西北地区养老服务体系的优化路径——以甘肃省为例

Optimization Path for Elderly Care Service System in Northwestern China:A Case Study of Gansu Province

建立健全养老服务体系,推动养老服务高质量发展,是提升老年人生活品质的必然要求,更是实施积极应对人口老龄化国家战略的关键支撑。在简要阐述西北地区养老服务体系建设概况的基础上,以甘肃省为例,通过分析其城乡人口老龄化和城乡养老服务现状发现,甘肃省虽然在养老服务体系建设实践方面取得了一些成效,但是仍存在城乡养老服务差异较大、养老服务供需失衡、人才供给不足、资金筹措渠道单一等问题,最后提出优化甘肃省养老服务体系建设的总体构想,并给出具体的优化路径,包括推动完善基本养老服务制度,强化公办养老机构兜底保障作用,持续优化社区居家养老服务供给,支持多元主体协同参与养老服务,积极推进多层次可持续养老保险体系建设,加快养老护理员等人才队伍建设,更好发挥省会城市示范带动作用等。

Establishing a sound elderly care service system and promoting its high-quality development are not only the inevitable requirements for improving the quality of life of the elderly,but also the key support for implementing the national strategy of actively responding to population aging.Based on a brief overview of the construction of the elderly care service system in the northwest region,this study takes Gansu Province as an example to analyze the current situation of aging population in urban and rural areas,sort out the current situation of elderly care services in urban and rural areas;it is found that although Gansu Province has achieved some results in the practice of constructing the elderly care service system,there are still issues such as significant differences in elderly care services between urban and rural areas,imbalance between supply and demand of elderly care services,insufficient talent supply,and single fund-raising channels.This paper proposes an overall plan to optimize the construction of the elderly care service system in Gansu Province,and provides specific optimization paths,which mainly include promoting the improvement of the basic elderly care service system,strengthening the basic support role of public elderly care institutions,continuously optimizing the supply of home-based elderly care services in communities,supporting the collaborative participation of multiple subjects in elderly care services,actively promoting the construction of a multi-level sustainable pension insurance system,accelerating the construction of talent teams such as nursing assistants for elderly care,and better playing the demonstration and driving role of provincial capital cities.