社区养老服务机构养老供给困境与破局OA
The Dilemma and Breakthrough of Elderly Care Supply in Community Elderly Care Service Institutions:An Analysis Dimension Based on Subjectivity and Dependence
随着老龄化发展和居家社区养老服务需求增长加速,社区养老服务机构成为社会力量参与养老服务供给的主体力量之一,对居家养老形成有力支撑,但其成长总体处于起步阶段.基于多案例研究方法,选取A市4个社区养老服务机构,依托赋权增能理论和资源依赖理论,构建"主体性-依赖性"二维分析框架,将其分为任务型、资源型、开拓型、成熟型四类.研究发现:社区养老服务机构与基层政府的互动形塑其实践逻辑,即选择性服务、服务资源转移、劣币驱逐良币与品牌连锁运营.在动态资源依赖关系中,社区养老服务机构普遍面临主体性较弱、依赖性较强的发展困境,权能增进是推动其主体性与依赖性动态平衡的关键因素.服务供给优化路径围绕权能结构展开,目的在于打破机构权能匮乏、权能模糊和权能失衡僵局,通过赋权增能、均衡权能和明确权能破局,巩固并发挥社区养老服务机构主体性,促进其可持续发展.
With the accelerated growth of population aging and the demand for home-based community elderly care services,community elderly care service institutions have emerged as one of the primary forces among social entities participating in elderly care service provision,providing robust support for home-based elderly care,but their growth is generally in the initial stage.This study employs a multiple-case research method,selects four community elderly care service institutions in City S as research subjects,and relies on the Empowerment Theory and Resource Dependency Theory to build a dual-dimensional analytical framework of"Agency-Dependency",categorizing them into four types:task-driven,resource-dependent,pioneering,and mature.The study revealed that the interaction between community elderly care service institutions and grassroots governments shaped their practical logic,which is selective service,service resource transfer,bad money drives out good,and brand chain operation.In the dynamic resource dependence relationship,the community elderly care service institutions are generally faced with the development dilemma of weak subjectivity and strong dependence,and empowering them is the key factor to promote the dynamic balance between subjectivity and dependence.The optimization path of service supply focuses on the power structure,aiming to break the deadlock of lack of power,ambiguity of power,and imbalance of power to consolidate and exert the subjectivity of community elderly care service institutions and promote their sustainable development by empowering,balancing,and clarifying power.
李运思;刘晓昀
中国农业大学人文与发展学院,北京 100080中国农业大学人文与发展学院,北京 100080
管理科学
居家社区养老服务社区养老服务机构主体性依赖性赋权增能
home-based community elderly care servicecommunity elderly care service institutionssubjectivitydependenceempow-erment
《经济与管理》 2026 (1)
9-18,10
2024年民政政策理论研究课题(2024MZJ020)
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