本文選題：養(yǎng)老機構 + 醫(yī)養(yǎng)結合　； 參考：《東北財經大學》2016年碩士論文

【摘要】：我國的人口老齡化是在"未富先老"、城鄉(xiāng)和區(qū)域發(fā)展不均衡、社會保障制度不完善等背景下到來的,如何解決龐大規(guī)模的老年人口養(yǎng)老問題,是目前社會關注的焦點。為了改變我國目前的養(yǎng)老現狀,實現老年人"老有所醫(yī)、老有所養(yǎng)"的目標,就必須重新審視當前養(yǎng)老機構的"醫(yī)養(yǎng)分離"的服務模式。中國現行的民政部門負責解決養(yǎng)老服務、醫(yī)療機構提供門診和短期住院服務的結果,導致了老年人養(yǎng)老中的醫(yī)療和長期護理的供求矛盾。"醫(yī)養(yǎng)結合"養(yǎng)老服務模式是在老齡化背景下,解決中國老年人養(yǎng)老和醫(yī)療問題的有效路徑,尤其對于那些失去自理能力的老年人及其家庭而言,這種服務模式可以較大程度地解除他們的后顧之憂。本文通過對概念的重新理解,進一步明確了醫(yī)養(yǎng)結合養(yǎng)老服務模式的內涵,認為,醫(yī)養(yǎng)模式涉及服務對象、服務內容、服務提供主體、服務模式的實現、服務人員以及服務機構的資質和準入標準等,并探討了醫(yī)養(yǎng)結合服務模式的實現方式。論文在研究"醫(yī)養(yǎng)結合"養(yǎng)老模式發(fā)展現狀基礎上,分析了當前"醫(yī)養(yǎng)結合"養(yǎng)老模式發(fā)展存在的問題,這些問題包括:政府多頭管理,政策扶持落實難;資金投入不足,服務主體參與積極性不高;醫(yī)保定點覆蓋率低;缺乏老年醫(yī)療護理專業(yè)人才等。"醫(yī)養(yǎng)結合"養(yǎng)老模式是實踐"醫(yī)養(yǎng)結合"理念,實現醫(yī)療資源與養(yǎng)老資源結合,達到資源優(yōu)化配置的方法或手段。論文將"醫(yī)養(yǎng)結合"養(yǎng)老服務模式分為內置型"醫(yī)養(yǎng)結合"養(yǎng)老服務模式、聯動型"醫(yī)養(yǎng)結合"養(yǎng)老服務模式和輻射型"醫(yī)養(yǎng)結合"養(yǎng)老服務模式。其中,內置型"醫(yī)養(yǎng)結合"養(yǎng)老服務模式又分為養(yǎng)老機構內置醫(yī)療機構和醫(yī)療機構內置養(yǎng)老機構;聯動型"醫(yī)養(yǎng)結合"養(yǎng)老服務模式又分為專業(yè)型養(yǎng)老機構+醫(yī)療機構和復合型養(yǎng)老機構+醫(yī)療機構,并借助典型案例對每種模式進行了分析,探討了中國養(yǎng)老機構醫(yī)養(yǎng)結合養(yǎng)老服務模式的發(fā)展趨勢。針對我國養(yǎng)老機構在"醫(yī)養(yǎng)結合"養(yǎng)老服務模式發(fā)展中存在的問題,本文提出了一系列對策建議:一是強化政府職責,發(fā)揮政府主導作用,加強多部門合作協同推進醫(yī)養(yǎng)結合發(fā)展;二是重視相關法律體系建設,完善落實醫(yī)養(yǎng)結合優(yōu)惠扶持政策;三是逐步建立長期護理保險制度,改革醫(yī)療保險結算制度,創(chuàng)新醫(yī)療報銷機制;四是通過增設老年養(yǎng)護服務相關專業(yè)及課程和重視在職護理人員的專業(yè)技能培訓,建立合理薪酬和福利待遇來加強照護隊伍的專業(yè)化建設;五是建立健全監(jiān)督評估體系,加強對醫(yī)養(yǎng)結合工作的績效考核和日常監(jiān)督,適時開展工作檢查,及時發(fā)現問題,采取有效措施予以改進,確保醫(yī)養(yǎng)結合工作落實到位。本文的創(chuàng)新之處在于將醫(yī)養(yǎng)結合組合形式按照提供主體進行了分類,并結合相關的典型案例,研究了每種醫(yī)養(yǎng)結合養(yǎng)老服務模式的優(yōu)缺點及適用范圍,有助于不同類型養(yǎng)老機構醫(yī)養(yǎng)結合服務模式的目標定位的明確化和管理的規(guī)范化。
[Abstract]:The population aging in China is coming from the background of "not getting rich before the old", the uneven development of urban and rural and regional development, the imperfect social security system, and so on. How to solve the large scale of the elderly population pension problem is the focus of social concern at present. In order to change the present situation of the old age of our country and realize the goal of the old people "have a good medical care and be old." It is necessary to reexamine the service mode of "separation of medical care" in the current pension institutions. The current civil administration department in China is responsible for solving the old-age service. The medical institutions provide the results of outpatient and short-term hospitalization services, which leads to the supply and demand of medical care and long-term care in the elderly. In view of the effective way to solve the elderly and medical problems of the elderly in China, especially for the elderly and their families who have lost their self-care ability, this service model can greatly relieve their worries. This article further clarifies the connotation of the mode of medical care and pension service through the re understanding of the concept. The mode of medical care involves the object of service, the content of service, the main body of service, the realization of the service mode, the qualification