整体性治理视角下城市居家医养结合发展研究  

Research on the Development of the Integration of Urban Home-based Medical Care from the Perspective of Holistic Governance

作　　者：龚秀全[1] 刘晴暄 张敏 陈以文 秦绪美 王晓芸 Gong Xiuquan;Liu Qingxuan;Zhang Min;Chen Yiwen;Qin Xumei;Wang Xiaoyun

机构地区：[1]华东理工大学社会与公共管理学院,上海200237 [2]上海师范大学哲学与法政学院,200233 [3]华东理工大学社会与公共管理学院,200062

出　　处：《科学发展》2022年第7期106-113,共8页Scientific Development

摘　　要：相对于机构服务来说,上门医疗和护理服务对服务质量和风险管控的要求更高,需要有完备的法律体系和监管体系作为支撑。因此,政府部门要完善居家医养结合中的相关法律规范,明确“医”和“养”的服务范围,界定医疗和养老供给方的权责与义务、利益关系、服务内容、风险管控机制等,制定居家医养服务合同范本,这也有利于更好地监管服务过程,有效地规范市场运行,在发现风险和处理风险的过程中有法可依、有章可循。Compared with institutional services,door-to-door medical and nursing services have higher requirements on service quality and risk control,and require a complete legal system and regulatory system as support.Therefore,government departments should improve the relevant legal norms in theintegration of home-based medical care,clarify the scope of“medical”and“nursing”services,and define the rights,responsibilities and obligations,interest relationships,service content,and risk management and control mechanisms of medical and elderly care providers,formulate a model contract of home-based medical care service,which is also conducive to better supervising the service process,effectively regulating the operation of the market,and having laws and regulations to follow in the process of discovering and dealing with risks.

关 键 词：居家医养结合 整体性治理 基本医疗保健 

分 类 号：C913.6[经济管理]