面向老年人多层次需求的社区养老服务设施优化 研究* ——以南京市主城区为例
Research on the Optimization of Community Elderly Care Service Facilities Facing the Multi-Level Needs of the Elderly: A Case Study of Nanjing’s Main Urban Area
王 楠
南京工业大学建筑学院 硕士研究生
方 遥(通信作者)
南京工业大学建筑学院 副院长,教授,硕士生导师,fy4928@126.com
孙 冉
南京工业大学建筑学院 硕士研究生
李 清
南京工业大学建筑学院 硕士研究生
秦 萧
南京大学建筑与城市规划学院 副教授,博士生导师
摘要: 随着家庭养老功能减弱,社区养老服务设施更契合老年人享受高质量养老服务的意愿,能满足不同属性老年人对设施 服务的多元化需求。选取南京市中央门片区、莫愁湖片区和奥体片区共15个社区养老服务设施作为调研对象,对其社 区养老服务设施的配置与使用情况进行实地调研,并通过对问卷数据进行二元Logistic回归分析,发现健康状态、受教 育程度、居住形式、设施距离较远、建筑面积较小、服务项目单一这6项自变量均对老年人社区养老服务设施使用意愿 有显著影响。最后,针对以上显著影响因素,从空间布局、规模配置、服务内容和适老化设计4个方面,提出多点分散布 局、完善建筑规模、拓展服务内容、推行适老化设计等优化策略。
Abstract: With the decline of family-based elderly care functions, community elderly care service facilities increasingly align with older adults’ preferences for high-quality care services, meeting the diverse needs of elderly populations with varying attributes. This study selects fifteen community elderly care service facilities in the Zhongyangmen Area, Mochouhu Area, and Aoti Area of Nanjing as research subjects. Field investigations are conducted on their allocation patterns and utilization status. A Binary Logistic Regression Analysis of questionnaire data identifies six independent variables significantly influencing older adults’ willingness to use community elderly care service facilities: health status, educational attainment, living arrangements, facility distance, building floor area, and service diversity. Finally, optimization strategies are proposed across four dimensions: spatial layout, scale configuration, service content, and age-friendly design. Specific measures include adopting a multi-point dispersed layout, optimizing building scale, expanding service offerings, and implementing age-friendly design principles.
关键词:社区养老服务设施;老年人多层次需求;二元Logistic回归分析;优化策略;南京主城区
Keyword: community elderly care service facilities; multi-level needs of older persons; Binary Logistic Regression Analysis; optimization strategies; Nanjing’s main urban area
中图分类号:TU984
文献标识码: A
国家统计局. 中华人民共和国2024年国民经济和
社会发展统计公报[EB/OL]. (2025-02-28)[2025-
03-05]. https://www.stats.gov.cn/sj/zxfb/202502/
t20250228_1958817.html.
National Bureau of Statistics. Statistical bulletin of
the People’s Republic of China on the 2024 national
economic and social development[EB/OL]. (2025-
02-28) [2025-03-05]. https://www.stats.gov.cn/sj/
zxfb/202502/t20250228_1958817.html.
中共中央,国务院. 关于深化养老服务改革发展的
意见[EB/OL]. (2024-12-30)[2025-03-05]. https://
www.gov.cn/zhengce/202501/content_6996776.htm.
CPC Central Committee, State Council. Guidance
on deepening the reform and development of
elderly care services[EB/OL]. (2024-12-30) [2025-
03-05]. https://www.gov.cn/zhengce/202501/
content_6996776.htm.
BARNETT K, HOWARD N, GUIVER N. The
community aged care model in rural and remote
Australia—analysis of supply and demand in
relation to aged care and the aged care workforce:
final report[R]. 2010.
黎均文,陈诺思,袁媛,等. 积极老龄化背景下的
大城市养老设施规划研究——以广州市社区嵌
入式养老服务机构规划为例[J]. 上海城市规划,
2024(6):55-61.
LI Junwen, CHEN Nuosi, YUAN Yuan, et al.
Research on the planning of elderly facilities in
mega-cities under the background of active aging: a
case study of the planning of community embedded
elderly care service institutions in Guangzhou[J].
Shanghai Urban Planning Review, 2024(6): 55-61.
李凌君. 保障性住房社区居家养老服务需求研
究[D]. 南京:东南大学,2016.
LI Lingjun. Research on the demands of the
home-based community care service for the
elderly in security housing: taking Nanjing as an
instance[D]. Nanjing: Southeast University, 2016.
蒋朝晖,魏维,魏钢,等. 老龄化社会背景下养老
设施配置初探[J]. 城市规划,2014,38(12):
48-52.
JIANG Zhaohui, WEI Wei, WEI Gang, et al. A
preliminary study on the allocation of elderly care
facilities in an aging society[J]. City Planning
Review, 2014, 38(12): 48-52.
伊藤增辉,周燕珉,秦岭. 日本社区嵌入型养老
设施配置发展经验对中国的启示[J]. 国际城市
规划,2020,35(1):20-28.
ITO M, ZHOU Yanmin, QIN Ling. Inspirations
from the deployment and development experiences
of the community-based elderly facilities in Japan
for China[J]. Urban Planning International, 2020,
35(1): 20-28.
方遥,卜凡海,祁凡. 基于居民需求特征的城市
社区公共服务设施规划实施策略研究——以南
京市江北新区顶山街道为例[J]. 上海城市规划,
2022(2):24-31.
FANG Yao, BU Fanhai, QI Fan. Research on the
implementation strategy of urban community
public service facilities planning based on residents’
demand characteristics: a case study of Dingshan
Sub-district, Jiangbei New District in Nanjing[J].
