我国医养结合养老模式的现状、问题及其对策研究
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我国是“未富先老”的国家，国家近年越来越重视老龄化问题，先后对老年 人口状况进行追踪调查，也对全国失能老年人情况进行摸底。鉴于目前我国老龄 化的实际情况，养老床位一方面供大于求，另一方面一床难求。目前北京、安徽、 青岛等城市率先推出了医养结合模式，如：二、三级医院办养老病房、养老机构 增设医务室、社会资本等多种模式。但是由于我国目前的法律政策的不健全、未 建立筹资渠道、照护人员数量不足等情况，各地的医养结合发展受到限制。
关键词：养老模式；医养结合；对策
I
万方数据
ABSTRACT
ABSTRACT
As China becomes an aging society, its aging process has dramatically accelerated. The large number and rapid increase of elderly population has aggravated the tendency of demographic aging and empty-nest phenomenon, which followed by a leap in the size of frail elderly. Health problems have posed a great threat to the current medical care and elderly care system. Therefore, the innovation in the mode of elderly care system calls for integration with medical care resources.
U.S., Australia, Germany, Japan, Sweden, etc have already stepped into aging society and realized the problem of the long-term care for elderly people in the early stage. Through the implement of law and policy, as well as the dominant responsibility of government, these countries have built the diverse modes of fund-raising and client-oriented services for senior citizen. Furthermore, with the expansion in aged population and the increasing will to home/community-based care for the elderly, it has become a trend to lay more and more emphasis on home/community-based care.
The combination of medical care and elderly care is a part of long-term care. By discussing the concept and content of long-term care, this paper figures out the meaning of elderly care and medical care combination, including the object, the content, the supplier, the mode and the qualification and the market access standard for the organizations who provide this kind of service.
学位论文作者签名（手写）：
签字日期：
年月日
二、学位论文版权使用授权书
本学位论文作者完全了解南昌大学有关保留、使用学位论文的规定，同意学 校有权保留并向国家有关部门或机构送交论文的复印件和电子版，允许论文被查 阅和借阅。本人授权南昌大学可以将学位论文的全部或部分内容编入有关数据库 进行检索，可以采用影印、缩印或扫描等复制手段保存、汇编本学位论文。同时 授权北京万方数据股份有限公司和中国学术期刊（光盘版）电子杂志社将本学位 论文收录到《中国学位论文全文数据库》和《中国优秀博硕士学位论文全文数据 库》中全文发表，并通过网络向社会公众提供信息服务，同意按“章程”规定享 受相关权益。
学位论文作者签名（手写）：
导师签名（手写）：
签字日期： 年 月 日
签字日期： 年 月 日
论文士□
院/系/所
专业
联系电话
E_mail
通信地址(邮编)：
备注：
□公开 □保密（向校学位办申请获批准为“保密”，
年 月后公开）
万方数据
摘要
摘要
随着我国步入老龄化社会，人口老龄化程度逐渐增高，我国人口出现高龄化、 空巢化趋势，加之独生子女政策的实行，失独老人数增多，需要照料的失能、半 失能老人也呈现上升趋势。伴随老龄化而来的健康问题对现行养老和健康体系带 来严峻的挑战。因此，创新养老模式，在养老服务中树立健康理念，强化医疗服 务，整合现有医疗服务与养老服务资源，推动新的医养结合模式的发展。
最后建议强化政府职责，加强多部门协同推进医养结合发展；鼓励引导社会 力量参与医养结合服务提供；逐步建立长期护理保险制度，发展医养结合商业保 险；完善医养结合法律法规，为医养结合提供制度规范和保障；建立以居家为主、 社区依托，医疗机构支撑的医养结合服务体系；通过对转岗培训以及毕业前教育 等多种方式加快医养结合人才队伍建设。
佘瑞芳
培养单位（院、系）：南昌大学公共管理学院 指导教师姓名、职称：熊节春 讲师 专业学位种类：公共管理 论文答辩日期：2014 年 5 月 25 日
答辩委员会主席： 陈谨祥
评阅人：
2014 年 5 月
万方数据
一、学位论文独创性声明
本人声明所呈交的学位论文是本人在导师指导下进行的研究工作及取得的 研究成果。据我所知，除了文中特别加以标注和致谢的地方外，论文中不包含其 他人已经发表或撰写过的研究成果，也不包含为获得南昌大学或其他教育机构的 学位或证书而使用过的材料。与我一同工作的同志对本研究所做的任何贡献均已 在论文中作了明确的说明并表示谢意。
II
万方数据
ABSTRACT
of law and policy, the blocked financing channel and inadequacy of qualified employees.
Finally, it is recommended to strengthen the responsibility of the government and the multi-sector collaboration in promoting the mode of elderly care and medical care combination; to encourage private capital to participate in providing elderly care and medical care services; to establish the long term care insurance system gradually, and develop commercial insurance for elderly care and medical care. To provide institutional norm and safeguard for the combination of elderly care and medical care, the regulation and law need to be improved. To establish the elderly care and medical care combination system which is focus on home-based care services, relying on the community, and supported by the medical institutions. To strengthen human construction in elderly care and medical care combination services in multiple ways, including job training and education before graduation. Key Words: elderly care; combination of medical care and elderly care; solutions
China has become old before being rich. Government pays great attention to the aging problem, consistently researching and tracking the demographics to understand the present situation of frail elderly around the country. The paradox is that oversupply along with the lack of access to resources both exists in the market of elderly care market. Recently, cities such as Beijing, Anhui and Qingdao has established the mode of elderly care and medical care combination, e.g. geriatric wards in public hospitals, clinics in gerocomium and the involvement of private capital. However, the trial across the country is restricted as a result of the deficiency
关键词：养老模式；医养结合；对策
I
万方数据
ABSTRACT
ABSTRACT
As China becomes an aging society, its aging process has dramatically accelerated. The large number and rapid increase of elderly population has aggravated the tendency of demographic aging and empty-nest phenomenon, which followed by a leap in the size of frail elderly. Health problems have posed a great threat to the current medical care and elderly care system. Therefore, the innovation in the mode of elderly care system calls for integration with medical care resources.
