县域乡镇养老市场分割与贯通合作机制OACHSSCD

Against the background of rapid population aging,the suppliers of elderly care services in county and township areas have become increasingly diversified,but the efficiency of resource allocation has not improved simultaneously.From the perspective of community care,this paper takes G Town,a hometown of overseas Chinese in Fuzhou as a case,and uses field interviews and institutional analysis to examine the operational relationships and structural characteristics of four types of service providers:nursing homes,rural happy homes,live-in domestic caregivers,and government-purchased services.The findings reveal that market segmentation is not caused by insufficient supply,but rather results from the mutually reinforcing effects of institutional arrangements,organizational operations,and prevailing attitudes toward elderly care.To break market segmentation,it is necessary to take nursing homes as the hub,realize functional integration by promoting service spillover,improve the referral mechanism to facilitate resource flow,and restructure the undertaking mode of government-purchased services to activate market integration.These measures aim to achieve the"dual embeddedness"of physical space and social services,thereby enhancing the overall effectiveness of community care resources.