Abstract: As the aging of Chinese population has entered a fast development period,the demand for old-age care service is unceasingly expanding.Therefore,it is urgent to optimize the old-age care service system by a clear division of responsibilities among family,market and governmen.Specifically,it is suggested that the government should provide institutional supply and basic service for the elderly without family suppor.Families should play their vital role in home-based care service system,especially in the smart old-age care syste.At the same time,the vitality of the market should be further stimulate.Policy support system for private old-age service institutions should be built to solve their difficulties in land use,fund raising,and employment et.Furthermore,long-term mutual care insurance system should be established to provide long-term care for elders with disability and dementi.In addition,old-age care service supply should be expanded in rural areas,and more new small cities should be cultivated to provide old-age care service for elderly migrant workers.

Keywords: Old-age Care Service System, Population Aging, Home-based Care Service, Long-term Care Mutual Insurance System

摘要： 我国已经进入人口快速老龄化时期,全社会养老服务需求不断扩大,亟需构建科学合理的养老服务体系推动形成各方责任共担、分工合理、优势互补的发展框架,积极应对人口老龄化带来的挑战。要明确政府在养老服务体系中的职能定位,做好制度供给、兜底没有家庭依靠的老年人的基本养老服务;要大力发展居家养老,发挥好家庭的养老功能与作用,发展智慧养老;要进一步激发市场活力,通过完善政策支持体系,重点解决民办养老服务机构用地、融资、用人、运营困难等问题;要探索建立长期护理保险制度,满足失能失智等特殊老年群体的长期护理需求;要积极应对农村人口老龄化,完善农村养老服务的供给体系,大力发展五线小城市,为老年农民工在城市养老提供可行选择。

关键词: 养老服务体系, 人口老龄化, 居家养老, 长期护理互助保险制度