Exploration of the integrated medical and elderly care service model in grassroots medical institutions
基层医疗机构开展医养结合服务模式探索

摘要

在人口老龄化程度不断加深的背景下，现阶段失能老年人长期照护问题愈发突出，以往传统的养老以及医疗分离模式难以满足现阶段老年群体的实际需求，此时医养结合模式受到了多方面的关注。国外多数发达国家已经逐步形成了较为完善的体系，我国受到客观环境因素的影响，使得医养结合服务仍处于不断探索的阶段。存在家庭照护能力不足，社区、家庭网络未能完全建立等局限性，使得老年群体照护需求难以得到满足。尤其是对于失能老人而言，其缺乏足够的自理能力，对他人的依赖程度更高，因而及时完善医养结合服务模式具有重要的意义。本文综述了如何为居家老人提供更为完备的医疗服务模式，为失能、半失能老人在医疗机构养老的医养转换模式，探寻以医-养-康-护为基础的医养结合服务模式。

Abstract

With the deepening of population aging, the problem of long-term care for disabled elderly people has become increasingly prominent at present. The traditional separation of elderly care and medical care cannot meet the actual needs of the elderly population. At this time, the combination of medical care and elderly care has received attention from various aspects. Most developed countries abroad have gradually formed a relatively complete system, while China is still in the stage of continuous exploration of integrated medical and elderly care services due to objective environmental factors. There are limitations such as insufficient family caregiving capabilities and incomplete establishment of community and family networks, which make it difficult to meet the caregiving needs of the elderly population. Especially for disabled elderly people, they lack sufficient self-care ability and have a higher degree of dependence on others. Therefore, timely improvement of the integrated service model is of great significance. This article summarizes how to provide a more comprehensive medical service model for elderly people living at home, explore the medical elderly care conversion model for disabled and semi disabled elderly people in medical institutions, and explore the medical elderly care integrated service model based on medical care health care.