健康中国视域下的“医养结合”问题研究

The “combination of medical care and nursing”from the perspective of healthy China

医养结合作为健康中国战略下实现健康老龄化目标的重点内容和重要途径,同时也体现了健康中国战略的四大核心理念"大健康”"全周期”“全人群”和“大环境”。目前,我国在医养结合服务的推进过程中形成了"养中设医”“医中设养”“医养合作”和“依托社区发展医养结合”的四种发展模式,为机构、社区、居家老人提供了专业的健康养老服务。但由于我国医养结合服务尚处在探索阶段,仍面临政策理念、体制机制、专业人才和信息共享等方面问题的制约。为此,笔者提出了推进医养结合服务发展的健康路径,即优化政策设计理念,构建按需有序的服务供给体系;创新医养结合体制机制建设,补齐发展短板;充分挖振专业人才资源,建上长效培养与激励机制;加强信息化平台建设,实现健康养老数据资源共享。

As the key content and important way to achieve the goal of healthy aging under the strategy of healthy China, the combination of medical care and nursing also embodies the four core concepts of healthy China strategy -"enlarged health","whole cycle","whole population" and "big environment". At present,there are four development modes of the combination of medical care and nursing which provide professional services for the elderly. However,due to the fact that the combination of medical care and nursing in China is still in the exploratory stage, it is constrained by policy, institutional mechanisms, professionals and information sharing. For this reason, the paper puts forward some suggestions promote the development of integrated medical and nursing services, that is, to optimize the concept of policy design and build an orderly service supply system on demand;to innovate the systems and mechanisms of the combination of medical care and nursing;to fully tap professional resources and establish a long-term training and incentive mechanism;to strengthen the construction of information platform share the data resources for healthy old-age care.