中小城市社区居家养老服务可持续发展策略

On Sustainable Development Strategies of Community Home-Based Care Service in Middle-Sized and Small Cities

以中小城市社区居家养老服务为出发点,通过对比独居、双居空巢和非空巢老人的个体特征、家庭特征、经济特征、社区居家养老服务需求及影响因素,得出非空巢老人更愿意选择居家养老,对医疗护理的需求较高。双居空巢老人"收入高、学历高",对健康、娱乐较为关注,对服务的多样性和水平需求较高。独居空巢老人"收入低、年龄大",生活起居无人照顾、精神空虚无聊、外出不方便,对老年餐桌、心理慰藉、社区日托养老和长照养老的依赖较大。从需求侧供给侧和第三方辅助策略出发,基于群体特征提出促进中小城市社区居家养老服务可持续发展策略。

This paper focuses on the community home-based care service in small and medium-sized cities,discusses individual characteristics,family characteristics,economic characteristics,as well as community home-based care service demands and influencing factors by comparing single empty-nesters,double empty-nests and non-empty nesters,and gets the following conclusions:non-empty nesters are more willing to choose home-based care and have higher demands for medical care,double empty-nesters have “high income,high education background”,give more concern to health and entertainment,and have higher demands for the diversity and level of services;single empty-nester are of “low-income,old age” without being taken take care of their daily life,present spiritual emptiness and boredom,have inconvenience in going out,have more dependence on the dining table,psychological comfort,community day-care and long-term care for the elderly.To this end,this paper puts forward the sustainable development strategy of community home-based care services in small and medium-sized cities from the demand side,supply side and the third-party assistance strategy.