论文总字数：17913字

摘 要

我国人口老龄化趋势不断加速增长的背景下，老年群体从生理到心里上的各方面需求日益增加，传统养老机构与医疗机构的资源供给却无法达到相应的增长速度。

近几年，我国推行了不少医养结合模式的落实政策，能够提供老年群体全面且完善服务照料的医养结合模式，在服务对象、服务内容、服务主体等多角度都具有无可比拟的优势。由于老年群体普遍对社区养老抱有积极的态度，社区公共服务设施资源的优化升级对缓解人口老龄化问题具有重大意义。然而，就当前我国社区公共服务设施层面而言，医疗养老设施资源仍旧处于相互独立割裂、设施资源闲置或匮乏的矛盾状态。利用现有的医疗养老设施进行优化整合，重新界定医养结合模式下社区公共服务设施体系的功能定位，能够为设立新型社区医疗养老模式提供新的思路。

本文将针对老年群体日益增长且多样化的需求现状，调查研究医养结合模式下上海市社区公共服务设施的现状，结合市内老年群体对社区公共服务设施的需求意向，分析其设施体系中资源整合所存在的问题，寻求在医养结合模式下进一步提升社区公共服务设施的优化策略。最后，通过进一步提升社区公共服务设施的使用效率，促进提供老年人一个多元、立体的社区医疗养老平台，让老年人享受到专业化、私人化的社区医疗养老服务，达就“在家门口养老”的愿景。

关键词：医养结合 社区养老 社区医疗 公共服务设施

The Status And Suggestions On Facilities of Urban Community Public Service

——A Case Study of Shanghai City

Abstract

Under the background of the accelerating growth of China's population aging trend, the needs of the elderly groups from physiological to psychological aspects are increasing, and the resources of traditional old-age care institutions and medical institutions cannot reach the corresponding growth rate.

In recent years, China has carried out many policies of combining medical and nursing care, which can provide a comprehensive and comprehensive care and care model for the elderly, and is unparalleled in terms of service targets, service content and service subjects. Advantage. Since the elderly population generally has a positive attitude towards community pension, the optimization and upgrading of community public service facilities resources is of great significance in alleviating the problem of population aging. However, as far as the current level of community public service facilities in China is concerned, the resources of medical pension facilities are still in a contradictory state of independent separation and idle or lack of facilities resources. The use of existing medical care facilities for optimization and integration, redefining the functional positioning of the community public service facilities system under the combination of medical and nursing modes, can provide new ideas for the establishment of a new community medical care model.

This article will focus on the elderly population growing and diversified demand present situation, study the medical a combined mode of Shanghai community public service facilities of the status quo, combined with the city elderly demand for community public service facilities, to analyze its facilities system existing problems in the resources integration, to seek in the medical mode to further enhance the optimization strategy of community public service facilities. Finally, by further improving the use efficiency of community public service facilities, we can promote the provision of a diversified and three-dimensional community medical and old-age care platform for the elderly, so that the elderly can enjoy professional and private community medical and old-age care services, and achieve the vision of providing old-age care at home.

Key Words: Medical Care; Community Care; Community Health; Public Service Facilities

目 录

中文摘要…………………………………………………………………………………………………Ⅰ英文摘要…………………………………………………………………………………………………Ⅱ一、绪论…………………………………………………………………………………………………… 1

（一）研究背景……………………………………………………………………………………… 1

（二）研究目的和意义……………………………………………………………………………… 1

（三）国内外研究现状……………………………………………………………………………… 2

（四）研究基本思路………………………………………………………………………………… 3

二、医养结合模式下的社区公共服务设施功能与发展定位…………………………………………… 4

（一）医养结合模式的概念………………………………………………………………………… 4

（二）医养结合模式的现实需求…………………………………………………………………… 4

（三）医养结合模式下社区公共服务设施的功能定位…………………………………………… 5

三、医养结合模式下上海市社区公共服务设施现状调查……………………………………………… 7

（一）上海市社区公共服务设施的现状…………………………………………………………… 7

（二）上海市老年群体对设施的需求意向………………………………………………………… 8

四、医养结合模式下上海市社区公共服务设施的存在问题………………………………………… 11

（一）公共服务资源分配不均衡，整合力度不大………………………………………………… 11

（二）医疗养老设施资源管理分离，管理制度落后……………………………………………… 11

（三）医疗养老设施层级定位不明确，功能分区不合理………………………………………… 11

（四）设施适老设计不足，使用效率低下………………………………………………………… 12

五、建议与对策………………………………………………………………………………………… 13

（一）加强政府监管与政策扶持，促进合理的公共资源分配与整合…………………………… 13

（二）促进医疗养老资源的共建共享，制定科学的资源管理制度……………………………… 13

（三）明确各层级设施功能，明晰设施功能分区………………………………………………… 13

（四）优化设施功能配置，融合互联网＋理念…………………………………………………… 14

结语……………………………………………………………………………………………………… 15

参考文献………………………………………………………………………………………………… 16

致谢……………………………………………………………………………………………………… 19

请支付后下载全文，论文总字数：17913字