目　　錄

第一章　世界人口老齡化趨勢…………………………………………………………………1
第一節　老年人與人口老齡化……………………………………………………………1
第二節　世界人口老齡化的曆程、現狀和趨勢…………………………………………6
第三節　世界對人口老齡化的認識和迴應………………………………………………11
結　語………………………………………………………………………………………17
思考題………………………………………………………………………………………17
第二章　中國人口老齡化趨勢…………………………………………………………………19
第一節　中國人口老齡化的曆程…………………………………………………………20
第二節　中國老年人口的現狀……………………………………………………………24
第三節　中國人口老齡化的發展趨勢……………………………………………………35
結　語………………………………………………………………………………………42
思考題………………………………………………………………………………………42
第三章　老年人需求的基本概念與含義………………………………………………………43
第一節　需求與老年人的照顧支援………………………………………………………43
第二節　需求的認識和評估………………………………………………………………45
第三節　老年人需求的類型………………………………………………………………51
結　語………………………………………………………………………………………54
思考題………………………………………………………………………………………55
第四章　對中國老年人需求的認識……………………………………………………………56
第一節　經濟需求…………………………………………………………………………56
第二節　健康需求…………………………………………………………………………61
第三節　精神需求…………………………………………………………………………72
第四節　老年人的照料需求………………………………………………………………76
結　語………………………………………………………………………………………82
思考題………………………………………………………………………………………83
第五章　中國城市老年社會保障………………………………………………………………84
第一節　城市老年社會保障的現行政策…………………………………………………84
第二節　城市老年社會保障現行政策體係的總體特徵…………………………………97
第三節　對城市老年社會保障現行政策體係的反思……………………………………102
結　語………………………………………………………………………………………104
思考題………………………………………………………………………………………105
第六章　中國城市老年社會服務………………………………………………………………106
第一節　老年社會照顧體係………………………………………………………………106
第二節　中國老年養老方式的轉變………………………………………………………114
第三節　中國城市社區老年社會服務……………………………………………………122
結　語………………………………………………………………………………………132
思考題………………………………………………………………………………………132
第七章　以社區為本的社會支持網絡理念概述………………………………………………134
第一節　社會支持網絡的含義……………………………………………………………135
第二節　以社會網絡分析為指導的社工介入……………………………………………142
結　語………………………………………………………………………………………143
思考題………………………………………………………………………………………144
第八章　中國社區照顧支持網絡的需求分析——以廣州市A區試點為例 …………………145
第一節　廣州市A區老人社區支援服務需求調查背景 …………………………………145
第二節　調查顯示老人社區照顧資源……………………………………………………147
第三節　老人的健康狀況與失能情況……………………………………………………156
第四節　老人的經濟狀況…………………………………………………………………160
結　語………………………………………………………………………………………164
思考題………………………………………………………………………………………165
第九章　以社區網絡模式推行社區照顧的策略：廣州的經驗………………………………166
第一節　解構中國城市“老人支持網絡”………………………………………………166
第二節　H街“老人支持網絡”的成功經驗 ……………………………………………174
第三節　社區老人照顧的問題和睏難……………………………………………………176
第四節　重構“老人照顧網絡”策略……………………………………………………178
結　語………………………………………………………………………………………182
思考題………………………………………………………………………………………182
第十章　城市老人照顧：整閤網絡介入策略的綜閤服務中心模式…………………………183
第一節　整閤服務網絡……………………………………………………………………183
第二節　整閤服務網絡介入新模式………………………………………………………186
第三節　老人綜閤服務中心應用“新模式”的特點與運作……………………………191
結　語………………………………………………………………………………………193
思考題………………………………………………………………………………………194
第十一章　城市老人照顧探索性研究…………………………………………………………195
第一節　《廣州市老年人優待辦法》對城鎮老人經濟生活的影響
——以廣州市荔灣區逢源街社區為例…………………………………………195
第二節　“村改居”社區老人經濟保障的實證探究
——以廣州市Y區B街X村為例 …………………………………………………206
第三節　老年居民也參保
——對《廣州市城鎮居民基本醫療保險試行辦法》的分析…………………215
第四節　廣州市老人貧睏與社工介入角色——以荔灣區逢源街道個案為例…………229
第五節　“星光老年之傢”期待星光燦爛
——以B街為例探討“農轉居”地區“星光計劃”的睏局 …………………252
結　語………………………………………………………………………………………265
思考題………………………………………………………………………………………265
參考文獻…………………………………………………………………………………………266

