我国医养结合政策执行情况分析

Analysis of the implementation of healthcare plus aging care policy in China

医养结合是整合医疗服务和养老服务的一种新型养老模式。国家陆续出台了一系列政策,促使各地积极探索医养结合。作者参考爱德华政策执行模型中交流与沟通、政策资源、政策执行者偏好和组织结构4个要素,对医养结合政策执行情况进行分析。结果显示,模糊的政策执行标准,人力、财力和物力等政策资源的不足,地方政府、综合性医疗机构、基层医疗机构和养老机构等政策执行者偏好的差异以及政策管理机构的权责分散,制约了医养结合政策的执行。目前医养结合政策仍处在探索尝试阶段,政府应继续对政策进行细化和修正,保障医养结合政策的顺利推进和长效实施。

The healthcare plus aging care is a new type of aging care model that integrates medical services and aging care services.China has successively issued a series of policies,encouraging the localities to proactively explore such a model.The authors refer to the four dimensions of exchange and communication,policy resources,policy executor preferences and organizational structure in the Edwards policy execution model,for analyzing the implementation of such a policy.The study found such constraints for the policy as follows:unclear policy implementation standards,inadequate policy resources of manpower,financial and material resources,differences in preferences among local governments,general hospitals,primary medical institutions,and pension institutions,as well as decentralized and restricted organizational structures.At present,the policy of healthcare plus aging care remains in the stage of exploration and trial.The government should continue to define and revise the policy to ensure the smooth progress and long-term implementation of the policy of healthcare plus aging care.