状况进行描述性分析,为改善社区照顾服务,提高老年人对社区生活的满意度提供参考。最后为文章的思考和建议部分,通过对前文的研究提出以下建议:1、社区照顾服务提供者的应努力适应需要照顾的老年人,为老年人提供日间照料、等综合服务,让老人们在自己熟悉的生活环境中实现养老。2、社区并不全都是免费午餐,我们也不能把社区服务理解为免费午餐,因此家庭照料的职能不能丢弃。3、协助需要照顾人士融入社区,建立以社区建设为基础的专业机构、社会工作者和社区组织介入社会工作,尤其是加快推进社区工作者的职业化建设。4、切实整合资源,助推“以老助老”模式的建立。5、政府与社区建立伙伴关系。6、在新建或改建社区设施时,应当认真考虑有不同经济条件老年人的需求,从实际出发确定不同收费档次设施的建设和管理。7、依靠科技创新来提高社区照顾服务的工作效率,提升其服务水平。
     未来随着老年人高龄化、空巢化以及家庭小型化、核心化的发展,教育程度的提高,社区照顾将成为主要的照顾方式。建立以老年人需求为导向的社区照顾服务,对解决老年人的照料问题,构建和谐社会具有深远的意义。
The Chinese population aging fast development cause cares for the aged the safeguard burden day by day heavily, the basic medical insurance fund disbursement high speed growth, the social service demand in particular senior citizen's attendance demand rapid inflation.Made great strides forward the aging society threshold China, sorrow of the family already evolves sorrow of, the national sorrow of the social.This reminds us, senior citizen's question merely is the individual family matter in no way, but is the matter which the entire society (?)ust give takes highly. Through the different characteristics of Xinxiang City community service needs of older persons to take care of the situation, to further explore the ability of services to meet their needs.
     The introduction introduction part has outlined the background which, the research significance this article selects a topic, considered the service to the community the related concept to carry on the limits, and carried on to its related literature has combed, the induction, was the entire chapter article theory upholstery. This article studies the design part, mainly has used the questionnaire survey research technique. The questionnaire is mainly composed of three parts, including the senior citizen characteristic, the community considers the service demand and the community considers the service supplies ability present situation. Carries on the collection data through the questionnaire, and carries on the statistical analysis to the data. The article studied has mainly used the questionnaire survey research technique.According to the senior citizen demand theory, has constructed this article research model.The questionnaire mainly is composed by three meters, including the senior citizen characteristic variable, the community looks after the service demand meter and the community looks after the service present situation meter.Carries on the collection data through the questionnaire, and carries on the statistical analysis to the data.The service demand decision service supplies standpoint, understood the community senior citizen's service demand can advance the community to consider the service effectively the development.Therefore, we in the Hsinhsiang city 12 areas (city) the county, consider the service demand to senior citizen's community to carry on the investigation.Mainly uses descriptive statistical analysis methods and so on statistical analysis, correlation analysis in the data analysis.The article in carries on the statistical analysis after the questionnaire, discovered the medical health care service demand is the current senior citizen most urgent demand, next serves the demand for the leisure entertainment.Moreover also discovered the sex, the marital status and the financial circumstance have the remarkable influence to the senior citizen daily life service demand; Age. bodily condition and senior citizen's medical health care service demand existence certain correlation; The age, the working condition and the state of health console the service to senior citizen's spirit to have the remarkable influence; Age, educational background, financial circumstance and state of health and senior citizen's leisure entertainment service demand degree present correlational dependence; But. the overall looked that, affects the community to consider the service demand the factor is compound, but non-some sole factor. Different characteristics of the elderly in the community care services on the basis of the needs of the elderly to evaluate the ability of community care services, because the supply of the elderly is to provide the needs of older persons, through the supply of community care for the elderly to describe the situation analysis, To improve community care services, improve the lives of older persons to the satisfaction of the community to provide information. Finally, the conclusion, through the foregoing conclusions are as follows:1, community care service providers should strive to meet the need to take care of the elderly, day care for the elderly, and other integrated services, so that old people in their own living environment to achieve old age 2, the functions of family care can not be discarded. Not all communities are free lunch, we can not be understood as a free lunch for community services.3, to assist people in need of care into the community, the establishment of community building based professional organizations, social workers and community organizations involved in social work, in particular accelerating the building of professional community workers.4, the effective integration of resources, boost "to supporting the old" pattern of.5, government and community partnerships.6, or rebuilt in new facilities, should be carefully considered economic conditions of the elderly have different needs, different from the actual conditions to determine the construction of toll facilities and management level.7, relying on technological innovation to improve the efficiency of community care services to improve their level of service.Not next year along with the senior citizen advanced age, the spatial nest as well as the family miniaturization, the core development, the education level enhancement, the community will look after becomes the main attendance way.The establishment looks after take the senior citizen demand as the guidance community serves, to solves senior citizen's care problem, the construction harmonious society has the profound significance.
