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养老服务质量关乎老年人的福祉与社会和谐稳定。依据政策文本、理论成果和调研结果,从服务提供、服务管理、服务保障与服务成效4个维度构建13个兰州市养老服务质量发展水平评价指标,运用综合评价法对2023年调研组对245家居家社区养老服务机构采集的数据进行量化分析。结果显示,兰州市养老服务质量整体处于中等水平,但机构间差异显著,发展不均衡问题突出。在准则层中,服务管理维度平均得分最低,反映出制度建设滞后、监管机制不健全等机构共性问题。在指标层中,健康护理服务、人力资源、精神慰藉服务3项得分较低。基于实证结果,从落实医养政策、加强人才队伍建设、提升精神慰藉服务水平、提升服务管理4个方面提出优化路径,为兰州市养老服务高质量发展提供参考。

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