社区养老外文文献.doc

　　6 　　Community aged care providers　in a competitive environment: 　　Past, present and future 　　Bob Davidson 　　In Australia, as in many other nations, the ageing of the population,coupled with other social and demographic changes, has underpinnedsignifcant growth in aged care in recent years, a development that isprojected to continue during the frst half of the 21st century. 1 At thesame time, there has been an increasing recognition by governmentand aged care service providers that most older people wish to remainwithin their own home and remain independent as much and for asDavidson, B. 2015, ‘Community aged care providers in a competitive environment: 　　Past, presentand future’， in Markets, rights and powerin Australian social policy, edsG. Meagher S. Goodwin, Sydney University Press, Sydney. 　　1 In 1970, 8.3 percent oftheAustralian populationwas 65 years and older, while0.5 percent was 85 years and older. By 2010, this had risen to13.5 percent and 1.8percentrespectively; by 2030 it is projected to be 19.3percentand 2.7 percent, andby 2050 to be 22.7 percent and 5.1 percent （Treasury 2010, p. 10）。 Te growth inaged care, however, arises from a range offactors other than simply more peopleneeding care, including greater participation ofwomen in the workforce with itsefects on the number ofinformal （unpaid） carers, and the greater wealth andpolitical activity ofolder people relative to past generations. In Australia, thegrowth ofthe aged care industry may accelerate afer the announcement in April2012 that the number offunded aged care places will be signifcantly increasedover the next decade （Australian Government 2012）。 　　191 　　long as possible （ageing-in-place）， rather than go into residential care（such as a nursing home）。 2 Tis has led in recent years to signifcant‘de-institutionalisation’ ofolder people needing care （AIHW 2001, pp. 　　96-139）。 In this context, community aged care, which provides careservices to people in their own home and community 3 has experi