Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
School of Behavioral and Applied Sciences, Azusa Pacific University, Azusa, California, USA.
Gerontologist. 2022 Nov 30;62(10):1420-1430. doi: 10.1093/geront/gnac124.
As the older adult population grows, it is important to understand the effectiveness of service delivery systems that support aging in place. Studying service delivery processes and organizational structures of Area Agencies on Aging (AAAs) is essential for future efforts to understand service delivery outcomes and innovations.
We conducted site visits with 5 government-run California AAAs. We used a template and constant comparative analysis to analyze transcripts from site visits and focus groups with key informants.
AAA representatives discussed how their organizational structure was related to (a) which services and programs they provided; (b) administrative cost savings and access to funding sources; (c) inter- and intra-agency coordination; and (d) visibility among clients and community partners.
These findings can be used to guide decisions surrounding how changes in AAA structure may affect funding, coordination, service delivery, and visibility, among other factors. Consolidating the AAA with other departments and programs facilitates coordination and shared administrative costs, yet consolidation may reduce standalone AAAs' visibility and ability to innovate. AAA structure should be tailored to fit community resources, local government organization, and the needs of older residents.
随着老年人口的增长，了解支持就地老龄化的服务提供系统的有效性变得尤为重要。研究老年服务机构（AAA）的服务提供流程和组织结构对于未来理解服务提供成果和创新至关重要。
我们对 5 家政府运营的加利福尼亚州老年服务机构进行了现场访问。我们使用模板和不断比较分析，对现场访问和与主要知情人的焦点小组的记录进行了分析。
AAA 代表讨论了他们的组织结构与（a）他们提供的服务和计划有关；（b）行政成本节约和获得资金来源；（c）机构间和机构内的协调；以及（d）在客户和社区合作伙伴中的知名度。
这些发现可用于指导围绕以下问题的决策：AAA 结构的变化可能如何影响资金、协调、服务提供和知名度等因素。将 AAA 与其他部门和计划合并可以促进协调和共享行政成本，但合并可能会降低独立的 AAA 的知名度和创新能力。AAA 的结构应根据社区资源、地方政府组织以及老年居民的需求进行定制。
