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Research On The Urban Elderly-care Social Assistance

Posted on:2016-01-06Degree:DoctorType:Dissertation
Country:ChinaCandidate:X X LiuFull Text:PDF
GTID:1226330482458382Subject:Social security
Abstract/Summary:PDF Full Text Request
As China’s population aging and old aging is aggravating, disabled elders population is increasing, and with cohesive family structure and the weakening function of family supporting for the old, the elderly long-term care has become another important challenge after our country entered the population aging society under the new social and economic conditions. How to get enough care resources for the elders has already become the academic research focus, which is also the focus of the government and the whole society. Under the current condition of our country’s limited care resources, the study of long-term care for economic trouble and self-care trouble elders is a precondition for setting aging policy and carry out work on care social assistance in future, which is also one of the important significance of this study.Throughout the domestic and foreign research, while many studies have focused on the long-term care security of all the elderly, little research has been done into the special care social assistance for "double-trouble" elders, and there is less research on calculating the scale of "double-trouble" elders and the cost of care social assistance from the angle of quantification. In this paper, researching the care social assistance as a special and independent social assistance has great academic value and practical significance for protecting the survival rights and improving the life quality of "double-trouble" elders, and for maintaining social stability and building a harmonious society.This paper is gradually developed mainly around three questions. The first question is the present condition of demand and supply of urban elderly-care social assistance. The second question is the main problems of the urban elderly-care social assistance and their reason. The third question is reconstructing the framework of urban elderly-care social assistance. This paper analyzes the present condition of demand and supply of urban elderly-care social assistance, and investigates the main problems of the urban elderly-care social assistance and analyzes the reasons. Based on the related theory, this paper reconstructed the framework of urban elderly-care social assistance which is composed of five components such as assessment and qualification, fund-raising, care supply, talents team-building and quality assurance.On the basis of studying, this paper gets the following conclusions:First, as China’s population aging and old aging is aggravating, disabled elders population is increasing. With the changes of family structure and customs and the existence of plenty of disabled elders, our country’s long term care puts forward higher requirements. Meanwhile care assistance for "duouble-trouble" elders is needed in order to build a harmonious society.Second, the urban elderly-care social assistance has problems with coverage, relief standard, fund-raising, care supply and supervision and management. The reasons are following:Top-level design of elderly-care social assistance system is lack, and the legal system is not sound, and regional resources cannot be effectively integrate; Fund channel and the collection way is unitary, and financial investment amount is poor; Scientific and standardized system arrangement lacks in the design and implementation and quality supervision chain of care service; The talents team-building of care service is not enough.Third, research in care social assistance system of foreign developed countries finds that:In the area of qualification assessment, means test of foreign countries is more transparent and rigorous, and they have more mature standards and normative procedures of care needs assessment; Concept of "Aging in place" is widely accepted and has gradually become international identity that it is the trend of long-term care, which requires constant care resources integration; Foreign countries attached great importance to staff quality and the cultivation of professional skills, in order to ensure that disabled elders can get higher quality of care service; Foreign countries also established a very perfect supervision and management mechanism in order to ensure that the care social assistance system can runs healthily.Fourth, this paper forecasted the cost of care social assistance needed by urban "double-trouble" elders, using data of China Health and Retirement Longitudinal Study and selecting Markov model. Compared with the revenue in future, it considered that urban elderly-care social assistance is financially feasible.Fifth, reconstructing the urban elderly-care social assistance framework needs sticking to the principle of government-leading, subjects diversifying, appropriate level, practicability and legalization. This paper defined the object of urban elderly-care social assistance as "two kinds and six classes" elders, whose income were under two point five times of minimum living allowance, who were helped according to the income and degree of disability. In terms of qualification assessment, economic assessment would be carried out according to the standard of urban minimum living allowance and care needs assessment would be carried out according to the care needs assessment standard; In terms of funding sources, it needs to adhere to the principle of fund-raising through various channels and raise fund relying on welfare lottery and social forces under the premise of sustained and stable government financial input; In terms of service supply, it needs to actively integrate all the resources, in order to provide "double-trouble" elders services such as lives of ordinary care, safety guarantee, medical care and for "double bind" the old man life care, security, health care and psychological care to accord with the actual needs of elderly; In terms of talents team-building, it needs to build a sufficient, reasonable structured and well-qualified talents team; In terms of quality assurance, it needs to get a standard, healthy and continuous system of care social assistance by perfecting the mechanism of policy support and supervision and management.
Keywords/Search Tags:Care Social Assistance, "Double-Trouble" Elders, Long Term Care, Markov Model, Needs Assessment, Talents of Care Service
PDF Full Text Request
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