论文总字数：20716字

摘 要

目前我国人口老龄化的问题频繁出现，引起了国家的高度重视。老年人群体在快速扩张，传统“医养分离”的家庭养老模式已经无法满足当代人的需求，尤其是半失能、失能、失智等需要人看护并且随时可能发生意外的群体，因此，“医养结合”的养老模式受到大众广泛关注。将医疗和养老合二为一，是解决人口老龄化问题的有效途径之一，突出国家高度重视医疗机构与老人照料之间的联系的建设，并出台相关政策文件大力推行医养结合机构养老模式。但较西方成熟的实践经验，我国在医养结合机构养老方面还是存在许多问题。本文从研究背景及意义入手，对概念进行界定，接着对南京泰乐城养老中心的医养结合养老模式进行实证研究。研究发现该模式存在医养结合服务体系不健全、机构服务费用水平偏高、医疗护理人才资源薄弱、筹资渠道单一、政策监管落实难度大等问题。对此本文有针对性地提出如完善医养结合服务体系、加大老年医护专业人才的培养力度、拓宽筹资渠道、强化资金链健全政府监管机制等建议推动我国医养结合机构养老模式的进一步发展。

关键词：人口老龄化 医养结合 机构养老

Research on the current situation and development of the mode of combining medical care with institutional pension

——Taking Nanjing Tai Le Cheng retirement center as an Example

Abstract

At present, the population aging of our country comes out very frequently. It has brought about great attention of our country. Aging groups expand quickly, traditional pension mode can’t satisfy people’s need now, especially for someone who need special or medical care. Therefore, the mode of medical treatment and provision for the aging receives great attention of the world. The medical treatment and provision for the aging become one, which is one of the best approaches to solve the problem of the population aging of our country. The country attaches great importance to construction of relevant organization. At the same time, our country introduces relevant policies and documents. It carries out strongly the mode of medical treatment and provision for the aging. But by contrast, western practice experience still further mature. Our country in the aspect of the organization development has a lot of problems. This essay begins with study background and meaning, define this concept. And then it deals with empirical research of Nanjing Tai Le Cheng the mode of medical treatment and provision for the aging. The research finds out the system unsound, service cost very expensive, medical staff very few, financing unity and so on. The article brings forward strengthening the training of medical professionals for the aged, broadening the financing channels, strengthening the capital chain and improving the government supervision mechanism.

Key Words: Aging；Medical-Nursing Combined Institutional Care Mode；Pension agency

目 录

中文摘要………………………………………………………………………………I

英文摘要………………………………………………………………………………II

一、绪论………………………………………………………………………………1

（一）研究背景及意义………………………………………………………………1

1.研究背景…………………………………………………………………………1

2.研究意义…………………………………………………………………………1

（二）研究综述………………………………………………………………………3

1.国内研究综述……………………………………………………………………3

2.国外研究综述……………………………………………………………………4

3.研究评述…………………………………………………………………………4

（三）研究思路和方法………………………………………………………………5

1.研究思路…………………………………………………………………………5

2.研究方法…………………………………………………………………………5

二、相关概念界定和理论基础………………………………………………………7

（一）相关概念界定…………………………………………………………………7

1.养老模式…………………………………………………………………………7

2.医养结合机构养老模式…………………………………………………………7

（二）理论基础………………………………………………………………………8

1.需要层次理论……………………………………………………………………8

2.福利多元主义理论………………………………………………………………8

3.公共产品理论……………………………………………………………………9

三、南京泰乐城养老中心医养结合养老模式的现状分析…………………………10

（一）供求情况分析…………………………………………………………………10

（二）典型案例研究…………………………………………………………………12

（三）发展的制约问题………………………………………………………………13

1.医养结合服务体系不健全………………………………………………………13

2.机构服务费用水平偏高…………………………………………………………13

3.老年医疗护理人才资源薄弱……………………………………………………14

4.筹资渠道单一……………………………………………………………………14

5.政策监管落实难度大……………………………………………………………15

四、医养结合养老模式的发展建议…………………………………………………16

（一）完善医养结合服务体系………………………………………………………16

（二）加大老年医护专业人才的培养力度，提高服务质量………………………16

（三）拓宽筹资渠道，强化资金链条………………………………………………16

（四）健全政府监管机制，增加相关优惠措施……………………………………17

五、结论………………………………………………………………………………18

（一）主要结论………………………………………………………………………18

（二）研究不足与展望………………………………………………………………18

1.研究不足…………………………………………………………………………18

2.展望………………………………………………………………………………19

参考文献………………………………………………………………………………20

附录一：调查问卷……………………………………………………………………23

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