Research On Long-term Care Services For The Disability Elderly In Rural Areas Of Shandong Province

With the development of economy and society,the quality of life has been improved and people's life has been extended,the trend of aging has become clear,the number of disability and semi-disability elderly has been on the rise,and in rural areas it has become even more serious.Rural economic development is lagging behind that of urban areas,with obvious differences in urban and rural welfare.It is difficult for rural families to provide better long-term care services for disabled elderly.Urbanization has led to the continuous outflow of rural laborers,coupled with the ever-shrinking family size,the gradual weakening of rural traditional family care functions and the concept of family support for the elderly.Although the development of China's social security system is maturing at present,the development of long-term care system is still scarce.In particular,the contradiction between supply and demand of long-term care for the elderly in rural areas is even more prominent.Therefore,there is an urgent need to speed up the research on the long-term care of disabled elderly in rural areas.Based on the above background,this article takes the issue of long-term care service development for the disabled elderly in rural areas as the main body of the research.By using the methods of literature analysis,questionnaire survey,interactive analysis and empirical analysis.Firstly,the concepts and theories related to the long-term care service for the disabled elderly in rural areas were expounded.Secondly,it analyzes the development of long-term care services for disabled elderly in rural areas of Shandong Province,which mainly deals with the elderly population in Shandong Province,their pension status,the development of long-term care services in rural areas and the difficulties their development faces.Thirdly,Based on the survey data obtained,analysis of long-term care needs of disabled elderly in rural areas and its influencing factors.Finally,it puts forward some countermeasures to promote the development of long-term care service.Through analysis and research,the following conclusions are drawn:(1)Based on the analysis of the elderly population status and pension status in Shandong Province,there are many elderly population in Shandong Province,accounting for a large proportion,aging and empty nesting are far higher than the urban areas.The pensionservices in rural areas are developing slowly and are under great pressure for care.(2)According to the data analysis of long-term care service provision for disabled elderly in rural areas of Shandong Province,the main body of long-term care provision service is very single,the family is still the mainstay of the main long-term care services and the main caregivers in the family are their children,especially those who provide care as sons and daughters-in-law,followed by spouses.In terms of long-term care services,45% village where the respondents live do not provide any long-term care services.Among the villages that can provide long term care services,the services with the largest proportion are home visits,followed by recreational activities,and the elderly long term care needs satisfaction rate is low.The long-term care delivery platform in rural areas is also very scarce,unable to make timely treatment based on changes in the condition of the elderly in real time.(3)Discovered through investigation,the development of long-term care services for the disabled elderly in rural areas faces many difficulties.First,the lack of institutional protection for the development of long-term care services for disabled rural elders.Not only the lack of relevant laws and regulations for long-term care services in rural areas,but also the social security system in rural areas is not perfect,the level of pension insurance far below the price level,medical insurance reimbursement is limited,the minimum subsistence guarantee coverage.Second,the problem of long-term care service for elderly disabled rural residents is outstanding.Family-based care in rural areas is gradually declining,institutional care is not perfect enough,it is difficult to play its due role and community care is underdeveloped.Third,the elderly lack of funds for rural elderly long-term care services.Lack of government financial support,inadequate supply of multiple,poor self-financing ability of rural disabled elderly.The fourth is the lack of specialized services for long-term care services for disabled rural elderly.Mainly due to the lack of specialized personnel,equipment and specialized training.(4)According to the descriptive statistics and the interaction analysis of the investigation data,the most willing care choice for the disabled elderly in rural areas is still family care.The most preferred socialized long-term care service is the government.Rural disability elderly care needs of the content,life care services in the personal care services and domestic service demand-based;spiritual comfort type services to chat and regular visit;rehabilitationcare services to accompany medical treatment,hospital care and rehabilitation of health-based.(5)According to Anderson Model,the factors that affect willingness of rural disabled elderly are divided into induced factors,enabling factors and demand factors.Among them,induced factors include latent variables of "individual characteristics";selection of enabling factors "cognitive ability" and "intergenerational relationship" latent variables;demand factors selected "care perception".Structural equation was used to analyze the above factors.The results showed that long-term care willingness of rural disabled elderly was directly influenced by cognitive ability,individual characteristics and care perception.Intergenerational relationship indirectly influenced long-term care desire through care perception.(6)In promoting the development of long-term care services for the elderly with disabilities in rural areas,we must speed up the construction of medical combination of long-term care service,diversify the long-term care services and broaden the channels for raising funds,strengthen the long-term care service personnel education,the establishment of specialized personnel,accelerate the pilot work of the long-term care insurance system.Only through the concerted efforts of multiple subjects of government,society and families can we promote the rapid development of long-term care services.