Shanghai Urban Planning Review, 2022(2): 24-31.
张大维,陈伟东,李雪萍,等. 城市社区公共服务
设施规划标准与实施单元研究——以武汉市为
例[J]. 城市规划学刊,2006(3):99-105.
ZHANG Dawei, CHEN Weidong, LI Xueping, et al.
Research on the code of urban community public
service facilities plan and its implementation
unit: a case of Wuhan[J]. Urban Planning Forum,
2006(3): 99-105.
陈玉娟,李立,李壮志,等. 石家庄市老年人居家
养老服务需求与对策[J]. 中国老年学杂志,2013,
33(4):901-902.
CHEN Yujuan, LI Li, LI Zhuangzhi, et al. Demand
for home-based elderly care services and countermeasures in Shijiazhuang[J]. Chinese Journal of
Gerontology, 2013, 33(4): 901-902.
郑娟,许建强,卓朗,等. 健康状况对老年人居家
养老服务需求影响[J]. 中国公共卫生,2020,
36(4):545-548.
ZHENG Juan, XU Jianqiang, ZHUO Lang, et
al. Impacts of health condition on demand of
home-based pension service among community
elderly[J]. Chinese Journal of Public Health, 2020,
36(4): 545-548.
王琼. 城市社区居家养老服务需求及其影响因
素——基于全国性的城市老年人口调查数据[J].
人口研究,2016,40(1):98-112.
WANG Qiong. Demands and determinants of
community home-based care services for urban
elderly: based on the 2010 national elderly survey in
China[J]. Population Research, 2016, 40(1): 98-112.
纪竞垚. 居家养老服务的政策效应:基于对老年
人生活质量影响的分析[J]. 人口与发展,2022,
28(3):90-98.
JI Jingyao. Effect of home-based care services
on the quality of life for the elderly and policy
implications in China[J]. Population & Development, 2022, 28(3): 90-98.
侯冰. 城市老年人社区居家养老服务需求层次及
其满足策略研究[D]. 上海:华东师范大学,2018.
HOU Bing. Research on the demand level and
satisfaction strategy of community home-based
care service for elderly[D]. Shanghai: East China
Normal University, 2018.
詹运洲,吴芳芳. 老龄化背景下特大城市养老设
施规划策略探索——以上海市为例[J]. 城市规
划学刊,2014(6):38-45.
ZHAN Yunzhou, WU Fangfang. Planning strategies
for aging megacities: a case study of Shanghai[J].
Urban Planning Forum, 2014(6): 38-45.
杨建军,汤婧婕,汤燕. 基于“持续照顾”理
念的养老模式和养老设施规划[J]. 城市规划,
2012,36(5):20-26.
YANG Jianjun, TANG Jingjie, TANG Yan. Pension
model and pension facilities planning based on
the “continuum of care” concept[J]. City Planning
Review, 2012, 36(5): 20-26.
李斌,李雪,王依明. 康复类社区综合养老设施
布局选址研究[J]. 建筑学报,2019(2):44-49.
LI Bin, LI Xue, WANG Yiming. Layout and
location of rehabilitation type of comprehensive
elderly facilities in community[J]. Architectural
Journal, 2019(2): 44-49.
彭建东,邢露,杨红. 基于供需匹配的养老服
务设施规划布局研究[J]. 地球信息科学学报,
2022,24(7):1349-1362.
PENG Jiandong, XING Lu, YANG Hong. Research
on planning and layout of elderly care service
facilities based on supply-demand matching[J].
Journal of Geo-information Science, 2022, 24(7):
1349-1362.
许昕,赵媛,郭爱妹. 基于街道尺度的南京市老
年人口空间分布演变研究[J]. 人文地理,2016,
31(6):88-94.
XU Xin, ZHAO Yuan, GUO Aimei. Spatial distribution of the elderly population in Nanjing
based on the street scale[J]. Human Geography,
2016, 31(6): 88-94.
夏晓敬,关宏志. 北京市老年人出行调查与分析
[J]. 城市交通,2013,11(5):44-52.
XIA Xiaojing, GUAN Hongzhi. Travel survey
and analyses of the elderly in Beijing[J]. Urban
Transport of China, 2013, 11(5): 44-52.
董慰,娄健坤,董禹. 社区可步行性对老年人地
方依恋及就地养老意愿影响研究——以哈尔滨
市香坊老工业区为例[J]. 上海城市规划,2020
(6):30-35.
DONG Wei, LOU Jiankun, DONG Yu. Impact
of community walkability on the elderly’s place
attachment and willingness to aging in place: an
empirical study of Xiangfang Old Industrial Zone
in Harbin[J]. Shanghai Urban Planning Review,
2020(6): 30-35.
张晟,刘辉,王昊聪. 天津市中心城区机构养老
设施布局均衡性研究[J]. 现代城市研究,2022
(1):38-44.
ZHANG Sheng, LIU Hui, WANG Haocong.
Research on the equalization of institutional pension
facilities layout in central urban area of Tianjin[J].
Modern Urban Research, 2022(1): 38-44.
MASLOW A H. Motivation and personality[M].
London: Bloomsbury Business Library Management Library, 2007.
仵亦畅,成虎,张建坤,等. 社区居家养老服务供
给模式及支撑体系研究[J]. 现代城市研究,2014
(9):5.
WU Yichang, CHENG Hu, ZHANG Jiankun, et
al. Research on supply mode and support system
of the community-based home care service for the
elderly[J]. Modern Urban Research, 2014(9): 5.