| The aging of the population is the overall background of our country,the National Aging Office issued the "China Population Aging Development Trend Forecast Research Report" for the first time on China's population in the 21st century,the overall situation of the century forecast,the forecast results show:By 2020,China's 60-year-old population will reach 248 million,by 2050 will be more than 318 million,accounting for the proportion of the total population of more than 30%,far more than the international population of 10%of the aging standard line,to severe The degree of aging society.With the increase in the degree of aging in China,the number of disabled,semi-disabled elderly population also showed a rising state of their living conditions and pension problems caused by the community's attention.According to the results of the fourth urban and rural disability in China,the proportion of the urban and rural disabled in the whole population was 18.3%in the total population of 40.63 million.Data show that 77.1%of the city's complete disability of the elderly have long-term care needs,these people include suffering from chronic diseases,disability,dementia,illness and late terminally ill and other elderly people,and these disabled elderly The demand for long-term care is not reduced by the hard demand.Family pension has always been a popular way of pension in our country,but with the family miniaturization and the development trend of the minority,the traditional way of family pension is no longer adapt.Health care separation,there is no medical status quo is also prevalent in China's existing pension mode,the elderly once the sick had to travel between the family.pension agencies and hospitals,not only is not conducive to treatment,but also increased The burden of the family.With the progress of society,the improvement of people's quality of life,the loss of the elderly this large number of special groups,for the old-age care,long-term care to put forward a more professional and diversified requirements.Disability of the elderly treatment and care problems plagued the tens of thousands of households,the need for more innovative disabled elderly elderly service model.In 2013,before and after the State Council issued a number of questions about the elderly pension problems,the document clearly requires the construction of a combination of medical and pension pension model.In 2015,the State Council issued a "guidance on the promotion of health care and old-age services," proposed by 2020,to be basically in line with China's national conditions of the medical system and policies and regulations,to achieve health care and pension services resources Of the orderly sharing,covering urban and rural areas,the size of appropriate,full-featured,integrated and continuous medical service network.At the call of the government,China has started to explore the mode of old-age care for medical institutions,and has achieved some achievements,but there are some shortcomings.For example,it is not possible to give a clear definition of the concept and function of the combination of medical care,and it does not form a specific and feasible operation path.This is not conducive to the development of the old-age service model of the medical union.To this end,put forward some specific,implementable countermeasures is very necessary.This paper is divided into five parts,the first part is the introduction part,mainly analyzes the research background and research significance of the old-age service model of our country's medical union,and combs the domestic and foreign research results on the old-age care and long-term care insurance system,It explains the research ideas,research methods,innovation points and shortcomings of the article.The second part introduces the concept of the old-age service model of the medical union,which includes the theory of ability poverty,the demand hierarchy theory,the welfare pluralism theory and the public product theory.Mainly from the following aspects of China's medical institutions to carry out the relationship between the need for pension service model,such as the aging of the population in the form of grim,disability of the elderly population,pension agencies difficult to meet the needs of the elderly disabled,large hospitals can not For the elderly to provide long-term hospital services,small and medium-sized medical resources idle and integration of existing resources can improve the utilization of resources and several perspectives.The third part mainly analyzes the current situation and the dilemma of the development of the old-age medical institutions in China.It shows how the model of the old-age model of the medical union is put forward,and the model is divided into three categories,independent operation mode,Operating mode and supporting radiation mode.To introduce China's current overall practice,and to Qingdao City,Jinan City and Shanghai to focus on the introduction.Expounded the restrictive factors of the development of the old-age model of the medical union.The fourth part is the foreign reference service of the old-age care institutions,mainly in Japan,Germany and Sweden,for example,introduced the situation of foreign medical institutions with the old-age model to foreign long-term care insurance system analysis,and set out The Enlightenment of Developed Countries on the Development of the Old-age Model of the Combination of Medical Care.The fifth part mainly points out the guiding ideology and principles of advancing the model of the old-age service of the medical-related institutions in China,and puts forward the relevant countermeasures from the angle of fiscal policy.Such as increased health care combined with the effective supply of pension agencies,as soon as possible to establish long-term care insurance system,increase financial support,the establishment of a stable source of funds to increase the subsidies of nurses and regulatory departments of the management responsibilities. |
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