A Study On The Model Of Community - Based Health Care And Old - Age Care

Along with the arrival of the silver wave, the highlights of advanced and unhealthy state of aged people, brings to our country big challenges when it getting old before getting rich. According to China’s national conditions and the elderly endowment intend, we taking the disabled and aged group as the research object, taking multiple research methods, taking the financing, payment and supervision for the study of the main line, to discuss the Community Combined Medical-nursing Endowment Pattern.First of all, this paper summarizes the research status at home and abroad, defines the concept and basic characteristics of the Community Combined Medical-nursing Endowment Pattern. Analyze the feasibility from the public demand and endowment intend, economic development and health care funds’ ability to pay,and the government’s policy support, etc.,to demonstrate the rationality and applicability of the pattern.Second, start from pilot cities, such as Beijing, Shanghai, Qingdao, summarizes the experiences from their Community Combined Medical-nursing Endowment Pattern.Points out the shortcomings, mainly including financing and payment standard, lacking the ability to supply leading to a big gap on service level, unable to distinguish the nursing level, and the management subject is not clear. At the same time, in-depth analyze the cause of the problems existed in the pattern, providing the practice foundation to the pattern construction.Finally, this article probes into the Community Combined Medical-nursing Endowment Pattern from the occupy object, service content, financing and payment mechanism, regulatory functions. Innovate a financing methods including "medical fund,pension funds, lottery welfare fund and social donation". At the same time, putting forward the hierarchical payment idea and issue advanced aged people health benefits,family(self-employed) care allowance, community medical combining services operating subsidies and so on. Then supporting measures are proposed from various angles, so as to further perfect the pattern.