“医养结合”服务体系建设的国际实践及经验启示  

International Practice of Integrated Care Systemand Its Implication

作　　者：梁晨[1] LIANG Chen(Institute of Sociology,Chinese Academy of Social Sciences,Beijing 100732,China)

机构地区：[1]中国社会科学院社会学研究所,北京100732

出　　处：《北京工业大学学报（社会科学版）》2023年第6期82-92,共11页Journal of Beijing University of Technology (Social Sciences Edition)

基　　金：中国社会科学院与英国经济社会研究理事会/艺术人文研究理事会中英研究中心伙伴项目“中国快速变迁背景下的医疗与福利体系改革”。

摘　　要：以英国布莱顿-霍夫市为例,展示英国医疗与社会养老服务实施医养结合项目的实践过程中,委托管理方、服务提供方和监督方三者所承担的角色和行动特征。分析英国医疗和社会养老两个体系在社区中的整合得以实现的条件和面临的困境。研究认为,医养结合服务试图打通医疗领域与地方政府的社会养老领域之间的壁垒,从组织架构和政策传递方式两方面实现医疗服务与养老服务整合。英国医养结合服务项目的特征在于,在组织体系中,试图实现“条”“块”合作,通过机构联合和资金联合撬动服务;服务传递模式强调在社区中的落地和搭建各方的伙伴关系平台;监督体系丰满立体。提出从人的需求出发的体系整合,搭建和夯实社区的平台作用,完善的立体式监督体系等三方面经验启示。The article takes Brighton and Hove in UK as an example to demonstrate the roles and characteristics of the entrusted management party,service providers,and supervisory party in the implementation of the medical and social elderly care integration project in the UK,in order to analyze the difficulties faced by the integration of the medical and social elderly care systems in the community.The article believes that the integrated care services aim to break through the barriers between the medical and the social elderly care of local governments,and achieve integration from two aspects:organizational structure and policy delivery methods.In the organizational system,attempts are to achieve"strip"and"block"cooperation,leverage services through institutional and financial collaboration.The service delivery model emphasizes the implementation in the community and the establishment of partnership platforms for all parties.The supervision system is comprehensive.The implication includes care system integration based on human needs,partnership platform building,and supervision system improvement.

关 键 词：医养结合 养老服务 医疗服务 社区照护 多元主体 

分 类 号：C91[经济管理]