A Study On The Innovation Of Institutional Elderly Care Model In Nanjing From The Perspective Of The Combination Of Medical Care And Support

The ageing of our population is deepening,and the problem of old-age care is becoming more and more serious.At the same time,the deepening of the degree of disability poses new challenges to institutional pension models."Medical and nursing integration" is the equal integration of medical resources and elderly care services.In recent years,the concept of “integration of medical and nursing care” for old-age care has been deeply promoted.Traditional old-age care institutions are actively transforming,and there are a large number of integrated medical and care institutions that can meet the needs of both elderly care and old-age care.The old-age care model of integrated care institutions is also constantly developing.As the second batch of national “medical and nursing” pilot cities,Nanjing has actively carried out the pilot work,and has formed the main model types with “supporting Chinese medicine model”,“supporting Chinese medicine model”,and “equal medical and nursing model”.The old-age care model of the combined medical and nursing institutions.However,in the field investigation of two representative medical and nursing institutions in Nanjing,it is found that the current Nanjing medical and nursing institutions still have difficulties and deficiencies in the management system,service quality,financing channels and safeguards.As the United States and Japan,which entered the aging society earlier than our country,there are many useful experiences in the development and construction of the old-age care model of the combination of medical and nursing institutions that are worthy of reference.At the same time,the definition of "quasi-public goods" in the theory of public goods,the theory of "multi-agent collaborative governance" in the theory of policy networks and the theory of cooperative governance,and the discussion of "multiple supply of welfare" in the theory of welfare pluralism,in theory The level provides guidance.Therefore,in view of the dilemma faced by the integrated medical and nursing institutions in Nanjing,an innovative approach to the old-age model of the integrated medical and nursing institutions in Nanjing is proposed: first,innovative management mechanisms,unified management and supervision;second,innovative service systems,and the establishment of charging standards And employment mechanism;third,innovative supply methods to build a multi-subject supply system;fourth,innovative security system to establish a long-term care service mechanism.