居家型医养结合养老模式的困境及对策研究  

Research on Dilemma and Countermeasures of In-Home Combination of Medical Care and Elderly Care Mode

作　　者：石龙 Shi Long(Public Health and Management Institute,Youjiang Medical University for Nationalities,Baise,533000)

机构地区：[1]右江民族医学院公共卫生与管理学院,百色533000

出　　处：《医学与社会》2019年第2期14-17,共4页Medicine and Society

基　　金：国家自然科学基金项目"基层医疗体制机制与医疗保险付费方式的适配性研究";编号为71463060;教育部人文社会科学研究项目"公立医院体制机制与医疗保险付费方式的适配性研究";编号为13YJCZH271

摘　　要：推动医疗卫生和居家养老服务的融合发展,是积极应对人口老龄化和建设健康中国的重要举措。通过研究发现,居家型医养结合服务供给的能力和动力不足、基本医疗保险缺乏激励和约束机制以及老年人就医选择的"路径依赖"是制约居家型医养结合养老模式发展的主要因素。研究表明,提升基层医疗机构居家型医护服务供给的能力和动力、完善基本医疗保险的激励和约束机制、科学地引导老年人改变非理性的就医行为是推动居家型医养结合养老模式发展的重要对策。The combination of in-home combination medical care and elderly care mode is a key point for coping with aging trend and building Healthy China.The study finds that the development of in-home senior care and medical care mode is limited by lacking of supply ability and supply power for in-home senior care and medical care service,incentive and restrictive mechanism for medical insurance payment,and holding the"path dependence".This paper shows that promoting supply ability and supply power for in-home medical care and elderly care service at primary level and social level,improving incentive and restrictive mechanism for medical insurance payment,and guiding the elderly change non-rational mind are the main countermeasures.

关 键 词：居家养老 医养结合 全民健康覆盖 医疗保险 

分 类 号：R19-0[医药卫生—卫生事业管理]