Current Status,Development Dilemmas and Policy Optimization of Home Care Services for Oldest-old Rural Adults with Disabilities
Older adults with disabilities are one of the most challenging groups within the entire elderly care service system,having urgent societal demands and requiring high-skilled and high-level services.Against the backdrop of the oldest-old population tending to grow with increased risk of disability in an aging society,how to effectively enhance the provision of care services for elderly individuals with disabilities is becoming an increasingly significant social topic.We analyzed the current status and development dilemmas of home care services for oldest-old rural adults with disabilities using the survey data regarding the care status of older rural adults with disabilities in Shandong and Zhejiang provinces collected by the Policy Research Center of the Ministry of Civil Affairs between August and September 2020,aiming to provide a reference for actively addressing population aging and improving care services quality for rural older adults with disabilities.Results showed that more than 90%of rural oldest-old adults with disabilities preferred to receive care services at home,and there existed significant gaps between the demand of this group for medical care and mental consolation services and the provision of these services.Due to long-term and high-intensity care work,caregivers of rural oldest-old adults with disabilities often bear physical and mental health,economic,and social life burdens,yet China has not established a well-rounded home and community care services system for oldest-old rural adults with disabilities.Thus,the optimization of elderly care services system for this group should be targeted at breaking the financing bottleneck and building a sustainable multi-faceted care service guarantee mechanism.
Oldest-old rural adults with disabilitiesLong-term care servicesFinancing systemCare burdenCollaborative governance