健康治理视角下我国居家社区医养结合服务治理功能的实现

The realization of governance functions of community-dwelling based integrated medical and elderly care services in China from the perspective of health governance

基于健康治理的视角,从政策指导与愿景、系统设计、协同合作、监管能力、问责制与透明度、信息收集与监测六个方面对我国居家社区医养结合的治理功能进行了分析。研究发现,当前我国居家社区医养结合的治理功能主要面临长期发展计划与目标缺乏、政府多部门协同效率欠佳、非政府力量参与治理作用有限、监管体系不完善以及后续问责制与透明度不明晰等问题。未来应从完善相关发展计划与目标的制定、持续深化部门间协同合作力度、重视多中心治理能力的发挥以及强化监管与问责机制等方面进行改善。

From the perspective of health governance, this study analyzes the governance functions of the community-dwelling based integrated medical and elderly care services in China from six aspects: policy guidance and vision, system designs, collaboration, regulation capacity, accountability and transparency, information collection and monitoring. The findings suggest that the governance functions of China’s current community-dwelling based integrated medical and elderly care are mainly facing the following problems: lack of long-term development plan and goal, inefficient coordination among multiple government departments, limited contribution to the governance from non-governmental organizations, incomplete regulation and accountability system and unclear follow-up accountability and transparency. In the future, the government is suggested to consider improving the formulation of relevant development plan and goal, continuously strengthening inter-departmental coordination, emphasizing the application of multi-center governance capacity, and reinforcing the regulation and accountability mechanism.