[1]张书铖.基于生态系统理论的失能老人照护机制研究[J].卫生经济研究,2026,43(08):25-27,30.
　ZHANG Shucheng.Research on the Care Mechanism for Disabled Older Adults Based on Ecosystem Theory[J].Journal Press of Health Economics Research,2026,43(08):25-27,30.
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基于生态系统理论的失能老人照护机制研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年08期
页码:
25-27,30
栏目:
健康老龄化
出版日期:
2026-07-30

文章信息/Info

Title:
Research on the Care Mechanism for Disabled Older Adults Based on Ecosystem Theory
作者:
张书铖1
1.湘潭大学公共管理学院，湖南 湘潭 411105
Author(s):
ZHANG Shucheng
School of Public Administration, Xiangtan University, Xiangtan Hunan 411105, China
关键词:
失能老人; 生态系统理论; 家庭照护; 机构照护; 互助组织
Keywords:
disabled older adults;  ecosystem theory;  family care;  institutional care;  mutual-aid organizations
分类号:
R19
文献标志码:
A
摘要:
伴随人口老龄化进程加快，失能老人照护成为民生保障的关键议题。在少子化与家庭功能弱化背景下，家庭照护承担超负荷责任，正式照护与互助组织尚未形成有效支撑，失能老人照护生态系统呈现出微观系统角色冲突、中观系统联结不畅及外部资源短缺、宏观系统制度分割的结构性失衡。基于生态系统理论，将家庭照护界定为失能老人照护体系的核心环节，专业照护作为专业托底，互助组织作为生活化、情感性辅助支持，形成多元主体在角色分工、信息联结、资源回流与价值认同上的协同运作机制，推动失能老人照护体系由要素拼接走向多元主体协同。
Abstract:
With the acceleration of population aging, care for disabled older adults has become a key issue in livelihood security. Against the backdrop of declining fertility and weakened family functions, families are bearing an excessive burden of care, while formal care services and mutual-aid organizations have yet to form an effective support structure. The care ecosystem for disabled older adults exhibits structural imbalances characterized by micro-level role conflicts, poor meso-level linkages, external resource shortages, and macro-level institutional fragmentation. Based on ecosystem theory, family care should be defined as the core component of the care system for disabled older adults, professional care as professional bottom-line support, and mutual-aid organizations as life-oriented and emotional auxiliary support, forming a collaborative operational mechanism among multiple actors in role division, information linkage, resource feedback, and value recognition, thereby promoting the transformation of the care system for disabled older adults from mere element-splicing to multi-actor collaboration.

参考文献/References:

[1] 国家统计局.第七次全国人口普查公报[EB/OL].[2021-05-11].https://www.gov.cn/guoqing/2021-05/13/content_5606149.html.
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[3] 胡宏伟，李悦，余小豆.失能失智老年人家庭照护社会支持体系：历史演进、实践逻辑与优化路径[J].社会保障研究，2025（05）:3-16.
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更新日期/Last Update: 2026-07-30