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题目:
郑州市日间照料中心发展
现状状及存在问题研究
学生姓名:
张飞
专业班级:
劳动与社会保障11级1班
学号:
541109040144
院(系):
政法学院
指导教师(职称):
杨岚(讲师)
完成时间:
2015年4月1日
AssessingtheneedsofolderpeopleinAlbania
Background
AccordingtotheinformationprovidedbytheNationalInstituteofStatistics(INSTAT),theproportionofthepopulationover65yearsofageinAlbaniahasreached12%in2010。
Furthermore,projectionssuggestthattheproportionofolderpeopleinAlbaniawilldoubleoverthenext35years.Coupledwithfallingbirthratesandincreasinglifeexpectancy,thiswilleventuallyleadtoasubstantialreductionoftheeconomicallyactiveproportionofthepopulation。
Atthesametime,highlevelsofchronicillness,ahugeburdenofavoidabledisability,economicdeprivationandalackofsocialopportunitiesmeanthatmostelderlypeopleinAlbaniaareinastruggletosurviveratherthanenjoyingthepersonalandsocialpossibilitiescommoninmanyotherEuropeancountries.Consequently,theAlbaniansocietyasawholeisdeprivedofmuchofthecontributionitcouldgainfromtheexperienceofitsoldercitizens.
DemographictrendsmixedwithasocietyineconomicandpoliticaltransitionraiseconcernsaboutincreasingneedsforcareandsocialinclusionofolderpeopleinAlbania。
Moreover,thereisalowlevelofpreparationoftheAlbaniansocietytocopewithchronicdiseasesandlong—termcare.Complexpoliciesandactionsshouldbeconsideredbyanumberofstakeholders,includinggovernmentandcivicsocietyinAlbania.
AimandObjectivesoftheresearchwork
Theaimofthecurrentstudywastoobtainrelevantinformationinordertorespondtoneedsofolderpeopleastheyseethem.Specificobjectivesoftheresearchworkwereasfollows:
Toassessthequalityofsocialservicesandhealthcareservicesforelderlypeoplefromtheirperspective。
ToassessthedifficultiesandpotentialbarriersofelderlypeopletoaccesssocialservicesandhealthcareservicesinAlbania。
Tounderstandthedeterminantsandthelinkbetweenformalcare,informalcareandsocialservicesforelderlypeopleinAlbania。
Toassessandidentifytheappropriatestrategiesforinvolvingolderpersonsintakingdecisionsselfempowerment。
Methodology
Participatoryresearch:
theapproachofthisstudyconsistedofaclosecollaborationwithanddirectinvolvementofolderpeopleinallactivitiesoftheresearchwork.Thisapproachhasthepotentialtoaddresstheneedsofolderpersonsasfeltbytheolderpersonsthemselves,intheirownenvironmentandduringalongperiodoftime.Qualitativeresearchmethodologywasemployedconsistingoffocusgroupsandin—depthinterviews,asdescribedbelow:
FocusgroupdiscussionswereconductedinallprefecturesofAlbaniainvolvingoldpeopleaged65+years(thereare12majoradministrativeunitsinAlbaniareferredtoasprefectures)。
Overall,12focusgroupswereconductedoneineachprefectureofAlbania.Theoverallnumberofparticipantsinthefocusgroupswas107(onaverage,therewere9participantsineachfocusgroup)。
Detailednotesweretakenfromallfocusgroupdiscussionsforlateranalysis.Itmustbeemphasizedthatallnotesfromthefocusgroup
discussionsweretypedinananonymousmanner(i。
e。
allidentifyinginformationincludingparticipantsnameswasremoved).Immediatelyaftereachfocusgroupdiscussion,thefacilitatorandnotetakermetwitheach-otherinordertoreviewthemainthemesofthe
discussion。
Themainpatternsofresponsesweresubsequentlysummarized。
Responsesfromthediscussionswereanalyzedbyarrangingtheminthegeneralcategoriesidentifiedintheinterviewguide.Afterarrangementofresponses,thedifferentpositionsoropinionswereidentified.
Theexpertsperformingthequalitativedataanalysissummarizedthevariousopinions,assessedthedegreeofconsensusordifferencesexpressedbythegroupsandsynthesizedthethemesorpatternsthatemergedfromtheinformationcollectedinthefocus-groups.
In-depthinterviewswerealsoconductedwithkeyinformantsworkinginseniorleadershippositionsatlocalgovernmentand/ordistrictsocialinsuranceinstitutes(whicharebranchesoftheAlbanianMinistryofLaborandSocialWelfare).Theaimofin-depthinterviewswastoobtainadditionalandvaluableinformationrelatedtoelderlypeoplessocialandhealthneeds,barrierstoaccessservices,andlevelofdecisionmakingandsocialparticipationintheAlbaniansociety。
Focusgroupswitholdpeople
Themainthemesthatemergedfromfocus—groupdiscussionswitholdpeoplearesummarizedbelow:
Socioeconomicsituationofoldpeople:
Accordingtoparticipantsinthefocusgroups,theelderlypeopleinAlbaniafacemanyfinancialchallengesandsocioeconomicproblemswhichareworsenedbytherapidtransitionfromacentralizedsystemtowardsam