| With the deepening of the aging of the population,the society is facing huge pressure to provide for the aged.The cause of aging has gradually become one of the key factors affecting social development.The separation of traditional medical care resources and endowment resources in the traditional endowment model has led to the difficulty in fully meeting the diversified health endowment needs of the elderly.The proposal of the health endowment model of the combination of medical care and endowment provides a new idea for the development of China’s endowment industry.It has effectively integrated the elderly care and medical resources,so that the elderly group has achieved "a sense of security for the elderly",and "a sense of security for the elderly" has played an important role in promoting the alleviation of the aging problem in China.Therefore,in recent years,the government has gradually issued a series of policies related to the integration of medical care and medical care,but in the process of policy implementation,the actual progress in various regions has been mixed.Therefore,identifying the characteristics and shortcomings of the policy system of the integration of medical care and maintenance and exploring the mechanism by which the policy affects the development of the medical care industry have important reference significance for the further optimization of the top-level design of the integration of medical care and maintenance.This study selects 403 policy texts from all provinces and cities across the country,identifies the policy tools and policy objectives of the integration of medical and nursing care through text mining technology,builds a policy network based on the co-occurrence relationship,and analyzes the integration of medical and nursing care policy from two perspectives: before and after.Firstly,the PMC indicator system is established based on the policy tools,and 9 typical provinces and cities are selected to calculate their PMC scores,and the policy text is evaluated from the overall,regional and individual levels;Then take the policy objective as the condition variable and the development level of the medical and nursing industry as the result variable,and use the fs QCA method to explore the mechanism and synergy of various policies in promoting the development of the medical and nursing industry from the perspective of configuration.Finally,combining the results of the analysis from two perspectives,the thesis puts forward the optimization path of the policy of the combination of medical care and nursing that is suitable for China’s national conditions.The study found that: according to the characteristics,various policy combinations can be summarized into three modes-service type,expansion type and comprehensive type.Among them,comprehensive policy has the best effect,but there is no absolute optimal policy combination mode;The use of policy tools for the integration of medical care and maintenance in China has shown an obvious trend of neglecting the environment,emphasizing supply and emphasizing demand;Supporting policies for the cultivation of medical and nursing talents are an important way to solve the current problems such as the lack of medical and nursing integrated service resources.Based on this,this study proposes the following optimization path for the combination of medical care and nursing care policy: local governments should build a policy system according to local conditions after "description" and "diagnosis" at the top-level design stage;Local governments should strengthen publicity and guidance,actively explore and formulate local community home-based,traditional Chinese medicine,medicine and nursing system norms,and strengthen the use of environment-based policy tools;We should build a standardized and professional talent training system and social security system by actively encouraging colleges and universities to set up relevant majors and promoting medical and nursing practitioners’ liability insurance. |
PDF Full Text Request