通讯作者: 王芳, wang.fang@imicams.ac.cn

DOI：10.12201/bmr.202209.00012

Analysis of the current situation of community-dwelling integrated medical and elderly care in China

• 摘要：目的：分析我国社区居家医养结合服务现状、特点和问题,为完善社区居家医养结合服务提供建议。方法：采用目的抽样法,在12个省/市选择包含10种类型的34家社区居家医养服务提供机构进行现场调研,运用主题框架法对调研资料进行分析。结果：多元化、多形式、多层次的社区居家医养结合服务格局初步形成,社区居家医疗服务基本可及,但居家医疗服务有效供给难。整合型的社区居家医养结合服务有一定探索,须进一步总结推广。社区居家医养结合服务的多部门协同机制尚未建立,相关标准规范和保障措施还不完善。结论：应建立社区居家医养结合协同治理机制,完善服务标准体系和保障政策；充分发挥各级医疗机构主体作用,补齐医疗服务短板；探索适宜的社区居家医养结合服务机构运行模式。

  关键词： 医养结合; 社区居家; 服务提供

   

  Abstract: Objective: This paper analyzed the current situation of the provision of community-dwelling integrated medical and elderly care in China,in order to provide suggestions for further development. Methods：Using the purposive sampling method,34 institutions with 10 categories in 12 provinces/cities were selected as the field survey sites. The thematic framework method was used to collect and analyze the research data. Results：The community-dwelling medical and elderly care services are provided in a wide variety of content and ways by multiple service providers. Medical care is basically integrated into the elderly care, while the effective supply of home-based medical services is difficult. The integration of services has been enhanced, but further exploration is needed. Multi-sectoral collaboration mechanism for medical and elderly care has not been established, and services are still fragmented. There is still a lack of service standards and guarantee mechanism for community-dwelling integrated medical and elderly care. Conclusions：A collaborative governance mechanism should be established to promote community-dwelling integrated medical and elderly care. The government should develop a unified comprehensive standard system and guarantee policies, improve the compensation and incentive mechanism to give full play to the role of medical institutions at all levels. Localities should explore appropriate operation models of based on their actual conditions.

  Key words: Integrated medical and elderly care; community-dwelling; service delivery

  提交时间：2022-09-19

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• 序号	提交日期	编号	操作
  1	2022-07-22	bmr.202209.00012V1	下载

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