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2022年4月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 119 ·
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（19）：2459-2464，2471 ［18］ 胡善菊，张琪蒙，赵李洋，等. 社区卫生机构参与医养结
［14］ 林琴，张文，孙坤，等. 成都市社区居家老年人医养结合 合的 SWOT 条件分析［J］. 中国老年学杂志，2021，41
服务需求现状及其影响因素［J］. 医学与社会，2020，33 （13）：2891-2895
（10）：65-68，74 ［19］ 张芃. 基层首诊推行困难的原因与政策建议——基于
［15］ 赵晓芳. 基于二维分析框架的医养结合政策体系研究 诊断树模型及“控制阀门”理论［J］. 卫生经济研究，

［J］. 兰州学刊，2021（6）：139-150 2020，37（2）：31-34
［16］ 朱孔来，朱孟斐，姜文华. 对医养结合模式的实践探索 ［20］ 仇燕青，王康，陈洪珠，等. 社区卫生服务中心医养结合
和对策建议［J］. 山东社会科学，2020（7）：132-137 服务的补偿现况分析［J］. 中国全科医学，2019，22
［17］ 梁裕桦，陈沛军，冯常森，等. 我国医养结合研究热点及 （S2）：4-9
趋势［J］. 医学与社会，2019，32（6）：92-95 （本文编辑：姜 鑫）

Research on the development strategy of the combination of

community medical and elderly care based on the diagnosis tree model

and“control valve”theory

1 1，2 3 1 3
WANG Heng ，ZHOU Dian ，TIAN Di ，YANG Yan ，WU Ye
1. School of Health Management，Anhui Medical University，Hefei 230032；2. The Second Affiliated Hospital of Anhui Medical
University，Hefei 230601；3. The First Affiliated Hospital of Anhui Medical University，Hefei 230022，China
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.
Key words：combination of medical and elderly care；community; diagnostic tree model；control valve
theory