老年残疾人居家养老政策比较:补缺型和制度型——以美国和瑞典为例

A Comparative Study on Home-based Elderly Care Service:Residual Welfare and Institutional Welfare——Cases from U.S.and Sweden

采用比较社会政策的分析方法,对以美国为代表的补缺型福利体制和以瑞典为代表的制度型福利体制下的居家养老政策进行对比,包括政策主体、客体、资源分配和服务递送机制四个维度,总结其特征并对我国老年残疾人的居家养老服务建设提供建议.本文认为,我国的老年残疾人居家养老事业还处在初级阶段,应转变居家养老服务理念,强调政府主导下的多元主体责任,重视老年残疾人特殊需求和个性化服务供给,建立更完善的居家养老服务体系。

This paper tries to compare the residual welfare system represented by the United States and the institutional welfare system represented by Sweden with contrastive social policy analysis method,including four dimensions as the sub-ject, object, resource allocation and service delivery mechanism of policy, summarize their characteristics and provides advice to the elderly disabled home endowment service construction in China. It ＇s proposed that the home-based elderly care ser-vice in China is still in the primary stage. We should change the home endowment service idea,emphasize the government-led multiple main body responsibility,at-tache great importance to the special requirements for elderly disabled people and personalized service supply,and esablish a better home-based elderly care service system.