Technologies in caregiving: professionals’ strategies for engaging with new technology

This article explores the adoption of new technology in organisations that provide senior citizen care. Inspired by Niklas Luhmann’s systems theory, we study how technology reduces complexity by identifying client needs and ensuring predictability in service delivery. However, how technologies are adopted in practice is not determined by technology since it is also structured by care-workers' continuous decision-making. Against this backdrop, we explore how technologies alter the conditions for decision-making in two settings of elderly care, and we describe how care workers seek to adapt technologies to their practical needs as well as conception of care ethics. Developing a systems theory approach, the article eschews a priori assumptions of technological constraint on care-workers’ professional autonomy, offering a more open-ended exploration of diversified strategies for coping with new technology. Our case studies show that employees develop diversified strategies for technology adoption, including both non-usage, heated resistance, excessive embrace, and creative adaption.     

智慧居家养老服务协同供给的优化路径研究——以广西钦州市智慧居家养老项目的实践经验为例

智慧居家养老服务的协同供给可以形成社会联动效应，降低公共服务成本。运用公共服务协同供给分析框架，通过交叉分类方法从协同主体的利益与目标两个变量的耦合性出发分析广西钦州市智慧居家养老项目中养老服务主体间不同种类的协同关系，可以从加强政府领导、形成合作联盟、建立市场标准、创新扶持政策4个方面完善政府、企业、社会组织之间不同类型的协同供给，实现社会资源的高效利用以及向智慧居家养老服务的发展和转变。     

莆田市发展“医养一体化”服务模式的对策研究

随着银色浪潮来袭,如何养老已成为我国各城市重点关注的问题。将医疗机构、养老机构、社区医疗服务中心当中的医疗资源与养老资源进行共享交流,搭建“医养一体化”平台,是我国养老服务的发展趋势。论文研究了莆田市如何突破传统养老方式的局限性,推行“医养一体化”服务模式,探讨“医养一体化”平台的搭建对策。     

老年人的精神需求及其社会政策意义

养老问题实质上是老年人的需求与满足问题。精神需求是老年人需求的基本方面和重要内容。老年社会政策应关注老年人的精神需求,建立老年人精神支持和精神保障机制,以提高老年人生活质量,促进社会和谐与稳定。     

Who Receives Medicaid in Old Age? Rules and Reality

Medicaid is a government programme that also provides health insurance to the elderly who have few assets and either low income or catastrophic health care expenses. We ask how the Medicaid rules map into the reality of Medicaid recipiency, and we ask what other observable characteristics are important to determine who ends up on Medicaid. The data show that both singles and couples with high retirement income can end up on Medicaid at very advanced ages. We find that, conditioning on a large number of observable characteristics, including those that directly relate to Medicaid eligibility criteria, single women are more likely to end up on Medicaid – so are non‐white people, but, surprisingly, their higher recipiency is concentrated in the higher income percentiles. We also find that people with low incomes who have a high‐school diploma or higher degree are much less likely to end up receiving Medicaid than their less‐educated counterparts. All of these effects are large and depend on retirement income in a very non‐linear way.     

保乳手术治疗早期老年乳腺癌的临床价值

目的探讨保乳手术治疗早期老年乳腺癌的临床价值。方法将我院近期收治的早期老年乳腺癌患者150例,随机分为治疗组和对照组,各75例,治疗组患者进行保乳手术,对照组患者进行传统手术,对比分析两组患者经过手术后临床疗效,以及生活质量等。结果治疗组患者的手术中出血量、拔引流管时间、总的引流量及术后并发症显著优于对照组患者(P<0.05),同时治疗组患者经手术治疗后其生活质量高于对照组患者(P<0.05)。结论相比于传统的手术保乳手术具有手术后恢复时间短、并发症少及患者生活质量高等方面的优势,在临床治疗上可以进行大力推广。     

退休老年人身体形态与力量素质相关关系的研究

近年来老年人的身体健康现状日益成为人们关注的焦点问题之一,为了对退休老年人的身体健康状况有进一步的了解,对58-68年龄段退休老年人进行身体形态和力量素质的测试。研究发现身高与握力（r=0.659）、体重和握力（r=0.655）均有显著相关性,且呈正相关趋势,身高与体重（r=-0.243）呈负相关。因此在适度原则下,应加强以力量素质为主的体育锻炼,其对于提高身体素质,增进健康有非常重要的意义。     

高职院校老年服务与管理专业晨练模式改革探析——以老年福祉学院为例

晨练作为高职院校体育工作的重要内容,是学生日常行为规范养成、良好道德品质与纪律规范形成的重要措施之一。本文通过对现有晨练项目的问卷调查,分析老年服务与管理专业学生对晨练项目的态度,试图探索符合专业发展、灵活多样的晨练形式,以满足学生发展需求。     

中日农村医疗保险制度比较研究

纵向比较分析中日两国农村医疗保险制度的发展历程,从覆盖范围、筹资方式、补偿方式、资金收支情况等方面横向比较中日两国的农村医疗保险制度,探讨中日两国农村医疗保险制度的优缺点,为我国完善新型农村合作医疗制度提供相关建议。     

“以医促养”还是“以养促养 ”:医疗保险与养老金的健康绩效比较

CLHLS2014年数据的结构方程模型估计结果显示,养老金收入能显著提高老年人的主观健康,并且主观健康还能显著增进生理健康。路径模型进一步检验发现养老金能通过显著改善受访者的居住条件、水果摄入量、及时就医、经济状况等途径来提高老年人的生理健康。而医疗保险支出与老年人主观健康、生理健康之间都呈显著负相关关系。相比医疗保险支出,养老金能带来更正面更积极的健康绩效,且促进老年人健康的途径更为丰富。实证结果说明,相比“以医促养”,“以养促养”的老年人健康绩效更优。本文建议我国从以疾病治疗为中心转为依托养老金购买养老服务,提高老年人生活质量的健康保障体系。