江苏省居家社区医养结合政策分析  

Analysis on the Policy of Dwelling-community Integrated Medical and Elderly Care in Jiangsu Province

作　　者：邓淏晏 赵君[1] 刘思琦 路海英 王芳[2] DENG Haoyan;ZHAO Jun;LIU Siqi;LU Haiying;WANG Fang(Institute of Medical Information,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100020,China;不详)

机构地区：[1]中国医学科学院北京协和医学院医学信息研究所,北京100020 [2]中国医学科学院北京协和医学院卫生健康管理政策学院,北京100005

出　　处：《中国社会医学杂志》2025年第2期137-140,共4页Chinese Journal of Social Medicine

基　　金：中国医学科学院创新工程项目(2021-I2M-1-046);国家卫生健康委委托项目(家庭医生签约服务制度研究);国家卫生健康委委托项目(2024年社区医养结合能力提升行动)。

摘　　要：目的通过分析江苏省居家社区医养结合政策特点,为进一步推进该地区居家社区医养结合服务提供参考意见,并为其他地区提供借鉴依据。方法确定政策检索词并在江苏省政府及相关行政部门官网对2013年1月-2024年9月发布的政策文件进行系统检索和筛选,对纳入的政策文件进行计量分析,参考世界卫生组织卫生体系六模块理论框架对政策文本内容进行分析。结果共纳入53份政策文件,文件类型以意见和通知为主,省卫生健康委员会发文数量最多。江苏省各相关部门职责分工较为明确,多渠道筹资机制正在逐步形成,服务提供主体呈现多元化发展,从“教育-培训-使用”多环节推进人才队伍建设,器械技术聚焦于老年人个性化需求。结论建议进一步完善政府部门间的协同工作机制,推动医疗和养老政策的深度融合,明确针对公立基层医疗卫生机构开展医养结合服务的财政支持,完善基层医疗卫生机构医护人员的激励支持政策。Objective We analyzed the policy characteristics of dwelling-community integrated medical and elderly care policies in Jiangsu Province to provide policy implications for further promoting dwelling-community integrated medical and elderly care in this region and for other regions.Methods The policy documents issued from January 2013 to September 2024 were systematically retrieved and screened on the main official websites of the province by formulating policy search terms,the included policy documents were analyzed by bibliometrics.The theme content analysis was carried out with reference to the six-module theoretical framework of the World Health Organization's health system.Results A total of 53 policy documents were included,with opinions and notices as the main language types,and provincial Health Commission issued the largest number of documents.The study found that the division of responsibilities of relevant departments in Jiangsu Province was relatively clear,the multi-channel financing mechanism was gradually formed,the service providers showed diversified development,the talent construction was promoted from the three aspects of"education-training-use",the construction of equipment and facilities paid attention to individual needs of the elderly.Conclusion It is suggested to further improve the collaborative work mechanism between government departments,deepen the integration of medical and old-age care policies,clarify the financial support for public primary healthcare institutions in providing medical-care integration services,and improve the incentive policies for healthcare professionals in primary healthcare institutions.

关 键 词：居家社区医养结合 老龄 政策分析 

分 类 号：R197.1[医药卫生—卫生事业管理] D669.6[医药卫生—公共卫生与预防医学]