摘要
正式照护保障体系的功能不是对老年人失能的补偿,而是对照护者负担的资助,并具有维护文化性养老功能的作用,其资源分配基准就是对照护负担的资助基准,也就是老年人照护等级评定基准。使用日本厚生劳动省照护等级评定指标系统测评西藏城市居家失能老年人的身心状况,及其照护时间和照护者负担,应用结构方程分析方法探讨照护负担与照护时间以及老年人身心状况的影响结构关系,结果显示照护时间的延长显著带来照护者负担增加,而老年人身心状况下降并没有直接增加照护负担,只有当身心状况下降带来照护时间延长时才会间接引起照护者负担加重。故照护等级的评定应以需要的照护时间为基准,身心状况指标应与照护时间建立逻辑关系才能作为照护等级的评定指标;同时,照护服务受民族文化与地域环境的影响,全国性政策有必要考虑少数民族地区的特殊性。
The formal long - term care system aims to reduce the burden of caregivers rather than the compensation for the disabled eld- erly, whieh can maintain good provision for the aged. And the allocation eriterion of resources depends on the burden level, namely the rating standards of care for the elderly. The rating indicators of long - term care by the Japanese Ministry of Health, Labor and Welfare were adopted to measure physical and mental health, care - need time, and care burden among the eommunity- dwelling elderly in Ti- bet. And the structural equation modeling was used to determine the relationships among three factors. The results showed that extend- ed care - need time significantly increased the burden of caregivers, while decline in physical and mental health did not direetly in- crease the burden on earegivers. Only when deeline in health extended care - need time, did it increase the burden on caregivers. Therefore, evaluation of long - term eare levels should be on the basis of care - need time. And when a logical relationship was estab- lished between health status and care - need time, health status can be utilized to evaluate the long - term care level. At the same time, care service is affected by the ethnic culture and the geographical area, while the particularity of the minorities should be taken into consideration in the policy -making process.
出处
《云南民族大学学报（哲学社会科学版）》
CSSCI
北大核心
2013年第6期30-36,共7页
Journal of Yunnan Minzu University(Philosophy and Social Sciences Edition)
基金
中央民族大学"985工程"民族社会问题研究中心资助项目"西藏城市居家失能老年人照料需求及其对策研究"(项目编号:SH985-1014)阶段成果
关键词
正式照护保障功能
文化性养老
照护时间
照护负担
function of the long - term care
culture - supporting care
care - need time
care burden
