中文摘要：

目的上海市是人口老龄化最高的城市之一，因此对老年护理保障情况分析和对策研究非常重要，本文就对上海市居民进行老年护理保障情况调研，并进行对策建议。方法医院门诊居民600人，医院住院居民600人，社区卫生服务中心居民600人，共计1800人，实际调查人数1620（90％）。研究方法主要有文献回顾法、访谈法、循证政策分析法、专家小组讨论法、问卷调查法等调研方法，兼顾质性研究和量化研究。结果居民认为上海市的老年医疗和护理服务提供情况，有33．8％认为目前上海市老年医疗和护理服务提供的还不够。居民对医疗保障覆盖老年护理院等养老机构的看法，大部分的就诊居民都希望医疗保障能够覆盖老年护理院等养老机构，如超过60岁的年龄组中，有89．3％支持该举措。结论①先进行评估及资源的配置；②推广居家养老建立老年护理保险制度；③实行价格歧视的方法；④市区可加大开办托老所。

英文摘要：

Objective Shanghai is one of the cities that are of highest rate of aging,which is very useful for analyzing the condi- tion of nursing and guarantee and for putting forward the counter measures. The paper has studied the condition of nursing and guarantee of aging in Shanghai and has conducted the measures and suggestions to the problem. Methods the research is con- ducted about 1800 residents including 600 outpatient service residents in hospital,600 hospitalized residents and 600 residents of community service center. While the actual number involved in the research is 1620（90% ）. The research methods are mainly reviewing documents, interviewing, evidence-based analysis, discussion among experts group and questionnaire survey. Qualitative and quantitive researches and involved. Results in terms of offering medical care and nursing service for senior citizens,33.8% of them hold the view that the service the hospital offered is not enough in shanghai. About the Medical security, the great mass of residents visiting the hospital hopes that the medical security can cover the institutions for aged people such as the nursing home for aged people. For instance,89.3% residences over 60 years old are in favor of this measure. Conclusion ①assess and assign the resources first;②expand the home-based care for the aged and establish insurance system for nursing for the aged;③carry out the methods of price discrimination;④establish more nursery for the aged in the city center.