基于個(gè)體養(yǎng)老偏好的健康養(yǎng)老模式研究
本文選題:養(yǎng)老偏好 + 健康養(yǎng)老 ; 參考:《青島大學(xué)》2017年碩士論文
【摘要】:近年來,隨著我國(guó)老齡化程度的加深、高齡化趨勢(shì)明顯,失能失智老人越來越多,2015年,國(guó)務(wù)院辦公廳發(fā)布《關(guān)于推進(jìn)醫(yī)療衛(wèi)生與養(yǎng)老服務(wù)相結(jié)合指導(dǎo)意見的通知》,將醫(yī)養(yǎng)結(jié)合提上日程,健康養(yǎng)老問題成為社會(huì)及政府關(guān)注的焦點(diǎn)。目前,我國(guó)多省市都已積極開展醫(yī)養(yǎng)結(jié)合服務(wù),并已形成各具特色的健康養(yǎng)老模式。但是,各地區(qū)的健康養(yǎng)老模式并不完善,還存在服務(wù)內(nèi)容同質(zhì)化、供給資源不足、監(jiān)管主體不明確等問題。本文以健康養(yǎng)老模式為研究中心,從健康養(yǎng)老理論概述、健康養(yǎng)老模式實(shí)踐與實(shí)證研究以及提出建議三個(gè)方面進(jìn)行闡釋:首先,對(duì)健康養(yǎng)老模式等相關(guān)概念進(jìn)行界定。運(yùn)用需求層次理論、效用與偏好理論、健康管理與健康促進(jìn)理論,闡釋健康養(yǎng)老模式的理論基礎(chǔ)。在此基礎(chǔ)上,介紹丹麥、美國(guó)及日本的實(shí)踐經(jīng)驗(yàn),總結(jié)出對(duì)完善我國(guó)健康養(yǎng)老模式的啟示。其次,本文分析我國(guó)健康養(yǎng)老相關(guān)政策和模式發(fā)展,總結(jié)出我國(guó)的健康養(yǎng)老模式發(fā)展特點(diǎn)。同時(shí),以北京市老年人個(gè)體養(yǎng)老偏好為研究視角,從個(gè)人自身情況、家庭狀況及收入情況三個(gè)方面,分析了我國(guó)不同健康養(yǎng)老模式選擇的影響因素;诟鞯貙(shí)踐及實(shí)證研究,提出現(xiàn)存健康養(yǎng)老模式存在的問題,旨在為完善我國(guó)健康養(yǎng)老模式的發(fā)展提供政策建議。最后,針對(duì)我國(guó)健康養(yǎng)老模式發(fā)展存在的問題,從籌資支付制度、需求層面、供給層面和監(jiān)管層面四個(gè)角度提出完善我國(guó)健康養(yǎng)老模式的政策建議。從籌資支付制度看,需建立多元化籌資渠道,完善支付制度建設(shè);需求層面,完善老年分類分級(jí)標(biāo)準(zhǔn),構(gòu)建多元健康養(yǎng)老模式;供給層面,完善健康養(yǎng)老服務(wù)標(biāo)準(zhǔn)、規(guī)范和指南,加強(qiáng)健康養(yǎng)老服務(wù)專業(yè)隊(duì)伍建設(shè),扶持社會(huì)資本參與健康養(yǎng)老服務(wù)業(yè);監(jiān)管層面,強(qiáng)化政府的責(zé)任,完善健康養(yǎng)老服務(wù)的監(jiān)管。
[Abstract]:In recent years, with the deepening of aging in our country, the trend of aging is obvious, and the number of disabled and retarded elderly is increasing. In 2015,The General Office of the State Council has issued the notice on promoting the combination of medical and health services and old-age services, putting the combination of medical care and support on the agenda, and the issue of health care for the aged has become the focus of attention of the society and the government.At present, many provinces and cities in our country have actively developed the combination of medical and nursing services, and have formed their own patterns of health care for the aged.However, there are still some problems, such as homogeneity of service content, shortage of supply resources, unclear supervision body and so on.In this paper, the health pension model as the research center, from the health pension theory overview, health pension model practice and empirical research and put forward three aspects of the interpretation: first, the definition of health pension model and other related concepts.Based on the theory of hierarchy of needs, utility and preference, health management and health promotion, this paper explains the theoretical basis of health pension model.On this basis, the practical experiences of Denmark, the United States and Japan are introduced, and the enlightenment to consummating the pattern of health care for the aged in China is summarized.Secondly, this paper analyzes the development of health care related policies and models in China, and summarizes the characteristics of the development of health pension model in China.At the same time, from the perspective of the individual old-age preference of the elderly in Beijing, this paper analyzes the influencing factors of the choice of different health pension models in China from three aspects: the personal situation, the family situation and the income situation.Based on local practice and empirical research, this paper puts forward the problems existing in the existing health pension model, in order to provide policy suggestions for improving the development of health pension model in China.Finally, in view of the problems existing in the development of healthy old-age pension model in China, this paper puts forward some policy suggestions on how to perfect the health old-age pension model in China from four aspects: financing and payment system, demand level, supply level and supervision level.From the point of view of financing payment system, it is necessary to establish diversified financing channels and improve the construction of payment system; at the demand level, to perfect the classification and grading standards for the elderly, and to build a pluralistic model of health care for the aged; to improve the standard of health care for the aged at the supply level;Standardize and guide, strengthen the construction of health pension service professional team, support the social capital to participate in the health pension service industry, supervise the level, strengthen the responsibility of the government, perfect the supervision of the health pension service.
【學(xué)位授予單位】:青島大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2017
【分類號(hào)】:R197.1;D669.6
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