首页|期刊导航|中国卫生事业管理|健康老龄化视角下人口流入型城市的养老服务政策演化研究

健康老龄化视角下人口流入型城市的养老服务政策演化研究OA

Study on the Evolution of Elderly Care Service Policies in In-migrant Cities from the A Study on the Evolution of Elderly Care Service Policies in In-Migrant Cities from The Perspective of Healthy Aging Sampled with Shenzhen

中文摘要英文摘要

目的:从健康老龄化视角,分析典型人口流入型城市深圳市养老服务政策的主题结构及其演化规律,为完善相关政策的制定提供参考.方法:基于 1995~2024 年深圳市养老服务政策文本,运用 LDA 主题模型和 Word2Vec 词向量技术,结合主题强度计算和相似度分析,系统考察政策主题的分布特征与演化路径.结果:共识别出政策激励与行业监管、养老机构建设与规范发展和社区养老服务运营与综合支撑三大核心主题;政策演进呈现明显的三阶段特征:萌芽期(1995~2010 年)侧重于基础性支持性环境的构建,发展期(2011~2020 年)呈现服务多元化与领域拓展态势,成熟期(2021~2024 年)趋于系统化与整合化发展;主题演化路径显示,政策主题从3 个扩展至 8 个,并存在"汇聚-发散"特征.结论:深圳市养老服务政策已构建起涵盖激励监管、机构建设与社区服务三大核心领域的完整体系,其演化体现了从基础建设向多维支撑、精细服务的发展趋势,逐步覆盖健康老龄化的核心维度.然而,政策对老年人内在能力的直接支持仍显不足,智慧养老、医养结合等领域的跨体系协同亦有待加强.未来应以老年人功能性评估与干预、智慧康养技术应用、医养结合服务模式等领域为着力点,强化预防导向的健康干预政策,并推动跨部门资源在关键领域的深度融合.

Objective To analyze the thematic structure and evolution of elderly care service policies in Shenzhen,a typical in-migrant city,from the perspective of healthy aging,so as to provide references for improving relevant policy formulation.Meth-ods Based on the texts of elderly care service policies from 1995 to 2024 of Shenzhen,the LDA topic model and Word2Vec word vector technology were employed,combined with topic intensity calculation and similarity analysis,to systematically examine the distribution characteristics and evolutionary paths of policy topics.Results Three core topics were identified as policy incentives and industry regulation,construction and standardized development of elderly care institutions,and operation and comprehensive support of community elderly care services.Policy evolution showed three distinct stages of the budding period(1995~2010)fo-cused on building a foundational supportive environment,the development period(2011~2020)characterized by service diversi-fication and domain expansion,and the maturation period(2021~2024)trended towards systematic and integrated development.The analysis of thematic evolution paths revealed that the number of policy topics expanded from 3 to 8,exhibiting a"convergence-divergence"characteristic.Conclusion A comprehensive elderly care policy system covering three core areas of incentive regula-tion,institutional construction,and community services has been established in Shenzhen.Its evolution reflects a development trend from basic construction to multi-dimensional support and refined services,gradually covering the core dimensions of healthy aging.However,the direct policy support for the intrinsic capacity of older adults remains insufficient,and cross-system coordi-nation in areas such as smart elderly care and integrated medical-nursing care needs to be strengthened.In the future,efforts should be focused on areas such as functional assessment and intervention for the elderly,application of smart health and elderly care technologies,and integrated medical and elderly care service models.It is necessary to strengthen health intervention policies oriented towards prevention and promote the deep integration of cross-departmental resources in key areas.

徐璐;肖俊辉;朱祥磊;陈颖;翟方明

广东医科大学人文与管理学院,广东 东莞 523808广东医科大学人文与管理学院,广东 东莞 523808广东医科大学人文与管理学院,广东 东莞 523808广东医科大学人文与管理学院,广东 东莞 523808广东医科大学人文与管理学院,广东 东莞 523808

医药卫生

健康老龄化养老服务政策政策文本分析主题演化深圳市

healthy agingelderly care service policypolicy text analysisthematic evolutionShenzhen City

《中国卫生事业管理》 2026 (4)

413-419,7

广东省哲学社会科学规划青年项目"数字医疗时代基于用户公平感知的隐私保护机制研究"(GD23YGL23)广东省普通高校特色创新类项目"数智治理场景中老年群体整合照护的实践阻滞和制度调适研究"(2025WTSCX031)

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