摘要
随着人口老龄化程度的加剧,老年人的医疗和照护需求日益增加,医养结合服务得到较大发展,各地在医养结合实践工作中形成了不同的服务模式。为促进我国医养结合服务健康发展,该文梳理了我国各地医养结合服务实践经验,包括医中有养、养中有医、医养合作、社区辐射型、家庭医生嵌入式和"互联网+"6种典型医养结合服务模式,同时比较分析了不同医养结合服务模式的提供主体、服务方式、建设规范、服务标准、监管机构和支付方式等,剖析了我国医养结合服务实践中存在的问题及其原因,针对突出问题提出了相应改进对策。
With the aggravation of population aging,the medical and care needs of the elderly have increased significantly.Nowadays the integrated elderly care and medical services have been greatly promoted and various services modes have been developed in different regions.In order to promote the healthy development of integrated elderly care and medical services in China,we summarized the practical experience of integrated elderly care and medical services implemented in various parts of China,including six typical service modes such as elderly care in medical services,medical care in elderly care,cooperation between medical services and elderly care,community radiation,family doctor embedded and“Internet+”.Moreover,we compared their providers,service methods,construction specifications,service standards,regulatory agencies and payment methods.Finally,we analyzed the problems and their causes,and proposed corresponding improvements for outstanding problems in the practice of integrated elderly care and medical services in China.
作者
李萌
杨婷婷
董四平
LIMeng;YANG Tingting;DONG Siping(National Institute of Hospital Administration,National Health Commission,Beijing 100044,P.R.China;School of Political Science and Public Administration,Wuhan University,Wuhan,Hubei 430072,P.R.China;Health Research Institute,Fujian Medical University,Fuzhou,Fujian 350004,P.R.China)
出处
《华西医学》
CAS
2021年第12期1641-1648,共8页
West China Medical Journal
基金
国家重点研发计划(2020YFC2006000)。
关键词
医养结合
服务模式
实践
对策
Integrated elderly care and medical services
Service model
Practice
Countermeasures