摘要
本文运用社会学系统理论探索了德国长期护理保险制度的建立过程,分析了社会护理需求与医疗领域功能性、制度性和组织性逐步分化之过程,同时结合了德国20多年的社会实践,展示了护理和医疗领域相互结合、相互交织和相互形塑的动态发展过程。通过对社会护理和医疗护理相互边界关系的探讨,笔者提出了医养两大领域"有界结合"和"跨界结合"的特征。本文的核心观点为,长期护理领域与医疗护理领域在功能性、组织性及制度性分界基础之上实现了相互协调及相互整合。由此可见,医养结合不仅体现了相互"结合"的一面,也体现出相互"划界"的特征。在结合德国长期护理与医养结合实际发展的基础之上,本文对中国长期护理和医养结合的发展提出了建议。
Drawing on the sociological system-theory, this article investigates the process of establishing the Long-Term-Care(LTC) insurance in Germany and analyzes the functional, institutional, and organizational differentiation of LTC from the medical field. Through linking to the social practices in Germany for more than two decades, this article additionally shows the mutual combination and mutual interweavement of LTC and the medical field. Relying on the explorative research on the nexus between LTC and medical system, the authors raise the concept of an "integration" based on a clear construction of border between two systems(LTC and medical system) which operate beyond the border of both sides concurrently. The core idea is that LTC and the medical field have achieved an integration on the basis of functional differentiation and institutional bifurcation of these two fields. Thus, the combination of the medical treatment and elderly care contains not only the feature of integration, but also the feature of distinction. By referring to the practices of combination of medical treatment and social care, this article puts forward suggestions for the development of long-term care and the combination of medical treatment and social care in China.
作者
刘涛
解正林
陈仲钰
Tao Liu;Zhenglin Xie;Zhongyu Chen
出处
《中国公共政策评论》
2020年第2期42-53,共12页
Chinese Public Policy Review
关键词
医养结合
长期护理保险制度
德国
Combination of Medical Treatment and Elderly Care
Long-term-care Insurance
Germany