and the admittance standard of the service personnel and the service organization, and the realization mode of the mode of medical care integration service. The problems exist in the development of the model, such as the management of the government, the difficulty of policy support and implementation, the lack of funds, the low participation of the main body of service, the low coverage of medical insurance, the lack of medical care professionals for the elderly, and the lack of medical care professionals for the elderly. According to the method or means to achieve the optimal allocation of resources, the paper divides the "medical care combination" old-age service mode into a built-in "medical care combination" old-age service mode, a coordinated "medical care combination" old-age service model and a radiative "medical support combination" old-age service mode. The medical institutions and medical institutions have built in the old-age institutions built in, and the linkage type "medical care combination" old-age service mode is divided into professional old-age institutions + medical institutions and compound old-age institutions + medical institutions, and with the aid of typical cases, each model is analyzed, and the development trend of the Chinese pension system for the pension service mode is discussed. A series of countermeasures and suggestions are put forward in this paper: first, to strengthen the government's responsibility, to play the leading role of the government, to strengthen cooperation in multi departments and to promote the combination of medical care and support; two, to attach importance to the construction of relevant legal systems and to improve the preferential policies for the implementation of the combination of medical and medical care; Three is to gradually establish long-term care insurance system, reform the medical insurance settlement system, innovate medical reimbursement mechanism, four is to strengthen the professional skills training of the elderly maintenance services related majors and courses, and pay attention to the professional skills training of in-service nursing staff, establish reasonable salary and welfare treatment to strengthen the professional construction of the care team; five is to establish and improve the supervision. The system of supervision and evaluation should strengthen the performance assessment and daily supervision of the combination of medical and maintenance work, timely carry out the work inspection, find the problems in time, take effective measures to improve it, and ensure the implementation of the combination of medical and maintenance. This case studies the advantages and disadvantages of each kind of medical care and pension service mode and the scope of application, which helps to clarify the target orientation and standardize the management of the combination service model of different types of pension institutions.
【學位授予單位】：東北財經大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：D669.6

【引證文獻】

相關期刊論文 前1條

1 高矗群;李福仙;張開寧;;破解少數民族地區(qū)農村養(yǎng)老服務“供需錯位”難題的對策研究[J];云南民族大學學報(哲學社會科學版);2018年01期

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本文編號：1942415