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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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”(2020WR02011);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“新冠疫情对安徽省经济社会发展的影响及对策研究”(2020xkj123)


Research on the development strategy of the combination of community medical and elderly care based on the diagnosis tree model and “control valve” theory
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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还存在服务能力较弱、群众认知不足、政策制定不完善和筹资支付手段缺乏等问题。文章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 medical 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 and elderly care in China, such as weak service ability, insufficient public awareness, imperfect policy?making, lack of financing and payment means, etc. This study explored the development status of the combination of community medical and elderly care services in China, used the diagnostic tree model, took supply and demand as the main entry point, analyzed the main problems existing in the development of the combination of community medical and elderly care, and put 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 the combination of community medical and elderly care in China.

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汪 恒,周 典,田 帝,杨 琰,吴 烨.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[J].南京医科大学学报(社会科学版),2022,22(2):114~119

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  • 收稿日期:2022-02-17
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  • 在线发布日期: 2022-05-03
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