福利多元主义视角下医养结合协同治理研究——以广州市A医院托管养老机构为例  

Research on collaborative governance of medical and elderly care integration from the perspective of welfare pluralism:a case study of a hospital-managed nursing home in Guangzhou

作　　者：曾永发[1] 邱建永[1] 聂斌[1] 张立峰 ZENG Yongfa;QIU Jianyong;NIE Bin;ZHANG Lifeng(Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou 510095)

机构地区：[1]广东省第二中医院,广东广州510095

出　　处：《现代医院》2025年第1期4-7,共4页Modern Hospitals

摘　　要：目的研究医养结合的协同治理模式,以促进医疗机构参与医养结合服务,提供对策建议。方法基于福利多元主义的视角,结合广州市A医院托管养老机构的实践经验,探讨政府、市场、社区和家庭等不同福利主体在医养结合服务体系中的作用。结果医养结合面临政府在场地、医保等方面保障力度不足的问题,市场上社会资本参与医养结合的活力不足,医养结合机构与社区组织之间的联动不强,以及老年人家庭对医养结合服务的负担较重等问题。结论政府应完善顶层制度设计,市场需优化医养结合服务供给,社区应发挥平台的枢纽作用,家庭则要营造尊老爱老的良好氛围。Objective This study aims to explore the collaborative governance model of medical and elderly care integration to promote the participation of medical institutions in integrated services and provide policy recommendations.Methods Based on the perspective of welfare pluralism,combined with the practical experience of an A hospital-managed nursing home in Guangzhou,the roles of different welfare subjects such as the government,market,community,and family in the medical and elderly care integration service system were discussed.Results The integration of medical and elderly care faces issues such as inadequate government guarantees in terms of space and medical insurance,insufficient vitality of social capital participating in medical and elderly care integration in the market,weak linkage between integrated care institutions and community organizations,and heavy burden on elderly families in accessing integrated services.Conclusion The government should improve top-level institutional design,the market needs to optimize the supply of medical and elderly care integration services,the community should play a pivotal role as a platform,and families should create a supportive environment for respecting and caring for the elderly.

关 键 词：医养结合 福利多元主义 医疗机构 

分 类 号：R-012[医药卫生]