Research On The Support System Of Community-Home Care Service For The Rural Disabled Elderly

Nowadays,the problem of "care poverty" of disabled elderly cannot be underestimated.With insufficient elderly support from all participants,the phenomenon of empty nesting families and disabled elderly in rural areas are becoming more and more serious.Therefore,exploring the integration of scattered social support resources in rural areas can better pool resources and social forces to provide high quality and efficient elderly support for the disabled.This paper takes the disabled elderly group in W town,D county,Guangxi as an example,and conducts a study on how to construct community-home care support for the disabled elderly in rural areas from the perspective of social support and baseline equality.In the course of the study,W town,where living ethnic minorities and dominating by agricultural economy,was selected as the fieldwork site.The paper takes literature research method and field research method to conduct case interviews with 11 elderly peoples with different degrees of disability and their family primary caregivers,combining questionnaires and the author’s in-depth interviews with rural elderly service workers,and the following conclusions were drawn.Firstly,A series of political,economic,social and cultural social structural changes after the reform and opening up have impacted the changes of the traditional family elderly care function,leading to the weakening of the traditional family elderly care function in rural areas.Secondly,the old-age security of the disabled elderly in rural areas is currently faced with the difficulties of heavy burden of family care,lack of services of elderly care institutions and failure of multiple supply mechanisms.These dilemmas are not only due to individual-level physical reasons,but also related to economic,subject-level,management and social factors.The reasons for the plight of the disabled elderly in rural areas include the slow economic development in deeply impoverished areas,the widening division between supply and demand of elderly services,the lack of systematic institutional arrangements,and the preference for the traditional family path of care.Thirdly,rural areas should provide systematically safe and structurally stable old-age security for the disabled elderly with a baseline equality concept that focuses on the principles of equity and justice.By identifying the target groups of service protection,strengthening the baseline protection with the primary responsibility of the government,clarifying the collaboration of multiple subjects,improving the support mechanism of community support,improving the efficiency of care at home,and promoting the marketization process of elderly care services,we can build a highly adaptable and sustainable community-home care support system for the disabled elderly.