引文
[1]于学军.人口老龄化与全面建设小康社会.政协天地[J].2003.05
    [2]全国老龄工作委员会《中国城乡老年人口状况追踪调查》
    [3]钱敏,叶文振.构建以老年人健康为中心的多元化养老体系[J].南方人口.2006.01
    [4]左学金.面临人口老龄化的中国养老保障:挑战与政策选择[J].中国人口科学.2001.03
    [5]William Mobley.老龄化中国能否继续快速发展会议实录.2005.09
    [6][54]崔浩.马克思主义的需要理论.浙江大学学报[J].1998.06
    [7]许俊才.原住民社区照顾服务输送之研究[D].东华大学.2001
    [8]黄源协.正式照顾对非正式照顾网络互动关系影响[J].社会政策与社会工作学刊.2005
    [9]夏建中.“社区”概念与我国的城市社区建设[A].社会转型与社区发展——社区建设研讨会论文集[C];2001
    [10]徐震.在2010年全省环境保护工作会议上的报告.环境污染与防治.2010.02
    [11]邓伟志.社会学词典.上海辞书出版社[M].2009.09
    [12]杨团.社区公共服务论析.华夏出版社[M].2002.10
    [13]卫小将,何芸.社区照顾:中国养老模式的新取向[J].南京人口管理干部学院学报2007.01.
    [14]李翊骏.香港的安老服务:社区照顾[J].台湾社区健康照顾国际研讨会.2009
    [15]黄源协,戴莹莹.老人居家服务品质观点与要素探讨[J].社区发展季刊.2009
    [16]邬沧萍.人口老龄化对社会经济的影响和我们的对策[J].中国特色社会主义研究.2001.06
    [17]邬沧萍,谢楠.关于中国人口老龄化的理论思考[J].北京社会科学.2011.01.
    [18]吕宝静.推动福利社区化的反思:从英国社区照顾政策的发展出发[J].台湾社会福利发展.1999
    [19]胡筱丹.我国残疾人社区照顾存在的问题[J].中国社会工作.2010.25.
    [20]Parrott.Later.Social Work and Social Care[M].London:New York Routledge.2003
    [21]United Nation.Access to Scoial Aercices By the Poor and Disadvantaged in Asia and the Pacific:Major Trends andIssues[M].New York:United Nations Publications.2002
    [22]Doyle,Anne & Masland,Jean. Managed Care for the elderly in the United States: Outcomes To-date and Potential for future growth [J].Health Policy.1997.
    [23]M.弗里德曼.老年公民:社区服务中的一支新军[J].国外社会科学.1997.
    [24]Milligan, Christine.Pathways of Dependence:the impact of health and social care restructuring—the Voluntary Experience[J].Social Science & Medicine.1998.
    [25]Cloutier-Fisher,Denise& E. Toseph, ALun.Long-term Care Restructuring in ural Ontario:Retrieving Community Service User and Provider Narratives [J].Social Science & Medicine.2000.
    [26]Phillips. David., Ng, Anita Ching Ying & Lee, William Keng-mun.Persistence and Challenges to Filial Piety and Informal Support of Older Persons in a Modern Chinese Society:A case study in Tuen Mun, Hong kong[J]Jouranl of Aging Studies,2002,16(2):135-153.
    [27]唐咏.居家养老的国内外研究回顾[J].社会工作.2007.[28]冯文娟.当前中国居家养老方式的现状、问题及对策[J].湖北师范学院学报.2009.
    [29]10部门联合下发《关于全面推进居家养老服务工作的意见》.云南日报[N].2008.2
    [30][61]周伟文,等.城市老年群体生活需求和社区满足能力的现状与问题的调查分析[J].中国人口科学.2001.
