老龄社会健康风险与韧性治理  

Health Risks and Resilience Governance in an Aged Society

作　　者：李树茁[1] 王晓璇[1] 郭锦 Li Shuzhuo;Wang Xiaoxuan;Guo Jin

机构地区：[1]西安交通大学公共政策与管理学院

出　　处：《治理研究》2024年第2期17-34,156,157,共20页Governance Studies

基　　金：国家自科基金面上项目“农村老年家庭养老风险与福祉的动态跟踪研究——理论、实证与政策促进”(编号:72074177)。

摘　　要：随着中国进入老龄社会,人口老龄化呈现规模大、增速快、水平高、差异大和结构稳的显著特点。老年群体健康问题凸显,老龄社会健康风险成为亟待关注的重要治理议题,传统治理模式效果欠佳,需要引入韧性治理以快速、积极和高效地应对风险冲击和挑战。中国老龄社会健康风险是在人口老龄化迅速加深和老年群体健康问题显现双重叠加下产生的,以老年人健康问题为核心,给人口和社会可持续发展带来高度不确定性、损失性和复杂性的多维风险,具有基础性、系统性和全人群全周期性等特点。为此,老龄社会健康风险的韧性治理需要以老年群体韧性实现的动态过程为核心,以全人群全周期、动态调适和分类管理为原则性理念,以过程管理为主要手段,以多元主体协同为基本结构,以预防、减轻和化解健康风险及其后果为根本目标,化危为机。未来,中国在老龄社会健康风险治理上还需要坚持全球视野和跨学科视角,为健康老龄化的全球治理贡献中国经验。China’s aging population phenomenon is characterized by its significant scale,rapid growth,substantial variations across regions,and remarkable stability.Health issues among the elderly are becoming prominent and spreading to the societal development level,making the health risks of an aging society an urgent and crucial governance issue.Considering the ineffectiveness of traditional governance models,there is a need to introduce resilience governance to respond quickly,proactively and effectively,to risk shocks and challenges.In the context of rapid population aging and the prominence of health problems in the elderly,the core risk of an aging society is related to the many health problems these older adults face.These multidimensional risks result in high uncertainty,loss,and complexity to the sustainable development of the population and society.Therefore,resilience governance should achieve resilience in the elderly.Its guiding principles must emphasize whole-population,whole-life-cycle,dynamic adaptation,and categorized management,through comprehensive process management and collaborative efforts among multiple stakeholders.The aim should be to prevent,mitigate,and resolve the health risks and their consequences.Looking ahead,China must adopt a global and interdisciplinary perspective in governing the health risks associated with its aging society,and thereby contribute its unique experiences to the global discourse on promoting healthy aging.

关 键 词：老龄社会 健康风险 韧性治理 长寿红利 健康老龄化 

分 类 号：C924.2[社会学—人口学]