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需求與使用的懸殊:對社區(qū)居家養(yǎng)老服務(wù)遞送的反思

發(fā)布時間:2018-11-08 08:40
【摘要】:近年來,上海市的社區(qū)老年服務(wù)規(guī)模發(fā)展迅速,服務(wù)模式也不斷創(chuàng)新。但基層社區(qū)中的老年服務(wù)出現(xiàn)了服務(wù)需求與服務(wù)使用之間不能完全匹配的情況。本研究以上海市普陀區(qū)Q街道為例,試圖考察不同類型的居家養(yǎng)老服務(wù)使用的影響因素,并嘗試呈現(xiàn)社區(qū)老年服務(wù)遞送過程中存在的問題。通過對老年人問卷調(diào)查(N=502),并以個別訪談、焦點(diǎn)小組訪談的方式向不同利益相關(guān)者收集多角度資料;诎驳律P(Andersen Social Behavioral Model)的分析結(jié)果顯示,影響不同類型服務(wù)使用的除了個體性差異外還有服務(wù)知曉度和服務(wù)可及性這兩個共同的因素。而對質(zhì)性資料的分析進(jìn)一步呈現(xiàn)居委會在服務(wù)遞送過程中存在諸多不足。最后,作者提出推動社區(qū)老年服務(wù)遞送專業(yè)化的本土路徑。
[Abstract]:In recent years, the community elderly service scale in Shanghai has developed rapidly and the service model has been innovated. However, the elderly service in the grass-roots community does not exactly match the service demand and service usage. Taking Q Street in Putuo District of Shanghai as an example, this study attempts to investigate the factors affecting the use of different types of home old-age care services, and try to present the problems existing in the delivery process of community services for the elderly. The data were collected from different stakeholders by questionnaire survey (NF502), individual interview and focus group interview. The results of (Andersen Social Behavioral Model) based on Anderson model show that there are two common factors, namely, service awareness and service accessibility, which affect the use of different types of services in addition to individual differences. The analysis of qualitative data further shows that the neighborhood committee has many shortcomings in the service delivery process. Finally, the author puts forward the local path to promote the specialization of community elderly service delivery.
【作者單位】: 復(fù)旦大學(xué)社會工作學(xué)系;
【基金】:復(fù)旦大學(xué)社會發(fā)展與公共政策學(xué)院研究基金的支持
【分類號】:D669.6
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本文編號:2317948

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