残疾老龄化:在快速老龄化社会中应对老龄化和残疾的双重挑战——以中国为例

IF 2.9 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Binbin Su, Jincheng Chen, Chen Chen, Yu Wu, Yuling Li, Xinran Shen, Xiaoying Zheng
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引用次数: 0

摘要

中国面临着人口老龄化和残疾率上升的双重挑战,造成了“老龄化-残疾重叠”,给国家的医疗体系带来了前所未有的压力。本文分析了衰老与残疾交叉的复杂机制,揭示了慢性和退行性疾病是老年人残疾的主要原因,残疾率随着年龄和合并症的增加而显著增加。尽管中国实施了长期护理保险试点项目和社区养老服务,但仍存在诸多挑战:融资可持续性不足、评估标准不一致、区域发展不平衡、专业人才短缺和社会文化偏见。为此,本文提出了符合“健康中国2030”目标的综合战略框架,即加强残疾预防和早期干预机制;加强长期护理服务,建立多元化的保障体系;促进老年医学和康复医学专业人才的发展;推动智能辅助技术的研究和应用;在包容的社会环境中创造无障碍社区。通过这些协调一致的方法,我们旨在改善残疾老年人的生活质量,促进有尊严和高质量的健康老龄化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aging with Disabilities: Navigating the Dual Challenge of Aging and Disability in a Rapidly Aging Society with a Focus on China.

China faces the dual challenge of population aging and rising disability rates, creating an "aging-disability overlap" that places unprecedented pressure on the nation's healthcare system. This paper analyzes the complex mechanisms underlying the intersection of aging and disability, revealing that chronic and degenerative diseases are primary contributors to disability among older adults, with disability rates significantly increasing with age and comorbidities. Despite China's implementation of long-term care insurance pilot programs and community-based elderly care services, multiple challenges persist: insufficient financing sustainability, inconsistent assessment standards, regional development imbalances, professional talent shortages, and social-cultural prejudices. In response, this paper proposes a comprehensive strategy framework aligned with "Healthy China 2030"'s goals of strengthening disability prevention and early intervention mechanisms; enhancing long-term care services with diversified security systems; fostering professional talent development in geriatric and rehabilitation medicine; promoting research and application of intelligent assistive technologies; and creating barrier-free communities within an inclusive social environment. Through these coordinated approaches, we aim to improve the quality of life for older adults with disabilities and facilitate dignified and high-quality healthy aging.

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