西北地区农村老年人适应性公共养老服务优化路径研究OA

Objective To explore the multilevel health needs of rural older adults and to propose optimi-zation paths for adaptive public elderly care services.Methods Fifteen older adults from Sanqu Village,Xian-yang City,Shaanxi Province,were selected for semi-structured interviews on health needs from July to November 2024,and the interview texts were coded and analyzed based on grounded theory.Results A total of 87 initial concepts,21 subcategories,10 main categories and 4 core categories were extracted.The health needs of rural ol-der adults could be categorized into four levels:survival needs,security needs,emotional needs,and developmen-tal needs,all of which interacted and were dynamically interconnected.Conclusions As a crucial institutional supplement,public elderly care services can narrow the service gap caused by declining family support.Guided by actual needs,innovative services should be developed in medical-elderly care accessibility,life support adaptabili-ty,social participation coordination,and digital application literacy.This integrated approach facilitates a shift from fragmented to precise rural public services.