吉安市中心城区机构养老服务需求及供给现状调查

发布时间：2019-04-12 19:16

【摘要】：目的从供给和需求两方面,了解吉安市中心城区机构养老服务的现况,从而为吉安养老服务体系建设提供参考。方法需求方面:抽样调查了吉安市中心城区820例65岁以上老年人入住养老机构的意愿及影响因素,采用单因素分析及Logistics回归分析方法,筛选出对老年人入住养老机构意愿有影响的有关因素;供给方面:主要通过文献查找,实地调查和质性访谈的方式,了解吉安市中心城区养老机构的基本设施,服务种类,服务人员等机构养老服务供给现状。结合需求与供给两个方面的现况调查情况,讨论吉安市城区机构养老存在的不足及应对措施。结果820例老人当中,愿意入住养老机构的有315人,占38.4%,不愿意入住的有505人,占61.6%。老人愿意入住养老机构的原因排前三位的是不愿意麻烦子女、自己身体不好、子女照顾不过来。不愿意入住养老机构的原因前三位的是养老机构价格太高、服务水平不行、就是不愿意去养老院。文化程度、子女数、职业、健康状况、生活自理能力、生活照料者、每月收入、生活来源、社区日间照料中心了解程度、目前养老方式、养老机构了解程度、子女对入住养老机构的意见等12个因素对老人入住养老机构意愿有统计学差异(p0.05)。Logistics回归分析结果显示,老人入住养老机构的意愿受子女数、健康状态、目前养老方式、养老机构了解情况、子女对入住养老机构的意见的共同影响。对养老机构的供给需求分析结果显示,吉安市中心城区机构养老服务存在供给和需求不匹配的现象,养老机构的空床率较高,养老服务人员缺口大,服务质量还需进一步提高。结论提高机构养老的服务水平需要政府,机构,社会多方努力,共同优化资源,统筹规划,从而将潜在养老意愿转化为有效入住行为。加强医养结合,重视心理慰藉和文化建设,为吉安市民提供更好的机构养老服务。
[Abstract]:Aim to understand the present situation of institutional service for the aged in the central urban area of Ji'an from the aspects of supply and demand, so as to provide reference for the construction of the service system for the aged in Ji'an. Methods: the desire and influencing factors of 820 elderly people over 65 years old in the central urban area of Ji'an city were investigated. Single factor analysis and Logistics regression analysis were used. Screening out the related factors that have influence on the elderly people's willingness to stay in the old-age institutions; Supply side: mainly through literature search, on-the-spot investigation and qualitative interview, to understand the basic facilities, types of services, service personnel and other institutional pension service supply status in the central urban area of Jian City. Based on the current situation of demand and supply, this paper discusses the shortcomings and countermeasures of institutional pension in Ji'an city. Results among 820 elderly people, 315 (38.4%) were willing to stay in old-age institutions and 505 (61.6%) were unwilling to stay. The reason why the elderly are willing to stay in old-age institutions is that they are unwilling to bother their children, their health is not good, and their children cannot take care of them. The first three reasons why they do not want to stay in the pension institution are that the price of the pension institution is too high, the service level is not good, is unwilling to go to the nursing home. Education, number of children, occupation, health status, ability to take care of themselves, living caregivers, monthly income, source of living, level of understanding of community day care centres, current old-age methods, level of understanding of old-age institutions, 12 factors, such as children's opinions on admission to pension institutions, had statistical differences on the elderly's willingness to stay in pension institutions (p0.05). Logistics regression analysis showed that the elderly's willingness to stay in pension institutions was subject to the number of children, health status, and so on. The current old-age mode, pension institutions understand the situation, children to live in the pension institutions of the views of the common impact. The analysis of the supply and demand of the old-age institutions shows that there is a mismatch between supply and demand of the institutional pension services in the central city of Ji'an. The empty bed rate of the old-age institutions is relatively high, the gap of the old-age service personnel is large, and the service quality needs to be further improved. Conclusion it is necessary for the government, organization and society to improve the service level of institutional old-age care, optimize the resources and plan together, so as to transform the potential old-age desire into effective residence behavior. Strengthen the combination of medical care, pay attention to psychological comfort and cultural construction, to provide better institutional pension services for the citizens of Ji'an.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6

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