不同类型社区居家养老服务需要与利用分析  

Analysis of the service needs and utilization of aging in place in different community settings

作　　者：杨定[1] 王丽娟 YANG Ding;WANG Lijuan(General Management Office,Nanjing Traditional Chinese Medicine Hospital Fu Zi Miao Branch,Nanjing 210006;National Health Commission Family Planning Drug Adverse Reaction Monitoring Center,Jiangsu Province Fertility Protection and Health Technology Evaluation Key Laboratory,Jiangsu Province Health Development Research Center,Nanjing 210036,China)

机构地区：[1]南京市中医院夫子庙院区综合办,江苏南京210006 [2]国家卫生健康委计划生育药具不良反应监测中心,江苏省生育力保护与卫生技术评估重点实验室,江苏省卫生健康发展研究中心,江苏南京210036

出　　处：《南京医科大学学报(社会科学版)》2025年第2期139-144,共6页Journal of Nanjing Medical University(Social Sciences)

基　　金：江苏省卫生健康发展研究中心开放课题“社区居家养老服务对江苏老年居民健康的影响及政策优化研究”(JSHD202322)。

摘　　要：为了解社区居家养老服务发展现况,抽样调查南京市鼓楼区不同类型社区617名老年人,分析社区居家养老服务的需要、利用情况及影响因素。研究发现,调查对象对社区居家养老服务的知晓率为70.02%、意愿率为60.78%、利用率为43.92%、满意率为85.24%,利用率总体不高;不同社区老年人的知晓率、意愿率、利用率差异显著(P均<0.001);不同年龄、身体状况老年人的意愿率、利用率差异显著(P均<0.001)。结果说明,社区居家养老服务供需错位、失衡问题突出;精神慰藉、医疗相关服务利用低;居家养老服务意愿、利用率和知晓率受社区资源和服务影响。To investigate the current development status of aging in place services,this study conducted a sample survey of 617 older adults from various types of communities in Gulou District,Nanjing,for the purpose of analyzing their needs,utilization,and influencing factors regarding these services.Findings revealed that the awareness rate,willingness rate,utilization rate,and satisfaction rate of aging in place services among the surveyed older adults were 70.02%,60.78%,43.92%,and 85.24%,respectively.The overall utilization rate was relatively low.Significant differences were identified in the awareness,willingness,and utilization rates of these services among older adults from different community settings(P<0.001).Additionally,willingness and utilization rate varied significantly among older adults across age groups and physical conditions(P<0.001).The study highlighted a prominent mismatch and imbalance between the supply and demand of aging in place services.The utilization of spiritual consolation and medical-related services was low.Community resources and services influenced the willingness,utilization and awareness of aging in place services.

关 键 词：居家养老 社区 需求 利用 人口老龄化 

分 类 号：C913.6[经济管理]