U.S., Australia, Germany, Japan, Sweden, etc have already stepped into aging society and realized the problem of the long-term care for elderly people in the early stage. Through the implement of law and policy, as well as the dominant responsibility of government, these countries have built the diverse modes of fund-raising and client-oriented services for senior citizen. Furthermore, with the expansion in aged population and the increasing will to home/community-based care for the elderly, it has become a trend to lay more and more emphasis on home/community-based care.
The combination of medical care and elderly care is a part of long-term care. By discussing the concept and content of long-term care, this paper figures out the meaning of elderly care and medical care combination, including the object, the content, the supplier, the mode and the qualification and the market access standard for the organizations who provide this kind of service.
学位论文作者签名（手写）：
签字日期：
年月日
二、学位论文版权使用授权书
本学位论文作者完全了解南昌大学有关保留、使用学位论文的规定，同意学 校有权保留并向国家有关部门或机构送交论文的复印件和电子版，允许论文被查 阅和借阅。本人授权南昌大学可以将学位论文的全部或部分内容编入有关数据库 进行检索，可以采用影印、缩印或扫描等复制手段保存、汇编本学位论文。同时 授权北京万方数据股份有限公司和中国学术期刊（光盘版）电子杂志社将本学位 论文收录到《中国学位论文全文数据库》和《中国优秀博硕士学位论文全文数据 库》中全文发表，并通过网络向社会公众提供信息服务，同意按“章程”规定享 受相关权益。
学位论文作者签名（手写）：
导师签名（手写）：
签字日期： 年 月 日
签字日期： 年 月 日
论文士□
院/系/所
专业
联系电话
E_mail
通信地址(邮编)：
备注：
□公开 □保密（向校学位办申请获批准为“保密”，
年 月后公开）
万方数据
摘要
摘要
随着我国步入老龄化社会，人口老龄化程度逐渐增高，我国人口出现高龄化、 空巢化趋势，加之独生子女政策的实行，失独老人数增多，需要照料的失能、半 失能老人也呈现上升趋势。伴随老龄化而来的健康问题对现行养老和健康体系带 来严峻的挑战。因此，创新养老模式，在养老服务中树立健康理念，强化医疗服 务，整合现有医疗服务与养老服务资源，推动新的医养结合模式的发展。
最后建议强化政府职责，加强多部门协同推进医养结合发展；鼓励引导社会 力量参与医养结合服务提供；逐步建立长期护理保险制度，发展医养结合商业保 险；完善医养结合法律法规，为医养结合提供制度规范和保障；建立以居家为主、 社区依托，医疗机构支撑的医养结合服务体系；通过对转岗培训以及毕业前教育 等多种方式加快医养结合人才队伍建设。
佘瑞芳
培养单位（院、系）：南昌大学公共管理学院 指导教师姓名、职称：熊节春 讲师 专业学位种类：公共管理 论文答辩日期：2014 年 5 月 25 日
答辩委员会主席： 陈谨祥
评阅人：
2014 年 5 月
万方数据
一、学位论文独创性声明
本人声明所呈交的学位论文是本人在导师指导下进行的研究工作及取得的 研究成果。据我所知，除了文中特别加以标注和致谢的地方外，论文中不包含其 他人已经发表或撰写过的研究成果，也不包含为获得南昌大学或其他教育机构的 学位或证书而使用过的材料。与我一同工作的同志对本研究所做的任何贡献均已 在论文中作了明确的说明并表示谢意。
II
万方数据
ABSTRACT
of law and policy, the blocked financing channel and inadequacy of qualified employees.
Finally, it is recommended to strengthen the responsibility of the government and the multi-sector collaboration in promoting the mode of elderly care and medical care combination; to encourage private capital to participate in providing elderly care and medical care services; to establish the long term care insurance system gradually, and develop commercial insurance for elderly care and medical care. To provide institutional norm and safeguard for the combination of elderly care and medical care, the regulation and law need to be improved. To establish the elderly care and medical care combination system which is focus on home-based care services, relying on the community, and supported by the medical institutions. To strengthen human construction in elderly care and medical care combination services in multiple ways, including job training and education before graduation. Key Words: elderly care; combination of medical care and elderly care; solutions
China has become old before being rich. Government pays great attention to the aging problem, consistently researching and tracking the demographics to understand the present situation of frail elderly around the country. The paradox is that oversupply along with the lack of access to resources both exists in the market of elderly care market. Recently, cities such as Beijing, Anhui and Qingdao has established the mode of elderly care and medical care combination, e.g. geriatric wards in public hospitals, clinics in gerocomium and the involvement of private capital. However, the trial across the country is restricted as a result of the deficiency
