| Objectives The overall objective of this study is to understand the agencies’ supply of pension resources status and problems in Taiyuan, and through the comprehensive consideration on the spatial distribution of the aged and elderly people, find the areas with unreasonable resource allocations. So as to provide a scientific basis and policy recommendations for the government to deal with the pension problems, promoting the development of institutional services for the aged, as well as the agencies’ resource planning configuration for pension resources in the future. The specific objectives include: to understand the agencies’ supply of supporting resource for elderly status and problems in Taiyuan, analyze the factors affects the institutions’ beds utilization, describe the the spatial distribution of pension agency resources in Taiyuan, and make an exploration on the spatial distribution of the elderly population.Methods This study describes the spatial distribution of the agencies’ pension resources in Taiyuan through a spatial interpolation method, and according to a comparative analysis method to explore and discuss the features of the spatial distribution of the elderly population in Taiyuan. Analyze the relationship among institutions characters, the housing facilities, the staff situation, and the fees of 56 pension institutions in Taiyuan by ordinal Logistic regression method.Result1. The agencies pension supply resources status There are 56 normal pension institutions in Taiyuan, including 25 pension institutions which have registered at the Civil Affairs Bureau and 31 unregistered pension institutions.There are 34 pension institutions locates in the center of town, there are 22 pension institutions locates surrounding counties. On the housing aspect, pension institutions’occupancy housing area reach more than 90% in Taiyuan have reached the country required standard the elderly social welfare institutions basic norm. The agency staffs are mainly aged care workers, accounting for 70% of the total staff. 12.5% of the pension agencies are lack of professional staff with no professional managers, and there are only9.20 percent of the total staffs are professionals. On the aspect of the fee standards, for the life elderly who can not take care of themselves, the fees of the pension agencies were set up by government significantly lower than the were set by individuals.2. The spatial distribution of agencies’ pension resources The pension beds in Taiyuan are more concentrated in the southern and northeastern,and the central and northwest areas are low with clear differences between regions. The number of beds in the southern area of Taiyuan pension is more than 269, about three times of the central region. The service personnel for the elderly in Taiyuan are concentrated in the eastern and southern regions, with a sharp boundary to the northwest as well as the pensions in the middle with low number of beds for the old service are lack of institutional pension resources.The spatial distribution of the number of per thousand elderly people has a descending feature from northwest to southeast in counties and regions in Taiyuan, and the Jinyuan District and its surrounding counties forms small circle of structure, and the center of the city shows significant poles differences. Per million elderly people have a number of old service personnel are divided into three levels, the characteristics of each class of counties shows a distribution group, the highest in the northwest, showing the whole northern part of southern above characteristics, Yingze District and the Wanbailin District only have 5service personnel for each ten thousand elderly people, so the service personnel for the elderly people is a serious lack.3. The spatial distribution of the elderly population The areas with high degree of the aged population are concentrated in the Yangqu County, surrounding Xiaodian, and the Xinghualing District’ severe degree of aging population is particularly serious as well as Yingze District, and the Gujiao, Loufan County in the northwest has low degree of aging population. The Moran’I value of the spatial autocorrelation analysis of global aged population in each county in Taiyuan is 0.152, and through the significance tests, there exists a spatial aggregation. The elderly population factor gathering type in Yangqu County is a kind of high and high aggregation, which means the aging population factor in Yangqu County is high, and the elderly populationfactors of the adjacent districts are also high. The elderly population factor gathering type in Xiaodian District is a kind of low and high aggregation, which means the aging population factor in Xiaodian District is low and the elderly population factors of adjacent counties are high.4. Pension institutions beds utilization and its influencing factors Whether there are doctors and nurses in the pension institutions is the main factor that affect the occupancy rate, the health care professionals and increase the number of the doctors and nurses is helpful for improving the pension agencies’ occupancy rate, and their OR values and 95% confidence intervals are 6.23(1.69,22.94), 5.92(1.90,18.52).Conclusion Taiyuan government sectors are lack of supervision on pension institutions, and the pension institutions are lack of health care professionals, and the increase on health care professionals can improve the possibility of elderly persons to live in the pension institutions. The southern area of Taiyuan has more institutions with existing pension resources than other regions, but because of the aging population in that region is serious with high elderly population density, so the pension agency service capabilities is inadequate. Therefore, in the future, the southern regions should be strengthened,especially the pension institution construction in Yingze District and Xinghualing District.The existing institutional pension resources in the northwest are relatively less, but with the low density of the elderly population as well as a small number of pension institutions, so their service capabilities are strong, there’s no need to increase the pension institutional constructions in a short time. For northeastern area with a moderate level on those two aspects, due to the fast growth of their elderly population, they should also be planned well in advance preparations. |
PDF Full Text Request