Research On The "Public-built Private-operated" Aged-care Mode Operation And Service Quality In Shanghai Community

The ageing,declining birthrate,and empty nesting of Chinese society are not only a social problem,but also restrict China’s economic prosperity,cultural prosperity,and social harmony.Faced with the “silver-haired wave” with huge scale and rapid growth in China,as well as the structure of empty nesting and declining birthrate of Chinese families,The choice of social old-age care becomes inevitable for the elderly who are in social vulnerable groups.As the earliest area of China’s ageing population,Shanghai has a wide range of ageing populations.At the same time,it faces the severe trend of declining family structure,empty nesting,lack of independence,and disability.Shanghai actively promotes the construction of a livable community for the elderly.Requires the introduction of street social resources,the construction of integrated community services for the old service center,the integration of all aspects of endowment resources,improve the overall utilization of resources to meet the elderly "one-stop" to enjoy a variety of old-age care services.At this stage,Shanghai’s community is integrated into the construction of an old service center.Most of them use the “public-built private-operated”supply model.Streets,private non-profit organizations,parties,and volunteer teams all participate in the government’s diversified supply.The effective practice of elderlycare services.Based on this background,the study of Shanghai’s “public-built private-operated”community integrated service center for the elderly.Starting from the development background and overall scale of the community-based care provision service in Shanghai,the selection of an aging population is more serious,and a long-term care insurance pilot program is launched.The Putuo District community home care service is the main research object,and then through the case analysis of the three typical streets in Putuo District,a comprehensive study of the establishment of public-built private-operated model adopted by the community care service in the current stage background,organizational mechanism,operating process.Through a questionnaire survey on the satisfaction of the three typical neighborhood community care services,the results of the questionnaire survey were analyzed using factor analysis and multiple regression models.The SPSS analysis software was used to comprehensively analyze the influencing factors of community care service quality for the following countermeasure analysis.Empirical evidence.Finally,from three aspects: state-government,operating organization and society,the paper puts forward some suggestions on how to improve the "public built private-operated" supply model of community-based aged-care services in Shanghai.The “public-built private-operated” supply model adopted by community aged-care services centers in Putuo District,Shanghai brings private non-profit organizations into the operation and management of community-based aged-care services,giving full play to the power of private capital in the provision of community-based care for the elderly and achieving“small government,big society” government development concept.However,because Shanghai is in the process of long-term care insurance and home-based pension policy compliance,community aged-care services and home-based aged-care services have begun to be divided into two modules for management.The “public-built private-operated”community-based aged-care provision model lacks laws at this stage,and the escort of the regulations is also inextricably linked with the home-based care service model.At the same time,the development of the non-governmental organizations in China is relatively slow.It is necessary to allow them to play a major role in community care for the elderly and is stillinseparable from the support of the government.There is still a long way to go to develop pluralistic subjects to participate in community-based care services.At the same time,the“Public-built Private-operated” community care model is a product of new-type old-age care services,with low social recognition and limited residents’ participation.Based on this,this paper proposes to further improve and promote the "Public-built Private-operated" community care service model.The state and the government must provide legal protection,guarantee the legal status of “public construction and private ownership”,ensure the openness and transparency of the cooperation model,and provide personnel protection for the community’s aged care services.The operating organization should take its own non-profitability as its starting point to improve its own operation and management level.Quality of service,the introduction of scientific and technological means,and strengthening of community medical services.At the same time,on the social level,we will strengthen the guidance of public opinion,promote the participation of multiple entities in the community,and realize the sustainable development of the “public-built private-operated” community aged-care services mode.