组织、政策和资源:三维透视医养结合服务供给碎片化

Organization, Policies and Resources: A Three-dimensional Analysis of the Supply Chain Fragmentation of the Integrated Service Model of Medical and Health Care for the Aged

为应对老年人不断膨胀的综合性服务需求,在国家的政策引导下,医养结合养老服务供给发展迅速,已然成为当前养老服务的重要方式和热点话题。我国医养结合养老服务供给实践中存在碎片化的困境,其深层根源是体制机制问题。医养结合服务供给组织的多头管理、权责壁垒,供给主体的多元分离、信息不对称,“医”“养”资源分散、政策割裂,诸多因素造成医养结合服务提供困难、供需错位、有效供给不足。解决供给碎片化的路径是整合,通过组织协作、政策连接和资源整合来实现。

In order to cope with the growing demand for the comprehensive services for the aged in China, under the guidance of our national policies, the integrated service model of medical and health care for the aged has developed rapidly, and has become an important means and hot topic of the current aged care. However, there is a dilemma of supply chain fragmentation in the implementation of this integrated service model, and its root cause is the problem of the institutional mechanism. Quite a few factors like multi-agency management, barriers to power and responsibility, poor cooperation among supply entities, asymmetric information, scattered “medical” and “health-care” resources, and policy separation have caused difficulties in the implementation of the integrated service model of medical and health care for the aged.