本文選題：福利多元　切入點(diǎn)：社會(huì)福利社會(huì)化　出處：《南京師范大學(xué)》2016年碩士論文

【摘要】：目前居家養(yǎng)老服務(wù)在各國(guó)社會(huì)福利制度改革進(jìn)程中倍受關(guān)注,居家養(yǎng)老服務(wù)的發(fā)展不僅是養(yǎng)老服務(wù)方式的轉(zhuǎn)變,更是老年社會(huì)福利政策導(dǎo)向的重大轉(zhuǎn)變。目前來(lái)看,居家養(yǎng)老服務(wù)是最有可能平衡供需矛盾的養(yǎng)老方式。對(duì)發(fā)達(dá)國(guó)家居家養(yǎng)老服務(wù)發(fā)展的歷程、支持性政策體系以及運(yùn)行機(jī)制的全面研究,有利于促進(jìn)對(duì)社會(huì)福利社會(huì)化的理論探討,有利于促進(jìn)對(duì)當(dāng)下居家養(yǎng)老服務(wù)實(shí)踐的反思,有利于完善居家養(yǎng)老服務(wù)體系建設(shè)路徑。歐美等發(fā)達(dá)國(guó)家最先基于自身的實(shí)踐提出了居家養(yǎng)老理念,并且架構(gòu)了一套基本完整的居家養(yǎng)老服務(wù)體系。然而,發(fā)展中國(guó)家的居家養(yǎng)老服務(wù)多處于初級(jí)階段,又因?yàn)榉⻊?wù)設(shè)計(jì)缺乏可持續(xù)性而不可避免地延長(zhǎng)了初級(jí)階段的時(shí)段。本研究在梳理國(guó)內(nèi)外相關(guān)研究的基礎(chǔ)上,結(jié)合社會(huì)保障學(xué)、社會(huì)學(xué)、心理學(xué)以及經(jīng)濟(jì)學(xué)等學(xué)科的知識(shí)和方法,運(yùn)用支持者聯(lián)盟公共政策分析框架,對(duì)瑞典、英國(guó)、美國(guó)、日本的居家養(yǎng)老服務(wù)的概念、理論基礎(chǔ)、發(fā)展歷程進(jìn)行了詳細(xì)描述,進(jìn)而介紹了各國(guó)是如何架構(gòu)老年收入、醫(yī)療、住房、家庭等相關(guān)支持性政策體系,同時(shí)選擇主體、客體、資金來(lái)源、運(yùn)行方式、績(jī)效評(píng)估、特色項(xiàng)目等為論述維度對(duì)國(guó)際居家養(yǎng)老服務(wù)進(jìn)行了縱向剖析和橫向比較。本研究充分利用文獻(xiàn)法和比較分析法,將四個(gè)發(fā)達(dá)國(guó)家的居家養(yǎng)老服務(wù)做了細(xì)致比對(duì),認(rèn)為它們?cè)谡芾韺哟魏头�、公益性社�?huì)組織發(fā)展路徑、養(yǎng)老和醫(yī)療聯(lián)系程度上體現(xiàn)出差異性,在確立正確的指導(dǎo)理念、建立志愿服務(wù)機(jī)制、政府購(gòu)買居家養(yǎng)老服務(wù)和建立長(zhǎng)效資金投入和監(jiān)管機(jī)制上具有相似的發(fā)展趨勢(shì)。基于此,為了完善中國(guó)等發(fā)展中國(guó)家的居家養(yǎng)老服務(wù),本研究提出了以下幾點(diǎn)相關(guān)建議：一是以正確的“社會(huì)化”理念指導(dǎo)居家養(yǎng)老服務(wù)實(shí)踐；二是完善基礎(chǔ)性補(bǔ)貼、社區(qū)醫(yī)療照顧和照顧家庭照顧者等支持性政策體系；三是在協(xié)同增效理念下建立政府、市場(chǎng)和公益性社會(huì)組織的合作供給關(guān)系；四是在需求層次持續(xù)性理念下打造醫(yī)養(yǎng)結(jié)合的持續(xù)照顧項(xiàng)目、“適老化”友好環(huán)境項(xiàng)目和智能化養(yǎng)老服務(wù)項(xiàng)目等。
[Abstract]:At present, the home pension service is paid more and more attention to in the process of the reform of the social welfare system in various countries. The development of the home pension service is not only a change in the way of providing for the aged, but also a major change in the direction of the social welfare policy for the elderly. Home old-age service is the most likely way to balance the contradiction between supply and demand. It is helpful to promote the theoretical discussion on the socialization of social welfare and to promote the reflection on the practice of providing for the aged at home. The developed countries, such as Europe and America, first put forward the idea of home pension based on their own practice, and constructed a basic and complete home pension service system. However, the United States, Europe and the United States and other developed countries put forward the concept of "home care for the aged" based on their own practice. Most of the home-based old-age care services in developing countries are in the primary stage, and because of the lack of sustainability of service design, the period of the primary stage is inevitably prolonged. The knowledge and methods of sociology, psychology and economics, using the framework of public policy analysis of support alliance, the concept and theoretical basis of home care services in Sweden, the United Kingdom, the United States and Japan. The development process is described in detail, and then it introduces how countries structure the supporting policy system of elderly income, medical care, housing, family and so on, and at the same time chooses the subject, object, source of funds, operation mode, performance evaluation, etc. The characteristic items and so on have carried on the longitudinal analysis and the horizontal comparison to the international home old-age care service for the elaboration dimension. This research fully utilizes the literature method and the comparative analysis method, has made the careful comparison of the home pension service of the four developed countries. It is considered that they are different in the levels and extent of government management, the path of development of public welfare social organizations, the degree of old-age care and medical care, and the establishment of a correct guiding concept and a voluntary service mechanism. The government has a similar development trend in purchasing home pension services and establishing long-term capital investment and regulatory mechanisms. Based on this, in order to improve home pension services in China and other developing countries, This study puts forward the following related suggestions: first, guiding the practice of home pension service with the correct concept of "socialization"; second, perfecting the supporting policy system of basic subsidy, community medical care and caring for family carers, etc. The third is to establish the cooperative supply relationship among government, market and public welfare social organizations under the concept of synergy and efficiency. The fourth is to create the continuous care project, the "aging" friendly environment project and the intelligent old-age service project under the concept of sustainability of demand level.
【學(xué)位授予單位】：南京師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：D669.6
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本文編號(hào)：1677237