CONTENTS

Chapter 1　The Trends of Global Ageing ...................................／1
1.1　Elderly and the aging of population .............................／1
1.2　The history, current situations and trends of the
aging issues around the world ..................................／6
1.3　The understanding and responding of the world aging problem .....／11
Remarks ..............................................................／17
Follow up thinking ...................................................／17
Chapter 2　The Trends of Population Aging in China .......................／19
2.1　The process of population aging in China ........................／20
2.2　The current situations of aging population in China .............／24
2.3　The future trends of population aging in China ..................／35
Remarks ..............................................................／42
Follow up thinking ...................................................／42
Chapter 3　The Concepts and Meanings of the Elderly Need .................／43
3.1　Needs and elderly care-support ..................................／43
3.2　The recognization and assessment of elderly need ................／45
3.3　The classification of elderly need ..............................／51
Remarks ..............................................................／54
Follow up thinking ...................................................／55
Chapter 4　The Recognization of Chinese Elderly Needs ...................／56
4.1　Domestic need ...................................................／56
4.2　The need of wellbeing and health ................................／61
4.3　Psychological need ..............................................／72
4.4　The need of daily care ..........................................／76
Remarks ..............................................................／82
Follow up thinking ...................................................／83
Chapter 5　The Social Protection for the Elderly in Urban China ..........／84
5.1　The current policy of social welfare for the urban elderly ......／84
5.2　The characteristics of the current policy of
social welfare for the urban elderly ...........................／97
5.3　The reflection on the current social welfare system for
the urban elderly ..............................................／102
Remarks ..............................................................／104
Follow up thinking ...................................................／105
Chapter 6　The Social Service for the Elderly in Urban China .............／106
6.1　The system of social care for the elderly .......................／106
6.2　The transformation of elderly care modes in China ...............／114
6.3　The elderly community social service in Chinese city ............／122
Remarks ..............................................................／132
Follow up thinking ...................................................／132
Chapter 7　An Overview of the Community-based Social Support Network .....／134
7.1　The concept of social support network ...........................／135
7.2　From social network analysis to social work intervention ........／142
Remarks ..............................................................／143
Follow up thinking ...................................................／144
Chapter 8　Need Analysis of Community Care and Support
Network:A Case in Guangzhou ..................................／145
8.1　The background of the community elderly service’s
need assessment in a district ..................................／145
8.2　Survey result about the resources of community care .............／147
8.3　Elderly health and disability condition .........................／156
8.4　Elderly economics condition .....................................／160
Remarks ..............................................................／164
Follow up thinking ...................................................／165
Chapter 9　The Strategy of the Community Networking Model:
Guangzhou’s Experience ......................................／166
9.1　Destruction of the elderly social support networks
in Chinese city ................................................／166
9.2　Elderly social support networks model’s successful
experience at H Street .........................................／174
9.3　Community elderly care’s difficult and problem .................／176
9.4　The strategy of reconstructing the elderly care networks ........／178
Remarks ..............................................................／182
Follow up thinking ...................................................／182
Chapter 10　Urban Elderly Care:Integrated Service Model with
Networking Approach ..........................................／183
10.1　Integrating service networks ...................................／183
10.2　Integrated service model with networking approach ..............／186
10.3　Implication of integrated service model with
networking approach in a elderly center ........................／191
Remarks ..............................................................／193
Follow up thinking ...................................................／194
Chapter 11　Exploratory Research in Urban Elderly Care ...................／195
11.1　The impact of“elderly special privileges ordinance”to
urban elders’ economic conditions in Guangzhou—based on
Liwan District, Fengyuan Street, Guangzhou .....................／195
11.2　Evidence-based research on elders’ economic security in
urbanized countryside nearby Guangzhou—based on
Tuhua Village, Huazhou District, Guangzhou .....................／206
11.3　Analyses of elders who join in the “basic old-age
pension and medical insurance systems” ........................／215
11.4　Social work intervention in poor urban elderly—a case
in Liwan district, Fengyuan Street .............................／229
11.5　Rural-to-urban elderly service’s dilemma in
community elderly activity center ..............................／252
Remarks ..............................................................／265
Follow up thinking ...................................................／265
References ...............................................................／266
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