社区为本的整合养老服务实践探索——以H市社区养老服务项目为例

Integration and Conflict:A Practical Exploration of Community-Based Elderly Care Service:A Case Study of Community Elderly Care Service Project in H City

随着老龄化速度加快,社区养老作为重要的养老举措受到政府的关注。以整合社区工作为导向,对H市X街社区养老服务项目进行个案研究。社会工作者在实践整合社区养老服务过程中,宏观整合政策实践面临养老服务政策与老年人支付能力不足的矛盾,中观整合取向的社区养老服务项目面对目标替代和机构过度竞争的矛盾,微观养老服务遇到机构急速扩张带来的人员和资源短缺的矛盾。通过案例分析,建议应从社会工作者充分发挥专业能力,运用“向上管理”的技巧,充分整合社区内外资源,加强政府部门之间的整合管理四个方面推动整合社区养老服务发展。

With the acceleration of aging,community elderly care service,as an important policy,has attracted the attention of the government.In view of the integration of community work,this research makes a case study on the community elderly care service project in X street,H City.In the process of integrating community elderly care services,social workers,in macroscopic perspective integration policy practice,is facing the tension between the pension service policy and the lack of payment ability of the elderly.In intermediate perspective,elderly care service project faces the conflict between target substitution and vicious competition of institutions.In microcosmic perspective,elderly care services encounter the contradiction of personnel and resource shortage caused by the rapid expansion of institutions.Through the case study,the researchers suggest that social workers should make full use of their professional ability,use the skills of“upward management”,fully integrate the resources inside and outside the community,and strengthen the integrated management between government departments to promote the development of integrated community elderly care services.