“微机构化”与“去机构化”:“9073”思辨与医养社区构建--以昆明大健康产业及医养社区为例

"Micro-Institutionalization"and"De-Institutionalization":"9073"Reflections and the Construction of Medical Care Community:A Case Study of Kunming Great Health Industry Demonstration Zone

当下我国养老服务仍以大型院所机构为主,伴随着复合型照护需求的逐年提高,社区化的医养服务急缺基于“9073”养老政策的再思考,文章尝试探索医养融合的路径,以构建“医、养、护、康”的产业多元闭环的方式,实现社会认同;其次,营建社区嵌入式的微型养老服务综合体,用“微机构化”的手段实现基层社区的服务下沉;最后,扁平医护网络顺应“去机构化”趋势,通过搭建社区医护交往平台,培训全日照护人员来满足全龄友好需求,以期为建设健康中国、重构社区生态提供思路。

At present,the elderly care service in China is still dominated by large hospitals and institutions.With the increasing demand for compound care year by year,community-based medical and nursing services are in urgent need.Based on the rethinking of"9073"endowment policy,this paper explores the construction of medical and nursing communities:medical and nursing integration,construction of multiple closed-loop industries,exploration of"medical,nursing,health''industry embeddedness and social identity;service sinking,realization of grass-roots community ecology,construction of community embedded micro endowment service complex.Finally,the flat medical care network conforms to the**de-institutionalization"trend by building a community medical care exchange platform,training full-time care personnel to meet the friendly needs of all ages and providing reference for the construction of a healthy China and the reconstruction of community organizations.