健康老龄化视域下的老年照护服务体系:理论探讨与制度构想

Elderly Care Service System in the Perspective of Healthy Ageing:Theory Analysis and Institution Conception

在人口老龄化加速的背景下,疾病模式与健康风险的变化突显了我国老年人健康问题的复杂性与艰巨性。本文基于2015年世界卫生组织更新后的健康老龄化内涵与要素,结合我国老年人群的特点以及相关领域的顶层设计和制度规划进行本土化剖析,围绕老年人和老龄化的观念、环境对老年人健康的意义、提高健康投入效能以及注重全生命周期和全人群健康展开阐释,并在健康老龄化理念与要素的基础上聚焦老年照护体系,提出制度框架构想,同时分别从制度保障、资金保障、服务保障、环境营造、家庭支持五个维度提出相关政策建议。

With the acceleration of population ageing in China,the health problems of the elderly have become more complex and arduous due to the changes of disease patterns and health risks.Based on the conceptions and elements of healthy ageing updated by the World Health Organization in 2015,this paper aims to explore the local Chinese implications by considering the characteristics of China's elderly population,the top-level designed policies and institution planning in related fields.The explanations have been focused on the ideas towards older persons and ageing,the significance of the environment to the health of the elderly,improving the efficiency of health investment,and paying attention to the whole life cycle and the health of the whole population.On the institutional framework,this paper puts forward related policy suggestions from the five dimensions including system guarantee,financial security,service guarantee,environment construction as well as family support.