美国农村社区互助养老-村庄-模式的发展及启示-张彩华

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“”(中国农业大学人文与发展学院,北京100193)“”“”“”“”、、、、“”“”。“”C913.7A1007-5194201506-0132-06201476514.5%120506516.7%6520.9%2“”856593%33。“Home-andCommunity-basedServicesHCBS”。“Villages”“”。1“”2001“BeaconHillVillageBHV”“”。“”“VillageMovement”。2010BHVCapitalImpactPartnersCIP“”———VtVVillagetoVil-lageNetwork。201266“”2015170“”403160“”“”、2007330“”6%72%22%4。31242/320%52、“”。2“”2.1服务区域及老龄化特征1“”、、ECHHOEcumenicalChristianHelpingHandsOrganizationCommunityConnections“”。“”6516.35%·231··201562015-10-131989—1976—。DOI:10.16501/j.cnki.50-1019/d.2015.06.02413.00%856516.38%13.64%。“”46.2201037.6。“”“”。1“”n=13“”65%85%ShareCareLeelanau1993150.323.4113.87ECHHO1997153.926.2510.53CommunityConnections2006649.09.1615.23VineyardVillageAtHome2007142.716.0815.59Homeports20081145.621.8015.13TheAthensVillage2009126.310.1012.94MonadnockatHome2010843.714.8315.93FolksatHome2010341.77.4923.49NausetNeighbors2011155.330.8320.63AshlandatHome2012142.917.6017.06AtHomeDowneast2012947.622.2814.79RhinebeckatHome2013150.426.2124.57VillageintheVillage2014151.219.417.17“”46.216.3516.3837.613.0013.642.2家庭户特征2010“”32“”6532.8%24.92%“”6567.06%。“”、。2“”n=13“”65“”654707932.82909112224.92537532.94317172428.851435121001167162921001094467.06782396571.152.232.581631910012476206100U.S.CensusBureau2010CensusofPopulation2.3“村庄”模式固化前邻里互助养老组织的特征“”2007“”“”ShareCareLeelanau、ECHHOPlumasRuralServices、“”CommunityConnections。BHV·331···。“”、、。“”。2007“”VtV。3“”3.1样本“村庄”的组织运作3.1.13.1.1.1“”。、、CommunityConnectionsAreaAgencyonAging。“、”“”、、。3“”n=12“”/6/75~500335/1/95~1300585//1/100~30001550/2“”%1758.31216.73/325.0“”63/、/、、、/、//“”。“”“”/。///335/585/1550。“”3“”。201594%、、。3.1.1.2“”54.69%31.77%1∶1.6475%“”10.6~1.8“”MonadnockatHome1∶3.4“”361224“”。“”78.680“”。、“”。、、“”。“”MonadnockatHome“”/2∶1。2∶1“”。“”、。4“”·431··201562015232015110。“”618“”。“”“”。4“”n=12“”20152%20152%**ShareCareLeelanau40040002311047.8885761∶3.6CommunityConnections*23030713.212303070.8357571∶1.0VineyardVillageAtHome103416.53105955.85851∶0.6Homeports761044.5835577.2283731∶1.8TheAthensVillage*469613.05469620.19851∶1.0MonadnockatHome7312110.63203612.4779.7691∶3.4FolksatHome275515.2960766.0875701∶0.7NausetNeighbors4024557.327531543.1683681∶0.8AshlandatHome176253.93126878.2878651∶0.9AtHomeDowneast205338.38852976.4282701∶1.8RhinebeckatHome578333.3357757.175751∶1.1VillageintheVillage126040082025.7475681∶3.08413554.695510431.7778.669.11∶1.6***n=10。3.1.1.3“”BoardofDirectors/Committees“”“”/、。、。“”、4“”1~3“”2~6。“”HomeportsMonadnockatHome、、“”。3.1.1.4VtV2010BHVCIP“VtV”2014CIP“”、“”Metlife“”BardstownAtHome、CommunityConnections5000。3.1.23.1.2.1“”“”“”“”。/、。/。·531···、、。“”“”“”。3.1.2.2、、、30~50“”。、、。、。、、。。、、/、、、、“”。、“”。“”10~300。3.2“村庄”的挑战“”。“”“”、、。201525“”“”“”ShareCareLeel-anau。、“”。3.3“村庄”的核心特征“”。“”“”、“”。“”、。“”“”6“”、。“”、、“”7“”8“”、。“”“”“”“”“”“”“”“”“”。3.4“村庄”运动与国家层面的“在地养老”运动“”“”“”Age-friendlyCommunityInitiativesAFCIs/“”。AFCIs、、。·631··20156、、LifelongCommuni-tiesInitiative、LivableCommunitiesInitiative。“”、“”OccurringRetirementCommunitySupportiveServicePrograms。··CommunityPartnershipsforOlderAdults9。“”“”“”10。。4“”、、。“”“”2001200765、、“、”。“”。“”“”。、、、“”“”。“”“”、“”/11。“”。“”“”。、、12。。“”“”。“”。、。、、/、、、“”“”、“”。149·731···“”、、“”。1.“”J.20135.2.“”“”、ABJ.20122.3.“”“”J.·20143.4.“”J.20153.5.J.19993.6.“”———“”“”“”J.20074.7.J.20103.8.、1949—1999M.2006.9.“”———J.20072.10.“”J.20031.檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿檿137“”。1U.S.CensusBureau.PopulationEstimatesProgramPEPEB/OL.2015-10-1.http//.census.gov/po-pest/.2U.S.CensusBureauProjectionsShowaSlowerGrowingOl-derMoreDiverseNationaHalfCenturyfromNowEB/OL.2012-12-12.https//.census.gov/newsroom/releases/archives/population/cb12-243.html3FeldmanP.H.OberlinkM.R.SimantovE.&GursenM.D.AtaleoftwoolderAmericasCommunityopportunitiesandchallengesM.NewYorkCenterforHomeCarePoli-cyandResearch2004.4VillagetoVillageNetwork-MembershipDirectory.n.d..EB/OL.2014-12-23.http//.vtvnetwork.org/content.aspxpage_id=1905&club_id=691012#search_results.5NadejdaMishkovskyMatthewDalbeyandStephanieBer-tainaPuttingSmartGrowthtoWorkinRuralCommunitiesM.WashingtonD.C.InternationalCity/CountyMan-agementAssociation2010.6ScharlachA.GrahamC.&LehningA.The“Village”modelAconsumer-drivenapproachforaginginplaceJ.TheGerontologist20113.7LitwinH.&Shiovitz-EzraS.Socialnetworktypeandsub-jectivewell-beinginanationalsampleofolderAmericansJ.TheGerontologist20113.8OhmerM.L.TherelationshipbetweencitizenparticipationandorganizationalprocessesandoutcomesandthebenefitsofcitizenparticipationinneighborhoodorganizationsJ.JournalofSocialServicesResearch20084.9GreenfieldE.A.OberlinkM.ScharlachA.E.NealM.B.&StaffordP.B.Age-friendlycommunityinitiativesConceptualissuesandkeyquestionsJ.TheGerontologist20152.10HunterR.H.AndersonL.A.BelzaB.BodifordK.HookerS.P.KochtitzkyC.S.….SatarianoW.Environ-mentsforhealthyagingLinkingpreventionresearchandpublichealthpracticeEB/OL.http//.cdc.gov/pcd/issues/2013/12_0244.htm.11.J.20146.12.J.20144.·941···

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