Research On The Dynamic Mechanism Of The Development Of The Old-Age Service System Of "Combination Of Medical Care And Nursing"

Under the background of the aging of the aging and the diversification of the demand for the aged,the construction of the “healing and nurturing” old-age service system can not only be based on the integration of simple medical resources and old-age resources,but also the pension resources from a deeper level.The medical resources have reached a further integration,resulting in the effect of "1+1>2".The optimization of the “healing and health care” old-age service system not only meets the growing needs of people for the elderly,but also plays an important role in promoting social equity and social harmony.Through literature research,case investigation,comparative analysis and questionnaire survey,this paper makes a comprehensive study on the construction of the old-age service system of "combination of medical care and maintenance".It makes an empirical analysis on the development and operation effect of Qingdao City and Shanghai City,Shandong Province,which are mature pilot cities of medical care and maintenance,and conducts a field survey on the promotion of the pilot project of medical care and maintenance in Nanchang City,Jiangxi Province.Combining with the construction of the old-age service system in typical countries,based on the theory of social dynamic mechanism,this paper analyses the difficulties encountered in the development of the old-age service in China and puts forward its optimization path.This paper consists of the following seven parts.The first part is the introduction.This part mainly consists of research background and significance,domestic and foreign research review,research content,research methods and research innovation and shortcomings.The second part is the definition and theoretical basis of the concept of "medical-maintenance combination" old-age service.It differentiates the concepts of medical-maintenance combination and medical separation,clarifies the concept of medical-maintenance combination old-age service,and elaborates the related theory of medical-maintenance combination old-age service system: public goods theory and social development dynamic mechanism theory.The third part is the research and analysis of the pilot cities of the "combination of medical care and maintenance" old-age service,the analysis of the development and operation effect of Qingdao and Shanghai,the field survey of the pilot cities of the combination of medical care and maintenance in Nanchang,and the challenges and problems faced by the pilot cities of the combination of medical care and maintenance at present.The fourth part is based on the dynamic mechanism of social development theory to analyze the problems existing in the development of medical care combined with old-age care services.First,the development of power is imperfect;second,the transformation of power is imperfect;third,the distribution of power is inadequate;fourth,the feedback of power is imperfect.The fifth part is the experience of typical countries in the construction of integrated medical and nursing care service system.Through the comparative analysis of PACE plan in the United States,integrated community care in Britain and long-term nursing service pension model in Japan,it can provide reference for the optimization of the construction of integrated medical and nursing care service system in China.The sixth part is the optimization path of the dynamic mechanism of the medical and nursing combined old-age service system.One is to promote the development of the power of the integrated medical and nursing care service system;the other is to speed up the power transformation of the integrated medical and nursing care service system;the third is to promote the power distribution of the integrated medical and nursing care service system;and the fourth is to learn the power feedback of the integrated medical and nursing care service system.The seventh part summarizes the whole paper and puts forward research prospects.