政策工具视角下我国互助养老政策文本分析OACHSSCD
A Textual Analysis of China's Mutual-Aid Elderly Care Policies from the Perspective of Policy Tools
互助养老作为低成本、高社会效益的养老模式,为破解我国养老服务供给难题提供了重要思路.基于政策工具和互助养老服务内容2个维度,对2011-2026年发布的51份国家级互助养老政策文本进行编码与量化分析.研究发现:当前政策发文形式以通知和意见为主,缺乏相应的法律法规;政策工具内部使用结构不均衡,环境型政策工具占比最高,供给型政策工具次之,需求型政策工具最为薄弱;互助养老服务内容高度集中于生活照料维度,健康护理、精神慰藉、文化娱乐等维度占比严重不足;政策工具与互助养老服务内容维度的交叉匹配效果不佳.为此,应强化政策顶层设计,提升政策规范性与约束力;优化政策工具配置结构,三类政策工具协同发力;拓展互助养老服务内容,回应多维度养老需求,从而推动互助养老模式可持续发展.
Mutual-aid elderly care,as a low-cost and highly socially beneficial model,provides an important approach to addressing the supply-side challenges in China's elderly care services.Based on the two dimensions of policy tools and mutual-aid elderly care service content,this stud-y conducts coding and quantitative analysis of 51 national-level mutual-aid elderly care policy doc-uments issued between 2011 and 2026.The findings reveal that:current policy documents are primarily issued in the form of notices and opinions,lacking corresponding laws and regulations;the internal utilization structure of policy tools is unbalanced,with environment-oriented policy tools accounting for the highest proportion,supply-oriented policy tools taking second place,and demand-oriented policy tools being the weakest;the content of mutual-aid elderly care services is highly concentrated on the dimension of daily living assistance,while dimensions such as health care,spiritual consolation,and cultural entertainment account for a severely insufficient propor-tion;and the cross-matching effect between policy tools and the content dimensions of mutual-aid elderly care services is suboptimal.Therefore,it is necessary to strengthen top-level policy de-sign to enhance policy standardization and binding force;optimize the allocation structure of poli-cy tools to enable synergistic efforts among the three types;and expand the content of mutual-aid elderly care services to respond to multidimensional elderly care needs,thereby promoting the sustainable development of the mutual-aid elderly care model.
刘西宁;王思懿;蒋煜;杨爽;陈娜
南京中医药大学养老服务与管理学院,江苏 南京 210023南京中医药大学养老服务与管理学院,江苏 南京 210023南京中医药大学养老服务与管理学院,江苏 南京 210023南京中医药大学养老服务与管理学院,江苏 南京 210023南京中医药大学养老服务与管理学院,江苏 南京 210023
社会科学
互助养老政策工具政策文本健康老龄化
mutual-aid elderly carepolicy toolspolicy texthealthy aging
《南京中医药大学学报(社会科学版)》 2026 (3)
173-179,7
江苏省中医药科技发展计划专题研究项目(ZT202202)江苏高校"青蓝工程"
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