| With the continuous advancement of economy and technology,people are constantly facing new challenges while enjoying the benefits of progress.The most obvious of the challenges is the pressure of global aging by the development.As early as the end of the 20 th century,China has entered an aging society.In the years of development,the increase in the number of disabled elderly people has become a new problem,which has gradually aroused the attention of the society.Due to the changes in family structure and the weakening of traditional old-age care functions,socialized pensions have gradually developed,and the old-age services needed for disabled elderly people have been paid in the form of payment,providing a new option for the elderly.Common social pension methods include various nursing homes,care homes,and housekeeping services.They are usually provided by people with certain care and common sense,and correspond to the informal care provided by family members.They are called formal care.In theory,formal care can alleviate the care pressure of family members,provide more professional and high-quality old-age services for the elderly,and provide labor for the society,which is a process of income for both individuals and society.However,in reality,for a variety of reasons,the use of formal care by the elderly,especially the disabled,is not high.A large part of this is related to the income situation and ability to pay of the elderly.Using the 2015 China Health and Retirement Longitudinal Study Follow-up Questionnaire(CHARLS)data,add labor income,retirement pension,family support,other social Security income,property income and other income of the disabled elders’ in the last year to obtain the total income and use the logarithm of it.To use formal care(including nursing home services and domestic services)as an explanatory variable,to construct a two logistic model with individual characteristics,health characteristics and family characteristics as control variables,observe the effects of income on the use of formal care for the elderly with disability.Then compare the changes of parameters before and after the family characteristics to examine the influence of family factors on the income effect.The conclusion shows:(1)in general,personal income has a positive impact on the formal care of disabled elderly people,and the impact is mainly reflected in the choice of nanny care;(2)family factors,especially family care time,have a negative impact on the income effect of formal care,but they are complementary in groups with higher disability;(3)the influence of income on the choice of formal care varies with the degree of disability.The higher the income,the higher the use rate of formal care for the moderately and severely disabled elderly.The choice of formal care for mildly disabled elderly does not vary with income.Therefore,based on the above conclusions,this paper puts forward the following Suggestions :(1)guarantee the economic income of disabled elderly people in an all-round and multi-channel way;increase the social security investment for the helpless day,and actively and effectively deal with the pension gap;(2)formal care institutions should expand their target audience.Nursing homes and domestic service companies should find the right market positioning and provide professional and standardized elderly care services.In addition,the gap between urban and rural areas should be paid attention to and the market should be developed according to local conditions.(3)carry out accurate care for disabled elderly people in communities,classify disabled elderly people into archives,and realize regular return visit and timely adjustment;Taking the community as the carrier,we will carry out old-age support activities and popularize scientific old-age care knowledge to the residents. |
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