【摘要】 我国残障人士托养照护体系的多重割裂困境及其整合进路为何？本文综合使用政策分析法和案例法，深描了我国残障托养照护体系的全貌，指出该体系存在多重割裂的特征，具体包括与老年人长期照护体系的割裂，不同照护模式、不同生命周期照护服务的割裂和递送体系割裂等，造成了失能残障者照护服务的空隙与缺位。论文就如何打破上述多重割裂的状况，给出了政策建议，探讨建设残障者“居家-社区-机构”整合照护模式的政策框架。研究还提出，应建立针对低收入重度残疾人的兜底照护政策支持体系和分级照护制度的政策建议。更多还原

【Abstract】 The research question of this study was what constitutes the multiple fragmentation dilemmas of long-term care for persons with disabilities in China and how such fragmentation could be overcome? An in-depth portrayal of the overall landscape of China’s disability care system was provided. It highlighted the system’s characteristic multi-layered fragmentation,including its disconnection from the long-term care system for the elderly,the segregation among major care models such as home-based,community-based,and institutional care,as well as the discontinuities in care services for persons with disabilities across different life stages. Such fragmentation has created gaps and absences in care services for persons with disabilities who have lost their ability to live independently. Policy recommendations on how to break the multi-dimensional fragmentation were offered and the policy framework for constructing an integrated "home-community-institution" care model for persons with disabilities was explored. Additionally,the study proposed the establishment of a safety-net care policy support system for low-income individuals with severe disabilities and a tiered care service system.更多还原