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社区养老服务资源配置的区域差异、空间错位及均衡路径

Regional Differences,Spatial Misalignment and Equalization Paths in Resource Allocation for Community Elderly Services
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摘要 优化完善社区养老服务资源配置是应对人口老龄化和实现基本公共服务均等化的关键举措。在理论分析的基础上,本文构建社区养老服务资源配置评价指标体系,测算了2014—2021年我国社区养老资源配置水平,揭示了其区域差异、结构差异、差异驱动因素以及空间错位现象。结果显示,我国社区养老服务资源配置整体上取得了进展,但区域间和省际间的配置差异仍然存在。区域差异总体呈下降趋势,主要差异源自区域间不均衡,而结构差异则主要源于社区医疗资源。社区养老服务资源配置与经济发展、政府财政投入之间存在空间错位现象,空间错位表现出明显的异质性。为优化我国社区养老服务资源配置,本文从优化顶层设计、均衡发展路径、强化保障措施三方面提出政策建议。 Optimizing and improving the resource allocation of community elderly services is a key initiative to cope with population aging and realize the equalization of basic public services.On the basis of theoretical analysis,this paper constructs a community elderly service resource allocation evaluation index system,measures the level of China's community elderly service resource allocation in 2014-2021,and reveals its regional differences,structural differences,difference driving factors and spatial dislocation phenomenon.The results show that China has made progress in the allocation of community elderly service resources as a whole,but inter-regional and inter-provincial differences in allocation still exist.Regional differences show an overall downward trend,with the main differences stemming from inter-regional imbalances,while structural differences mainly stem from community medical resources.There is a spatial mismatch between the resource allocation of community-based elderly care services and economic development and government financial investment,and the spatial mismatch shows obvious heterogeneity.In order to optimize the allocation of community elderly service resources in China,this paper puts forward policy suggestions from optimizing the top-level design,balancing the development path,and strengthening the safeguard measures.
作者 李春根 张昌柱 Li ChunGen;Zhang Changzhu
出处 《财政研究》 CSSCI 北大核心 2024年第3期94-110,共17页 Public Finance Research
基金 党的十九大精神国家社会科学基金专项招标项目“全面建成小康社会的进度监测与政策优化研究”(18VSJ016) 教育部哲学社会科学研究专项(党的二十大精神研究)“中国式现代化的历史逻辑、理论逻辑、实践逻辑研究”(23JD20027)。
关键词 共同富裕 养老服务 区域差异 空间错位 Common Prosperity Elderly Care Services Regional Differences Spatial Misalignment
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