曲靖市医疗机构在医养结合中的优势探究

Advantages of medical institutions in the combination of medical care and pension services in Qujing

结合目前曲靖市"医养结合"工作相关政策不断建立完善,民办养老机构发展迅速,医养结合路径不断创新,医养产业集群开始布局的现状,运用态势分析法(SWOT)方法分析在曲靖市以医疗机构为核心来开展医养结合服务的实施途径,通过优势、劣势、机会、威胁4个维度的探究发现,必须从政府、主管部门、医疗机构等方面进行全面的规划设计和协调配合。在今后的工作中需要继续加强政府层面规划引领和组织领导,整合民政、卫生计生、老龄、人力资源和社会保障等部门主管部门职能,加强部门间的沟通协作,发挥合力;充分调研了解和掌握全市医养结合服务的需求与供给的匹配情况,确保服务的针对性;以医疗机构医联体建设为契机,对现有医疗资源进行优化、整合;结合医疗机构现有的服务能力和工作负荷进行科学、合理的分类分层设计;探索建立一套完整、科学的入院、出院,养老、就医之间相互转化的动态评估系统,并明确评估标准,进而确定医疗服务纳入医保报销,养老服务按标准收取费用;科学合理地测算和控制医疗机构运行成本在维持医疗机构正常业务开展的同时充分体现公益性,真正实现让广大的老年人受益。

As the policy of the combination of medical care and pension services in Qujing has established and improved, the private pension institutions have developed quickly, the innovation are appearing in the service mode of medical support combined with pension service, the industry of the combination of medical care and pension services are developed. Based on such reality, this paper analyzed how the medical institutions provide service which combined the medical and pension services together by method of SWOT, throngh the four dimensions such as strengths, weaknesses, opportunities and threats, and it finds that a comprehensive planning and coordination is required by both the government departments and medical institutions. In future, it should to strengthen the government level planning guidance and leadership, integrate the functions of different government departments such as civil affairs bureau, health and family planning commission, aging committee, human resources and social security departments. It must strengthen the communication and coordination among these departments, to investigate the matching situation of the demand and the supply for the combination of medical care and pension services in Qujing, and ensure the pertinence. With the development of hospital united systems, the integration and optimization of quality medical resources are required, combining with the existing service capacity and workload of medical institutions, a scientific and rational hierarchical design is carried out. Also, It must establish a set of complete and scientific admission and discharge, pension, medical mutual transformation between dynamic evaluation system and evaluation standards, to determine medical services into health care expenses, pension service fees according to the standard; otherwise, it must measure and control the cost of medical institutions scientifically and reasonably in order to make them work properly and reflect public welfare at the same time, and then the old people can benefit from these measures.