A Study Of Care Patterns For The Elderly Combining Pension With Medical Service In Endowment Institutions

The population aging of our country occurs under the background of "aging before getting rich",disproportion of urban-rural and regional development,and imperfect social security system,etc.How to solve the pension problems of large scale old people population is the focus that current society concerns.To change of the present pension status of our country,and implement the old people's target "old people have proper medical care andpension",it has to re-examine the service mode of "medical resource and pension resource separation" in current pension care institutions.The results that Chinese current civil affairs department is responsible for solving pension service,medical institution provides outpatient service and short-term inpatient service lead to the supply and demand contradiction of medical and long-term care of old people pension issues.The pension service mode of "combination with medical resource and pension resource" is an effective path to solve Chinese old people's pension and medical problems,especially for those old peoplewho lose the ability to self-care and their families under the background of aging,such kind of service mode can relieve their worries to a large extent.This thesis defines the connotation of combination with medical resource and pension resource pension service mode furtherthrough the comprehension on concept,it suggests that combination with medical resource and pension resource pension mode involves service object,service content,service provider,implementation of service mode,service staff,qualification of service institution,admittance criteria,etc.,and discusses the implementation method of combination with medical resource and pension resource pension service mode.On the basis of conducting research on development status of "combination with medical resource and pension resource" pension mode,this thesis analyzes the existing problems that in development of current "combination with medical resource and pension resource" mode,these problems include:government multi-headed management,policy supporting implementation difficulty;funding input is insufficient,participant enthusiasm of service principal is not high;coverage rate of medical insurance designated is low;lack of old people medical care professional talents,etc."Combination with medical resource and pension resource" pension mode is the way or method for practice of "combination with medical resource and pension resource" concept,implementation of medical resource and pension resource combination,and achievement of resource optimization allocation.This thesis divides "combination with medical resource and pension resource"combination form into the form that pension service model,LianDongXing have combined with" pension service model and radiant have combined with" pension service model.Among them,the built-in type keep combination" endowment institutions endowment service mode is divided into internal medical institutions and medical institutions of built-in endowment institutions;LianDongXing "medical"endowment service pattern is divided into professional pension institutions,medical institutions and complex pension institutions and medical institutions,and analyzes each type of mode with the help of typical cases,and then discusses the development trend of combination with medical resource and pension resource pension service mode in Chinese pension institutions.For the problems that existing in the development of combination with medical resource and pension resource pension service mode in pension institution of our country,this thesis suggests a series of countermeasures and suggestions:firstly,strengthen government responsibility,play government leading role,strengthen multi-sector cooperation and cooperatively promote the development of combination with medical resource and pension resource;secondly,pay attention to the relevant legal system construction,improve and implement the preferential policy of combination with medical resource and pension resource;the third,gradually establish long-term nursing insurance system,reform medical insurance settlement system,innovate medical reimbursement mechanism;the fourth,through adding old people curing service related profession and course,emphasizing on professional skill training of in-service nursing staff,and establishing reasonable salary and welfare benefit to strengthen the professionalization construction of care team;the fifth,establish and perfect the supervision and evaluation system,strengthen the performance appraisal of combination with medical resource and pension resource work and daily supervision,carry out work examination timely,find problem timely,adopting effective measure to improve,and ensure the work of combination with medical resource and pension resource is fully implemented.The innovation of this thesis lies in to classify the form of combination with medical resource and pension resource in accordance with provider,and combined with relevant typical cases,studies on the advantage,disadvantage and scope of application of each kind of combination with medical resource and pension resource pension service mode,this is beneficial for clear definition of target location and standardization management of the combination with medical resource and pension resource service mode in different types of pension institutions.