开放式社会创新视角下我国医养结合政策研究——基于北京市X养老机构的实地调研

Research on China's Policy of Combination of Medical and Health Care from the Perspective of Open Social Innovation---Based on the Field Investigation of An Elderly Care Institution in Beijing

本文构建三维政策研究框架,采用政策内容分析和实地调研方法对我国医养结合政策进行研究,系统分析了医养结合政策的历史变迁、基本构成和政策谱系;研究了医养结合政策演变的内在规律;指出了我国医养结合政策具有稳定聚焦、政策体系完整规范和养老服务创新模式受到社会关注等显著特性;仍存在规划纲要过多、环境政策数量过溢以及监管、考核与人才培养三方面政策明显不足等缺陷。在此基础上,基于北京市X养老机构的实地调研,尝试构建“开放式社会创新”统合性概念框架体系,从多元主体互动、公共资源聚化、社会创新过程、共同创造价值四方面解释医养结合政策运行的多重逻辑。

Based on the open social innovation theory,this paper constructs a three-dimensional policy research framework and systematically analyzes the historical evolution,basic composition and policy pedigree of China's integrated medical and health care policies.The content analysis method was used to conduct coding statistics and quantitative analysis on the 45 policy texts of the combination of medical and health care issued by the national level from 2000 to 2020,so as to sum-marize the internal law of the evolution of the content of the policy.Based on the innovation theory,this paper constructs the innovation model of medical and health care in China,and further formulates the cooperation process of multiple sub-jects.The results of policy analysis are as follows:the theme of the policy is relatively stable and concentrated;the policy system is relatively complete and standardized;the innovation mode of pension service is paid more attention;the number of planning outlines and environmental optimization policies is excessive;the regulatory policy,assessment policy and talent training policy are obviously insufficient.On this basis,a field survey was conducted on an Elderly Care Institution in Bei-jing.This paper tries to build an integrated conceptual framework system of"open social innovation",and explains the mul-tiple logic of the operation of the policy from four aspects:the interaction of multiple subjects,the aggregation of public re-sources,the process of social innovation and jointly creating value.