社会保障评论2025，Vol.9Issue(4)：139-157,19.
中国居家社区养老服务需求序列与精准供给
The Sequence of Needs and Targeted Supply of Home-and Community-Based Services for Older Adults in China
摘要
Abstract
The supply of home-and community-based services(HCBS)for older adults in China is significantly misaligned with the actual needs of elderly individuals living at home.Based on a systematic review and thematic analysis,this study identifies the demand sequence for HCBS as follows:medical and health services,family substitute services,disability care services,and personal assistance services.Using a Heckman two-stage model and data from surveys conducted in eastern,central,and western China,the study reveals a mismatch between the supply and demand sequences,with a large portion of services classified as ineffective supply.The accessibility of services and individual characteristics have varying impacts on the utilization of the four types of services.Drawing on a conceptual framework of targeted supply-defined by service precision,structural matching,and target group matching-the study finds that HCBS provision suffers from simultaneous under-and oversupply,low-level equilibrium between supply and demand,and a deviation from target populations.Policy recommendations include enhancing service quality through greater market competition,formulating a government responsibility list for basic HCBS,and establishing a demand-side subsidy mechanism to improve the payment capacity of older adults living at home.关键词
居家社区养老服务/养老服务需求/Heckman两阶段模型/精准供给Key words
home-and community-based services/care service demand/Heckman two-stage model/targeted supply引用本文复制引用
张恒源..中国居家社区养老服务需求序列与精准供给[J].社会保障评论,2025,9(4):139-157,19.基金项目
教育部哲学社会科学研究重大课题攻关项目"推动我国老龄事业和产业高质量发展研究"(18JZD045). （18JZD045）
