公共事业管理专业毕业论文--嘉兴市区养老机构的现状及问题的调查研究.docVIP

摘 要 机构养老，是指老年人通过入住专为60岁以上老年人提供住养、生活护理等综合性服务机构获得其需要的24小时照料护理服务。养老问题的日趋严峻形势下，机构养老方式逐渐在城镇养老中扮演越来越重要的角色。 本论文首先对养老方面的相关理论基础进行了阐述，并对养老机构的性质进行了明确划分及定位。然后笔者在对**市区8家具有代表性的养老机构进行实地调查访问的基础上，分析了该机构的现状，及共同存在的机构工作人员结构组成配比不合理，主要工作人员护工的男女比例失衡，机构运营资金的短缺困难，志愿者服务的引进不具备实质性效果等亟需解决的问题，及个别养老机构的历史遗留问题。最后针对**市养老机构的实际情况，为完善**市养老机构的建设及发展，提出统领机构发展和人性化、专业化、规范化养老服务，落实民办公助政策，扶持民办养老机构的发展，完善护理工作人员制度，注重志愿者服务的实质性和多样性等合理化建议，以供参考借鉴。 关键词：人口老龄化；机构养老；集体办养老机构；民办养老机构；运营状况Abstract Similarities and differences in functional levels and nurses’ workloads between two samples: a sample of frail elderly awaiting NH placement and a sample of NH residents. Statistically significant differences were found for two motor functions, in the ADL functions, need for enemas, ability to speak, and orientation ability. Clinically significant similarities were found for five motor functions, behavioral and psychiatric symptoms, and nurses’ workloads, indicating the frailty of elderly awaiting NH placement. They were almost as frail and needed almost as much assistance as NH residents. Elderly awaiting NH placement had a high prevalence of sadness and fearfulness, perhaps indicating their life situation was being experienced as difficult. Their emotional responses may be important to attend to. While successful collaborators were organizational aligned, hospice leaders’ acknowledgement that palliative care provision in nursing homes is complex and unique was important to success. Accordingly, the prevalent partnership model was a product of strategic efforts by leaders aimed at matching their staffing to the nursing home environment and promoting good communication and skills needed for problem solving. Key Words：aging of population; nursing homes; operation and management 一、引言 1 二、养老机构的相关理论基础 1 （一）人口老龄化 1 （二）机构养老 2 （三）养老机构不同性质的划分 2 三、**市养老机构现状及问题的调查分析 3 （一）调查资料的来源 3 （二）调查数据分析 4 （三）分析结论 15 四、对于完善**市养老机构的对策研究 17 （一）统领养老机构发展和人性化服务 17 （二）落实“民办公助”的政策原则 18 （三）发展社会化、专业化、规范化服务 18 （四）完善护理人员工作制度 19 （五）注重志愿者服务的多样性、实质性 19 五、结论 20 致谢 21