基于诊断树模型和“控制阀门”理论的社区医养结合发展对策研究
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1.安徽医科大学卫生管理学院;2.安徽医科大学第二附属医院;3.安徽医科大学第一附属医院

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安徽省卫生健康软科学研究项目“多元养老模式下安徽省智慧医养结合发展路径及对策研究”;安徽省教育厅高校协同创新项目(GXXT-2019-041);安徽医科大学校科研基金项目


Based on the diagnosis tree model and "control valve" theory of community health care development strategy analysis
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1.The First Affiliated Hospital of Anhui Medical University;2.School of health management, Anhui Medical University

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    摘要:

    随着我国老龄化程度的不断加深,老年人群健康服务需求量迅速增长,给我国养老服务的供给带来挑战。社区医养结合作为新时代我国养老服务体系建设的重要手段,是满足老年群体多样化、多层次健康服务需求的重要途径。但当前各地区的实践探索暴露出我国社区医养结合现阶段还存在服务能力较弱、群众认知不足、政策制定不完善、筹资支付手段缺乏等问题。本研究通过梳理我国社区医养结合养老服务发展现状,采用诊断树模型,以供给和需求为主要切入点剖析当前社区医养结合发展中存在的主要问题,并根据控制阀门理论,从筹资、支付、组织、行为和规制五个管理维度提出针对性的对策建议,以期为我国社区医养结合的推进落实提供参考。

    Abstract:

    With the deepening of aging in China, the demand for health services for the elderly is growing rapidly, which brings challenges to the supply of elderly care services in China. As an important means of the construction of China's elderly care service system in the new era, the combination of community medicine and elderly care is an important way to meet the diversified and multi-level health service needs of the elderly. However, the current practice and exploration in various regions have revealed that there are still some problems in the combination of community medical care in China, such as weak service ability, insufficient public awareness, imperfect policy-making, lack of financing and payment means and so on. This study combs the development status of community medical care and elderly care services in China, uses the diagnostic tree model, takes supply and demand as the main entry point, analyzes the main problems existing in the development of community medical care and elderly care, and puts forward targeted countermeasures and suggestions from the five management dimensions of financing, payment, organization, behavior and regulation according to the control valve theory, in order to provide reference for the promotion and implementation of community medical care and elderly care in China.

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  • 收稿日期:2022-02-17
  • 最后修改日期:2022-04-04
  • 录用日期:2022-04-25
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