灾害学2025，Vol.40Issue(4)：12-17,6.DOI:10.3969/j.issn.1000-811X.2025.04.003
我国养老机构应对重特大突发事件的组织脆弱性分析与政策启示
The Organizational Vulnerability Analysis of Long-Term Care Facilities and Policy Implications in China in Response to Major Emergencies
摘要
Abstract
Long-term care facilities(LTCFs)demonstrate particular vulnerability to major emergencies.At present,there are approximately 390 000 LTCFs in China.The"14th Five Year Plan"for the Development of Civil Affairs has listed their improvement of emergency response capabilities as a key project in civil affairs.Or-ganizational Contingency Theory and Crisis Life Cycle Theory are employed to conduct a comprehensive vulner-ability assessment of LTCFs in response to major emergencies from the individual level(older adults),the organi-zational level(emergency organization,emergency system,emergency plan,profit cycle and professionals)and the environmental level(national legal standards and resilient community system).The study reveals that at the individual level,the older population exhibits physiological,psychological,and social vulnerabilities.At the or-ganizational level,LTCFs face challenges such as dysfunctional emergency response systems,inadequate institu-tional standardization,suboptimal contingency plans,prolonged profitability cycles,and a shortage of profession-al staff.At the environmental level,vulnerabilities include incomplete national legal standards and underdevel-oped resilient community support systems.By deconstructing the hierarchical manifestations and formative logic of vulnerabilities in LTCFs,the findings provide actionable insights for policymakers seeking to strengthen emer-gency management systems in LTCFs through targeted interventions and systemic improvements.关键词
养老机构/重特大突发事件/组织脆弱性Key words
long-term care facilities/major emergencies/organizational vulnerability分类
资源环境引用本文复制引用
黎兰,彭彦萍,胡秀英,尚少梅..我国养老机构应对重特大突发事件的组织脆弱性分析与政策启示[J].灾害学,2025,40(4):12-17,6.基金项目
国家自然科学基金青年基金"应对新发重大传染病的养老机构组织韧性双重效应研究"(72404005) （72404005）
中国博士后科学基金第76批面上项目(2024M760162) （2024M760162）
护理学四川省重点实验室重点课题"养老机构重大突发事件应急准备评估:理论框架、评估工具与优化策略"(HLKF2024(Z)-1) （HLKF2024(Z）
泸州市人民政府-西南医科大学科技战略合作项目资助"基于贝叶斯时空模型的地震后老年幸存者创伤后应激障碍时空预测数列及驱动机制研究"(2024LZXNYD1063) （2024LZXNYD1063）
