县域居家养老服务发展:需求与供给  

Development of County-Based Home Care Services:Demand and Supply

作　　者：石智雷 邵玺[2,3] SHI Zhi-lei;SHAO Xi(School of Economics,Zhongnan University of Economics and Law,Wuhan,Hubei 430073;School of Public Administration,Zhongnan University of Economics and Law,Wuhan,Hubei 430073;Population and Health Research Center,Zhongnan University of Economics and Law,Wuhan,Hubei 430073)

机构地区：[1]中南财经政法大学经济学院,湖北武汉430073 [2]中南财经政法大学公共管理学院,湖北武汉430073 [3]中南财经政法大学人口与健康研究中心,湖北武汉430073

出　　处：《中央民族大学学报（哲学社会科学版）》2024年第5期100-112,共13页Journal of Minzu University of China(Philosophy and Social Sciences Edition)

基　　金：国家社会科学基金一般项目“新发展阶段中老年农民工生计转型与养老保障研究”(项目编号:21BRK026);湖北省民政厅重点项目“2023年度湖北省老年人口与老龄事业发展研究”的阶段性成果。

摘　　要：在区域人口增减分化和老龄化程度不断加深的背景下,如何推动县域居家养老服务高质量发展是当前民生工作的重点。本文基于2023年“湖北百县老龄调查”数据库,分析了地区人口老龄化和养老资源配置如何影响居家养老服务的发展。研究发现,县域居家养老服务发展水平差距大,居住在高水平地区老人享受的服务类型是低水平地区老人的1.83倍。地区老年人口占比上升对居家养老服务的发展有显著抑制作用,地区需要帮助老人即独居老人和靠低保生活老人占比的增加,对服务发展有显著促进作用。地区人均GDP、医疗卫生资源以及获得的民政转移支付资金等养老资源的增加,会显著提升地区服务发展水平。进一步研究发现,在进入中度老龄化阶段、财政压力较小以及少儿抚养比较低的地区,地方政府会更加重视并将更多的资源用于居家养老服务的发展。研究结论对于我国在新的人口形势下推动县域居家养老服务高质量发展具有重要启示意义。In the context of differentiation in regional population growth and deepening aging,how to promote the high-quality development of county level home care services is the focus of current work for people's livelihood.Based on the 2023“Survey on the Aging Population in Hubei”database,this article analyzes how the aging of the population and the allocation of elderly health care resources affect the development of home-based care services.The study found that there is a large gap in the development of home-based care services in different counties.The types of services enjoyed by the elderly living in high-level development counties are 1.83 times that of the elderly living in low-level counties.The increase in the proportion of the elderly population has a significant inhibitory effect on the development of services.The increase in the proportion of elderly people living alone and with low incomes will significantly promote service development.The increase in per capital GDP,medical and health resources,and civil transfer payment funds and other elderly care resources will significantly promote service development.Further research found that in areas that have entered the moderate aging stage,with less financial pressure,and low ratio in children support demand,local governments will pay more attention and devote more resources to the development of home care services for the elderly.The conclusion of this article can provide important implications for promoting the high-quality development of home-based elderly care services in counties under the new demographic situation.

关 键 词：人口老龄化 养老资源配置 居家养老服务 县域 

分 类 号：C913.6[经济管理]