“老有所为”理论视阈下的老年配偶照顾者之价值重构  

Policy reconstruction of elderly spouse caregivers from the perspectives of the theory “productive engagement in later life”

作　　者：宋靓珺[1] 周显伟 黄剑焜 彭希哲[1] 

机构地区：[1]复旦大学社会发展与公共政策学院,上海200433

出　　处：《中国卫生政策研究》2018年第1期21-27,共7页Chinese Journal of Health Policy

基　　金：国家自然科学基金重大项目(71490735);2015年国家留学基金委资助的国家建设高水平大学公派项目

摘　　要：老年人的家庭照顾行为是世界范围内的普遍现象,并创造了巨大的经济和社会价值。家庭照顾行为虽在中国社会普遍存在,但在对老年人及老龄社会重新认识和定义的现代老龄观背景下,理应从全新的理论视角对其进行阐释;同时作为备受西方社会推崇的"老有所为"理论的重要组成部分,家庭照顾者的价值认同在西方社会早已达成共识,但在中国目前的价值体系中仍处于模糊地带。本文首先回顾了家庭照料行为对同为老年群体的配偶照料者在经济收入、身心健康等方面产生的不利影响,继而介绍了"老有所为"理论和实践在世界范围内的发展,提出重新认识和评估老年人社会价值的框架构想、对老年照顾者社会支持体系的再安排和基于社会性别视角培育老年人自我发展意识等政策建议,以期推动重构中国老年人社会价值体系,还原老年人主体性和社会性。As one of the core contents of the theory"productive engagement in later life",elderly taking care of family members has created tremendous economic and social values.Family caregiving behavior being widely existed in the Chinese society and stretches for thousands of years,still needs to be interpreted from a completely new theory framework in a contemporary ageing society.As one of the most important theories in Social Gerontology,there is already a consensus reached in western society about the value recognition of family caregiving,but in China's context,is still however in the twilight zone.This paper begins with a comprehensive review and analysis of the negative impact of family care on the economic burden and physical and mental health impairments among the elderly caregivers,and then introduces the world-wide development of the "productive engagement in later life"theories and practices which recognize and evaluate the social value of the elderly,a framework for rearranging the social support system for the elderly caregivers and the promotion of the sense of the self-development of the elderly based on gender perspectives,with a view it will also greatly restore the identities and socialization of older people by putting forward several public policies based on the above theoretical framework and the reduction of the elderly subjectivity and sociality.

关 键 词：老年配偶照料者 长期照护 老有所为 价值重构 

分 类 号：R197[医药卫生—卫生事业管理]