本书是国家社科基金的很终研究成果。本书优选的创新是突破了现行将机构养老服务与社区养老服务二元化供给的局限性，提出我国应建立社区养老院模式，整合家庭、社区养老资源。在运行模式上提出建立有偿的社区养老院服务模式，解决养老服务模式供给中的公共系统与非公共系统的对接问题。本书强调在养老服务体系建设中形成新型的公私合作伙伴关系，引入市场与社会的力量。针对当前养老服务领域的“护工荒”困境，提出建立合作培训机制的主张。在实现技术手段上提出“互联网+”模式，试图通过移动互联技术、云平台等现代技术打造线上线下一体化的社区养老服务系统。将“医养结合”作为社区养老院的重要特色，探索出几种易推广可复制的适应于不同类型社区养老机构的医养结合模式。

袁妙彧，湖北武汉人，博士研究生，湖北经济学院副教授，日本名古屋大学、美国俄亥俄大学访问学者，近五年来出版学术专著3部，在国内外重要期刊上发表专业学术论文30余篇，主持完成国家社科基金、教育部人文社会科学项目、湖北省教育厅人文社会科学项目等近10项。获湖北省新世纪高层次人才(第三层次)称号。研究方向为养老保障与服务、社区管理与服务。

目 录
前 言·························································································· 1
绪 论·························································································· 1
节 中国人口老龄化的新特征 ·················································· 1
第二节 养老服务从机构到社区的回归 ············································ 5
第三节 研究内容与研究方法 ·······················································10
章 积极老龄化视角下的新型社区养老院模式构建 ·························15
节 积极老龄化的理论阐释 ····················································15
第二节 积极老龄化在社区养老院服务中的转化 ·······························19
第三节 社区养老院的构想 ··························································26
第二章 中国老年人社会分层与社区养老院定位 ··································30
节 老年人社会分层及中国养老机构的分化 ·······························30
第二节 不同层级老年人对养老机构收费与规模的需求 ······················38
第三节 不同分层老年人对养老机构选址与设施的需求 ······················54
第三章 以社区养老院为平台的居家养老服务盈利化模式 ······················69
节 社区养老院作为居家养老服务市场化的平台 ·························69
第二节 以社区养老院为依托的居家养老盈利化实践 ·························77
第三节 社区居家养老服务市场化优先发展项目 ·······························98
第四节 送餐配餐服务的支付意愿分析 ········································· 108
第四章 社区养老院的医养结合模式 ··············································· 119
节 养老院选址、规模及功能定位对医养结合模式选择的影响 ····· 119
第二节 社区养老院医养结合服务的需求分析 ······························· 137
第五章 社区养老院护工荒问题 ····················································· 151
节 我国社区养老院护工管理存在的问题 ································ 151
第二节 社区养老院护工的招聘 ·················································· 155
第三节 社区养老院护工薪资与护工配比 ······································ 163
第六章 社区适老化公共环境建设 ·················································· 172
节 社区适老化公共环境研究综述 ········································· 172
第二节 老年人需求与适老化公共环境 ········································· 174
第三节 社区适老化交通系统建设 ··············································· 178
第四节 社区养老设施公共环境建设 ············································ 185
第七章 “互联网 +”社区养老服务 ················································· 193
节 “互联网 +”社区养老服务的发展现状 ······························· 193
第二节 “互联网 +”社区养老服务需求初探 ·································· 200
第三节 “互联网 +”社区养老服务资源整合案例 ···························· 208
第八章 日本小规模多功能养老设施对中国社区养老的借鉴 ················· 227
节 日本人口老龄化与小规模多功能养老机构的出现 ················· 227
第二节 日本小规模多功能养老机构的优势与特色 ·························· 234
第三节 日本小规模多功能养老机构对我国的借鉴 ·························· 245
附录一 宜昌社区养老院医养结合调查问卷 ······································ 252
附录二 2017 年社区养老武汉调查问卷 ············································ 256
附录三 2018 年“互联网 +”社区居家养老调查问卷 ·························· 262
附录四 社区养老院访谈提纲 ························································ 266
附录五 “互联网 +”社区居家养老服务访谈提纲 ······························· 269
附录六 日本小规模多功能养老机构访谈提纲 ··································· 271
主要参考文献·············································································· 273
后 记······················································································· 280