农村医养结合养老模式的制度变迁分析  

Discussion on Institutional Change of Rural Pension Model of Integrated Medical and Elderly Care Services

作　　者：刘明芝[1,2] 薛兴利 毕红霞[2] LIU Ming-zhi;XUE Xing-li;BI Hong-xia(School of Management,Jining Medical University,Rizhao 276826,China)

机构地区：[1]济宁医学院管理学院,山东日照276826 [2]山东农业大学经济管理学院,山东泰安271018

出　　处：《医学与哲学（A）》2018年第11期45-48,共4页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：2018年山东省社会科学规划项目(18CSHJ14)

摘　　要：伴随社会生产生活方式的演变,我国农村先后呈现出家庭养老、集体供养、养老保险、社会化养老等多种模式。政府主导下的农村医养结合养老模式能有效整合养老与卫生资源,以满足农村健康养老的时代需求,该制度在降低交易成本、提供经济服务、创造合作条件、提供激励和保险机制方面展示了优越的功能,并具有一定的经济和社会实施绩效。但是,作为新生事物,其在运营过程中暴露出诸多问题,需要在理清医养内涵、参与主体、具体运作模式、信息技术应用及管理等方面进行后续制度创新,来有效解决该制度缺陷。The rural endowment modes, such as home-based support, collective support, endowment insurance and socialized services system, are the results of economic, social development and life-styled transformation. The government promoted rural integrated medical and elderly care, which integrates both pension and health care resources, can effectively fit the increasing elderly care needs in China rural area. And the China characteristic mode has shown solid economic and social performance in cutting transaction costs, providing affordable services, creating collaborative conditions, creating incentives and providing insurances.However, as a new thing, this mode has many challenges in operation practices. To effectively solve its institutional deficiency, the follow-up institutional innovation is required in system re-definition, key participants identification, the specific procedures design and the IT systems application.

关 键 词：农村医养结合 制度变迁路径 制度变迁机制 制度创新 

分 类 号：R-05[医药卫生]