农村供养服务机构嵌入式养老服务供给机制与治理效能
Mechanism and Governance Effectiveness of Embedded Supply of Rural Elderly Service in Rural Nursing Institutions
投稿时间:2024-03-15  修订日期:2024-07-23
DOI:
中文关键词:  供养服务机构  基本养老服务  福利内卷化  人口老龄化
英文关键词:rural nursing institution  basic services for the elderly  the involution phenomenon of welfare  population aging
基金项目:浙江省哲学社会科学规划课题“赋能视角下浙江省农村家庭养老支持政策研究”(22NDQN251YB)、浙江省社科联研究课题“底线公平视角下浙江省农村基本养老服务建设及路径优化研究”(2023N045)、浙江农林大学校级基金项目“农村老人的相对贫困特征及其形成机制研究”(2021FR039)阶段性成果。
作者单位邮编
金菁* 浙江农林大学 311300
摘要点击次数: 61
全文下载次数: 0
中文摘要:
      供养服务机构是推动农村基本养老服务可及的重要载体,但存在福利排斥和福利内卷化问题。从嵌入视角出发,建构空间嵌入-要素嵌入-结构嵌入-认知嵌入-服务嵌入五维分析框架,基于安徽L镇的田野调查,分析农村供养服务机构转型实现嵌入式养老服务供给的机制及其治理效能。研究发现,供养服务机构以空间嵌入为基础,多元主体协作养老资源整合推进要素嵌入,建构养老服务枢纽促进在地化养老服务生产实现结构嵌入,促使养老伦理向新家庭本位与公共本位并存转变,推进农村养老服务下沉和“多养融合”嵌入式生活场域供给服务。供养服务机构转向发展探索新型嵌入式养老利于以嵌入式建构镇域养老共同体打破养老服务区隔,促进养老服务转介衔接提高养老服务效益以及生产赋能家庭养老次生公共价值,从而提高福利治理效能。未来还需从挖掘本土服务资源提高嵌入可持续性、加强嵌入后福利治理风险管理以及提升以需求为导向的服务嵌入精准性等方面推进其养老服务长效嵌入式供给。
英文摘要:
      Rural nursing institutions play a crucial role in enhancing the accessibility of elderly care services in rural areas. However, challenges such as welfare exclusion and involution exist. A five-dimensional analytical framework encompassing space, factors, structure, cognition, and service, from an embeddedness perspective, is established in the study. The study examines the mechanism of transforming rural nursing institutions to facilitate embedded elderly care service provision and enhance governance effectiveness. Based on a field survey conducted in L-town, Anhui Province, it was found that the spatial embeddedness of rural nursing institutions promotes the integration of nursing resources by multiple subjects to enhance elemental embeddedness. It also facilitates the establishment of nursing service hubs to localize the production of nursing services, achieving structural embeddedness, and leads to the transformation of nursing ethics towards a coexistence of new family-oriented and public-oriented approaches. This influences rural families' decisions regarding nursing care, encourages the sinking of rural nursing services, and fosters care services and the provision of "multi-nursing integration" embedded living spaces that support. The shift development of rural nursing institutions to expectorate a new embedded elderly care model is the amplification of its welfare attributes. It is conducive to improving the effectiveness of welfare governance, that is, embedded construction of township elderly community to break down the elderly service partition, and promote the referral of elderly care to improve the efficiency of elderly care services as well as the production of empowerment of the family elderly secondary public value. Furthermore, strengthening risk management in post-embedded welfare governance and improving the precision of demand-oriented service embedding are crucial steps in promoting effective elderly care service provision.
HTML     查看/发表评论  下载PDF阅读器