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基于政策工具-服务要素-增能视角三维分析框架的川渝养老服务政策文本研究

A three-dimensional analytical framework study of elderly care service policies in Sichuan and Chongqing based on policy instruments, service elements, and empowerment perspectives

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【作者】 王俊吴洁王厚伟马应卓刘尚琴赵庆华肖明朝

【Author】 Wang Jun;Wu Jie;Wang Houwei;Ma Yingzhuo;Liu Shangqin;Zhao Qinghua;Xiao Mingzhao;Department of Nursing/Nursing Research Center, The First Affiliated Hospital of Chongqing Medical University;CISDI Information Technology (Chongqing) Co., Ltd.;

【通讯作者】 肖明朝;

【机构】 重庆医科大学附属第一医院护理部/护理研究中心中冶赛迪信息技术(重庆)有限公司

【摘要】 目的 梳理成渝地区双城经济圈建设背景下川渝养老政策的特征,为完善两地养老服务及协同发展的政策建设提供参考。方法 构建“政策工具-服务要素-增能视角”三维分析框架,对川渝联合(9)、分地发文(川28,渝39)的养老政策进行内容与社会网络分析。结果 川渝联合、分地发文的政策工具类型均以环境型为主,需求型和主体增能占比最低;内容集中在服务基础、方式和主体。四川重视战略规划与法规制度,呈现“政策工具”为核心的网络;重庆集中标准规范与监管考核,呈现“增能视角”为核心的网络结构。供给型与服务增能、环境型与环境增能高度交互,主体增能与政策工具和服务要素交叉匹配欠佳。结论 川渝养老政策应通过优化政策工具结构、完善服务要素配置与强化主体赋能,推动政策精准化与协同化发展。

【Abstract】 Objective To analyze the characteristics of elderly care policies in Sichuan and Chongqing under the background of the Chengdu-Chongqing Economic Circle construction,providing references for improving local elderly care services and coordinated policy development in these regions.Methods A three-dimensional analytical framework of "Policy InstrumentsService Elements-Empowerment Perspectives" was constructed to conduct content and social network analysis on jointly issued(n=9) and separately issued(Sichuan n=28,Chongqing n=39) elderly care policies from Sichuan and Chongqing.Results For both jointly and separately issued policies,environmental-type policy instruments were predominant,while demand-type and actor empowerment had the lowest proportions.Policy content focused on service foundation,methods,and actors,Sichuan emphasized strategic planning,regulations,and institutions,forming a network centered on "policy instruments";Chongqing concentrated on standards,norms,supervision,and assessment,forming a network structure centered on " empowerment perspectives." There was high interaction between supply-type instruments and service empowerment,and between environmental-type instruments and environmental empowerment.The cross-matching between actor empowerment and both policy instruments and service elements was inadequate.Conclusion Elderly care policies in Sichuan and Chongqing should promote precise and coordinated development by optimizing the structure of policy instruments,improving the allocation of service elements,and strengthening actor empowerment.

【基金】 重庆市社会科学规划项目博士项目(2024BS047);国家社会科学基金一般项目(21BRK013);重庆市教育委员会人文社会科学研究项目规划项目重点项目(25SKGH031)
  • 【文献出处】 保健医学研究与实践 ,Health Medicine Research and Practice , 编辑部邮箱 ,2025年12期
  • 【分类号】F719;D669.6
  • 【下载频次】43
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