Research On Innovation Of Medical-nursing Combined Institutional Care Mode

As population aging accelerates, how to ensure disabled elders’ life has risen to agenda. The reform of elders’social service system in developed countries has shown that service integration and institution transformation are inevitable. In order to solve the problem of elders’survival, innovation of institutional care should be created to realize integration of medical and nursing resources, and policy innovation should be utilized to encourage institutions taking more medical responsibilities to decrease adverse selection in institutional care market for elders.Based on investigation in several areas, this research summarized the innovation of medical-nursing combined institutional care mode, which aims at disabled elders, provides service in innovative ways and emphasize on professional medical services that differs from traditional institutional care. However, it is found that there is huge disparity between demand and supply of medical-nursing combined institutional care: the demand in urban areas reaches a minimum370,000while the supply is only150.000; future demand continues to grow to2.83million in2030.Under the pressure of large disparity between demand and supply, policy innovation must be taken into account to solve the problem. This research proposes a policy design that "pay by person", sets payment standards based on health life table. Institutions are directly financed to make flexible use of the money to pay medical and nursing fees. Results show that the average payment criteria rises to361.45RMB/d in2030from45.85in2012. The payment criteria of urban elders aged80is2.7times that of elders aged60, indicating the policy support for the vulnerable aged; population covered rises from243,500in2012to2.31million; the total amount of financial support from government rises from4.26billion to372.83billion.Finally, future policy support including expansion to rural areas, region-specific payment criteria, especially source of government financial support is discussed to provide reference for government policy design.