    [31]李燕荣.城市社区养老—一种新型的养老方式[J].北京市计划劳动管理干部学院学报.1999.
    [32]潘小娟.中国基层社会重构——社区治理研究[M].北京:中国法制出版,2004.
    [33]韦寒松.当务之急:发展老年社区服务[J].中国社会工作.1997.02
    [34]阳艳珠.贵州市城市社区居家养老模式研究[D].贵州大学.2008.05.
    [35]周春发,付予光.居家养老:住房与社区照顾的联结.城市问题.2008.01
    [36]贾云竹.北京市城市老年人对社区助老服务的需求研究.人口研究.2002.02
    [37]陈卫民.城市高龄老人的照护资源与照护供给分析.中国人口科学2004
    [38]李绍先、黄鸣.武汉部分老年人长期照护需求研究.中国医院管理.1998
    [39]张小曼.社会支持对高龄老人独立生活能力的作用.中国人口科学.2004
    [40]顾大男,柳玉芝老年人照料需要与照料费用最新研究述评.西北人口.2008.01
    [41]李宗华,陈庆滨.中国社区照顾发展道路初探.山东省社会学会年会论文集.2004
    [42]杜翠欣.我国城市社区养老模式研究.大连理工大学.2006
    [43](英)苏珊,特斯特著,周向红,张小明译.老年人社区照顾的跨国比较.中国社会出版社.2002.04
    [44](?)林.老人家庭照料需求和社区服务网络.上海大学学报.1998.01
    [45]潘屹.从北欧、英国的社会照顾看中国社区照顾服务业的发展.2008
    [46]国务院下发的.关于加强和改进社区服务工作的意见.2006.06
    47]Brown LJ.Lazar V. Dental care utilization:how saturated is the patient market.JADA.1999
    [48]文松.城市居家养老服务工作[J].山西老年,2009(3):34-35.
    [49]宋宝安,杨铁光.观念与需求:社会养老制度设计的重要依据——东北老工业基地养老方式与需求意愿的调查与分析[J].吉林大学社会科学学报.2003.03
    [50]周伟文,赵巍和严晓萍等.居家式社区养老方式与老年群体的社会化管理[J].河北学刊.2001.04
    [51]贾云竹.北京市城市老年人对社区助老服务的需求研究[J].人口研究,2002.02
    [52]赵迎旭.城市社区养老的需要与供给现状调查[D].厦门大学,2007.05.
    [53]邓颖,吴先萍等.不同养老模式的养老成本及成本—效用分析[J].预防医学情报杂志,2004.04
    [55]韦克难.社区管理[M].四川人民出版社,2007
    [56]卫小将.社区照顾:中国养老模式的新选择[J].太原科技大学学报.2007.04
    [57]徐祖荣.人口老龄化与城市社区照顾模式探析[J].长江论坛.2007.04
    [58][美]戴维·波普诺.社会学[M].第十版.中国人民大学出版社,2007
    [59]A H. Maslow.Toward a Psychology of Being[J].D Van Nostrand Company,1962, 19-41,23.
    [1]于泽浩.中国城市失能老人长期照料问题研究--以北京市闪街道、丫救老院为例[D].中央民族大学,2009.
    [2]张斌.我国长期护理保险发展研究[D].苏州大学.2008.
    [3]汤冬娜.城市社区照顾模式构建研究[D].中南大学,2007.
    [4]章芸芸.农村地区老年人日常生活照料及影响因素研究[D],华中科技大学,2007.
    [5]刘向红.婚姻状况、居住方式对老年健康的影响研究[D],河北大学,2006.
    [6]刘成.人口老龄化背景下上海老年人长期照护的模式选择[D],上海交通大学,2006.
    [7]谭樱芳.建立与完善城市老年人社区照顾体系研究[D],华中科技大学,2005.
    [8]斯雯.老年人对社会照顾方式的偏好与养老服务体系的建构[D],浙江大学,2005.
    [9]林禾.高龄老人照料资源及影响因素研究[D].中国社会科学院,2003.
    [10]沈妍.正式照料与非正式照料的整合[D]上海交通大学,2007
    [11]张雪芳.城市社区照顾——对一种养老模式的探讨[D]福建师范大学,2009
    [12]贾宇.我国城镇养老成本及养老模式研究[D]长春理工大学,2007

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