国家和北京市医养结合政策现状研究

Study on Statcls Quo of National and Beijing Policies on Integrated Health and Social Care

医养结合是提高老年人福祉的重要举措。它既建立在以往政策的基础上,也需要新政策的推动。通过政策梳理和分析,本文发现当前国家和北京市的医养结合政策基本涵盖了医疗服务提供者、提供方式、服务内容、服务价格、费用支付以及组织保障等6个方面,并且具备一定程度的完整性、协调性和可行性。针对社区养老和居家养老的医养结合政策缺位较为明显的问题,应该尽快了解老年人的需求,完善相关政策;在医养结合方面,建立各部门间更加有效的协同工作机制;尝试解决执业地点限制、医疗服务定价偏低、护理院设置要求过高等问题,以进一步提高医养结合政策的可行性。

To promote the integrated health and social care is an essential approach to the well-being of the elderly. The development of such integrated care is on the basis of both existing and new policies. Six aspects of national and Beijing policies were reviewed ： providers, provision patterns, contents, prices, payments and administrative organizations. The integrity, coherence and feasibility of policies were generally good. There is a vacancy of the policy on integrated care designed for the elderly who adopt communlty-based or home-based aged care. The policies should be improved based on understanding of the needs of elders. An inter-ministerial working mechanism can be developed. Policy feasibility can be enhanced by addressing issues such as the limitation of providing medical service, the unreasonable service price setting, and the harsh standard of setting a nursing institution, and so on.