School of Criminology, People's Public Security University of China, Beijing, China.
Social Policy & Social Gerontology, Department of Sociological Studies, The University of Sheffield, Sheffield, UK.
Health Soc Care Community. 2021 Jul;29(4):1041-1050. doi: 10.1111/hsc.13138. Epub 2020 Aug 12.
This paper examines the relationship between community care services and ageing in place in urban China. Using data from the 2010 Sample Survey on Aged Population in Urban/Rural China, and within the framework of a revised version of Andersen's model, the paper applies multilevel models and analyses the effects of community care on the preference between ageing in place and institutional care, and reveals that ageing in place is preferred even in urban China. However, the existence of community care services had no significant effect on the preference for ageing in place. The paper concludes by arguing that China needs to develop its community care services and promote the idea of community care in both culture and policy. Realising ageing in place also requires a multidisciplinary approach. A model of shared care, between family and state, is particularly appropriate for China.
本文考察了社区护理服务与中国城市老年人居家养老之间的关系。利用中国城乡老年人口抽样调查 2010 年数据,基于安德森模型的修订版,采用多层次模型分析了社区护理对居家养老和机构养老偏好的影响,结果表明,即使在中国城市,老年人也更倾向于居家养老。然而,社区护理服务的存在对居家养老偏好没有显著影响。本文最后得出结论,中国需要发展社区护理服务,在文化和政策层面推广社区护理理念。实现老年人居家养老还需要多学科的方法。家庭和国家共同承担护理责任的共享护理模式特别适合中国。