首页|医养结合服务的有效模式及其实现机制研究——基于陕西省汉阴县鸿济医养中心的案例分析

医养结合服务的有效模式及其实现机制研究——基于陕西省汉阴县鸿济医养中心的案例分析

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医养结合是优化老年健康和养老服务供给的重要举措.如何实现医养结合的真正落地和可持续发展,是在多年试点后进一步推进医养结合发展中需要优先解答的关键问题.文章对陕西省汉阴县鸿济医养中心的服务模式进行了总结,并借鉴社会-生态系统适应性理论,剖析了鸿济医养中心作为一家民营医院如何推动县域医养结合服务优质高效和可持续运行的实现机制.研究发现:汉阴县鸿济医养中心通过"从民办民营到公办民营"的成长路径,形成了以民营医院转型为驱动、服务延伸为抓手、从机构逐步走向居家社区的医养结合发展模式.该模式破解了医养结合服务中存在的服务连续性、可持续性不足等问题,有效满足了老年人的医养结合需求,其有效运行的关键在于能够主动适应环境变迁,把握时机、顺势而为,实现了医养结合从外部需求压力向内在发展动力的转变.与此同时,政府的支持和引导也增强了该模式的稳定性和可持续发展能力.因此,应通过激活医疗机构提供医养结合服务的内生性动力、发挥民营医疗机构的作用、强化政府的支持和引导等措施,推进我国医养结合服务健康、高质量发展.研究结果不仅为县域层次推进医养结合服务发展提供了借鉴,也为破解民营医院的发展困境提供了一种新思路.
Effective Model and Its Implementation Mechanism of The Integration of Medical Treatment and Elderly Support Services:Based on a Case of Hongji Medical-care Center in Hanyin County,Shaanxi Province
The integration of medical treatment and elderly support is an essential measure to optimize the elderly health and aged care services supply.How to realize the actual implementation and sustainable development of the inte-gration of medical treatment and elderly support is the crucial problem that needs to be answered first in further promot-ing the development of the integration of medical treatment and elderly support after implementing pilot projects for many years.Based on the case of Hongji Medical-care Center in Hanyin County,Shaanxi Province,this paper summa-rizes the service mode of the integration of medical treatment and elderly support,and analyzes Hongji Medical-care Center,as a private hospital,the implementation mechanism of how to advances high-quality,efficient,and sustain-able operation of the integration of medical treatment and elderly support services by drawing on the theory of social ecosystem adaptability.The research found that Hongji Medical-care Center in Hanyin Country formed a development model of the integration of medical treatment and elderly support driven by the transformation of private hospitals,fo-cusing on service extension,and gradually moving from institutions to homes and communities through the growth path of"from Private-owned run to Government-owned and Private-run."This model has cracked the problems such as lack of service continuity and sustainability in the integration of medical treatment and elderly support services,effec-tively fulfilling the combined medical and elderly support needs of the elderly.The key to the effectiveness of this mod-el is to actively adapt to environmental changes,seize the opportunity and follow the situation with the times,realizing the transformation of the integration of medical treatment and elderly support from external demand pressure to internal development power.Meanwhile,the support and guidance from the government have enhanced the stability and sustain-able development capacity of this model.Therefore,to promote the healthy and high-quality development of the inte-gration of medical treatment and elderly support services in our country,measures should be taken to activate the in-trinsic motivation of medical institutions to provide the integration of medical treatment and elderly support services,le-verage the role of private medical institutions,and strengthen the government's support and guidance.These results provide an essential reference for counties promoting the integration of medical treatment and elderly support services and provides a fresh idea for solving the development dilemma of private hospitals.

The Integration of Medical Treatment and Elderly Support ServicesEffective ModelImplementation Mechanism

刘慧君、李志彬

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西安交通大学公共政策与管理学院,西安 710049

医养结合服务 有效模式 实现机制

国家社科基金重大项目

21ZDA103

2024

西北人口
甘肃省计划生育委员会,兰州大学, 甘肃省统计局,甘肃省人口学会

西北人口

CHSSCD北大核心
影响因子:0.806
ISSN:1007-0672
年,卷(期):2024.45(2)
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