Research On The Standardization Construction For The Combination Of Medical And Care Nursing

“Medical and health combination” refers to a series of professional services that meet the needs of the elderly for diversified pensions,and provide medical care,health consultation,health checkup,disease diagnosis and treatment,nursing,major illness rehabilitation and hospice care on the basis of providing old-age care services.Accelerating the standardization construction of China’s "medical and nursing" old-age care institutions is an inevitable requirement for promoting people’s livelihood construction,meeting the medical service needs of the elderly,promoting the reform of old-age care institutions,and adapting to the aging of the population.It is of great theoretical and practical significance to study the standardization of "medical and nursing integration".From the theoretical point of view,it is conducive to the construction of the basic theoretical framework of the "medical and health" standardization construction,expand the theoretical perspective of the research on the aged care service,and thus enrich the theoretical treasure house of the construction of the old-age service system;In the practical sense,it will help to build an advisory policy plan to promote the standardization of “ medical and health care ”,thus promoting the rapid development of the “health-care combination” pension model.This study uses literature research and case study methods to study in Jiangxi Province.According to the typical principle,the “ Hospital + Pension ” model implemented by Jiangxi Province,the Green Health Community Home Care Maintenance and Pension Model,and the Shangrao City Pension Service Center rely on the “ Five in One ” pension model promoted by the National Dimensional Hospital-Chunhua Hospital.The case attempts to analyze the necessity of promoting the standardization construction of "medical and nursing" in our country,and to explore the current basic mode of "combination of medical care and maintenance".Summarize the basic experience of the standardization construction of "medical and nursing" in Jiangxi Province,and reveal the practical dilemma faced by the current "medical and nursing integration" standardization construction,and build an advisory policy plan to promote the standardization of "medical and nursing integration".At present,the basic modes of "medical and medical integration" mainly include "medical support","nurturing with medicine","medical association","medical contracting" and "home visit".In the process of actively promoting the “combination of medical care and maintenance” in the country,Jiangxi Province is an importantpilot area,with the guiding ideology of being superior and strong,adapting to local conditions and serving the people’s livelihood.To share medical resources,convenient service,perfect functions and close cooperation,Model maturity is the goal,in promoting the integration of working mechanisms,planning policies,carrying platforms,information resources and management services,Formed a standardization construction model of "medical and health" that is in line with Jiangxi Province and has Jiangxi characteristics.Specifically,it includes: coagulation,promoting the integration of working mechanisms;top-level design to promote the integration of planning policies;pilot exploration to promote the integration of the carrying platform;technical support to promote the integration of information resources;Cultivate teams and promote the integration of management services.The current problem facing the standardization of "health-care combination" lies in the fact that the reform of the medical insurance system lags behind the practice of "combination of medical care and maintenance";long-term care insurance has not yet been established;Insufficient supply of professional medical staff;social benefits need to be strengthened;urban and rural development is uneven.In the future,China should gradually develop in the direction of integration,standardization and rationalization in order to promote the development of "medical and medical integration",so as to promote the process of China’s "medical and health" standardization construction.First,it is necessary to strengthen the top-level design and build a policy system for the standardization of “ medical and medical integration ”;second,it is necessary to increase the guiding force for reform and enhance the enthusiasm of the institution for the “medical and medical integration”standardization construction;The third is to broaden the funding channels and strengthen the financial support for the standardization of “medical and nursing”;the fourth is to promote the transformation of the concept of old-age care and improve the acceptance of the “ medical and medical integration ” standardization construction;Fifth,it is necessary to establish and improve a long-term care insurance system,and improve the institutional support for the standardization of “medical and health care”;6.Rationally allocate resources and coordinate the standardization of“medical and health care” in urban and rural areas.