农村互助养老服务可及性的递进机制研究  

The Progressive Mechanism of Accessibility of Mutual Support for the Rural Elderly

作　　者：王立剑[1] 邸晓东 WANG Lijian;DI Xiaodong(School of Public Policy and Administration,Xi′an Jiaotong University,Xi′an 710049,China)

机构地区：[1]西安交通大学公共政策与管理学院,陕西西安710049

出　　处：《北京工业大学学报（社会科学版）》2023年第1期23-34,共12页Journal of Beijing University of Technology (Social Sciences Edition)

基　　金：国家社会科学基金项目(20BSH019)。

摘　　要：互助养老是解决农村养老服务供给不足的有效模式。以提升农村互助养老受益水平为目标,依据卫生服务可及性的安德森模型、计划行为理论和自我决定理论,从潜在可及、现实可及、持续可及三个维度构建互助养老服务可及性分析框架,并通过实证研究发现,宣传力度促进农村互助养老潜在可及性提高的过程存在“个体参与→角色塑造→利他动机→互助意愿”的转变机制;农村互助养老设施供给加速“潜在可及→现实可及”的实现过程,并呈现“精准定位→以需定供→自发参与→群体效应”的行动机制;激励机制与社会参与保障“现实可及→持续可及”的推进过程,以及呈现“利益激励→责任明晰→制度完善→规模效应”的循环机制。建议从激发互助养老参与意愿、精准定位互助养老需求、完善互助养老参与机制等方面改善互助养老服务可及性。In rural areas,mutual support for the elderly is one of the effective models to solve the shortage of elderly care service.With the goal of improving the benefit level of mutual support for the elderly,based on the Anderson model of health service accessibility,theory of planned behavior and self-determination theory,the article constructs a theoretical analysis framework from three dimensions of potential accessibility,realized accessibility,and sustainable accessibility,and constructs an empirical model.The research finds that propaganda intensity has an obvious positive effect on potential accessibility,and the effect includes individual participation,role shaping,altruistic motivation and willingness to help each other.Facility provision accelerates the process of potential accessibility to realized accessibility and the process includes precise positioning,supply based on demand,spontaneous participation and group effect.Incentive standard and social participation have a positive impact on the process from realized accessibility to sustainable accessibility and the process includes interest incentives,clear responsibilities,perfect system and scale effect.According to the results,some suggestions are offered,like stimulating the willingness to participate,locating the needs,improving the participation mechanism of mutual support and so on,to improve the accessibility of mutual support for the elderly.

关 键 词：社会保障 农村养老服务 互助养老 可及性 递进机制 

分 类 号：C913.7[经济管理] F320.3[社会学]