CAJ | 학술논문

长期照护服务体系是发达国家（地区）应对人口。老龄化下老年人养老和服务问题的主要途径。文章梳理了发达国家（地区）长期照护服务体系的理论进展及实践经验，研究表明：（1）长期照护服务体系遵循“就地养老”的照护理念，目标是通过连续性照护进行资源整合，主要有居家照护、社区照护和机构照护三种模式；（2）不同融资结构和服务提供情况作用下形成五种服务体系支持类型；（3）服务的需求预测主要通过马尔可夫循环仿真模型树结构实现。最后针对我国老年长期照护服务体系存在的问题，应重点实现多元协作模式、系统高效的老年服务设施规划、相关政策法规体系构建等方面的工作。
장기조호복무체계시발체국가（지구）응대인구。노령화하노년인양로화복무문제적주요도경。문장소리료발체국가（지구）장기조호복무체계적이론진전급실천경험，연구표명：（1）장기조호복무체계준순“취지양로”적조호이념，목표시통과련속성조호진행자원정합，주요유거가조호、사구조호화궤구조호삼충모식；（2）불동융자결구화복무제공정황작용하형성오충복무체계지지류형；（3）복무적수구예측주요통과마이가부순배방진모형수결구실현。최후침대아국노년장기조호복무체계존재적문제，응중점실현다원협작모식、계통고효적노년복무설시규화、상관정책법규체계구건등방면적공작。
In the context of rapid population aging,long- term care system is one of the major ways to tackle the prominent issues about caring the aged population in developed countries. Present paper reviewed the previous study on long- term care system and analyzed several practical cases in developed countries,the research findings are as followed：（ 1） Long- term care system aims to integrate resource by continuously caring,and it complies with the concept of ＂ aging in place＂ and three different implementation models can be identified- home- based care,community- based care and institutional care;（ 2） Base on different financing structure and service,support systems and services of long- term caring can be divided into five categories;（ 3） The ＂ Markov Cycle Tree Structure＂ model is the most common way of estimating the service demand. In the last section,based on the complexity of Chinese aged caring system, we suggest that：（ 1） multivariate cooperative model should be established;（ 2） systematic planning is essential for facilitating the construction of service system;（ 3） institutional and legislative supports is the key for aged caring system.