医养结合养老模式的伦理困境与治理策略OA
Ethical dilemmas and governance strategies of the integrated medical and elderly care model
医养结合养老模式是为解决老年人群体在身体健康、生活照料和精神慰藉方面的需求而设计的一种新型养老模式,对于积极应对人口老龄化问题具有积极意义.然而,这一模式在实际操作中仍面临一系列伦理困境.通过分析医疗与养老服务融合过程中可能出现的伦理问题,包括医疗照护与老年人自主权的矛盾、知情同意面临的挑战、医疗与养老服务之间的利益冲突以及家庭照护与社会照护界限模糊等问题,提出完善个性化照护机制建设、优化知情同意的多层次保障体系、建立统一的利益协调机制与资源共享平台、强化家庭支持与社会照护的协同作用等应对策略,旨在推动医养结合模式的健康发展,确保老年人的基本权益和福祉得到最大程度的保障,最终实现更为公平、可持续的老龄化社会治理体系.
The integrated medical and elderly care model is a new type of elderly care model designed to address the demands of the elderly in terms of physical health,daily care,and spiritual comfort.It has significant practical significance for actively responding to the problems of population aging.However,this model still faces a series of ethical dilemmas in practical.By analyzing the ethical issues that may arise during the integration of medical and elderly care services,including conflicts between medical care and elderly autonomy,the challenges faced by informed consent,conflicts of interest between medical and elderly care services,and blurred boundaries between family care and social care,this paper proposed corresponding strategies,such as improving the construction of personalized care mechanisms,optimizing multi-level protection systems for informed consent,establishing a unified interest coordination mechanism and resource sharing platform,and strengthening the synergy between family support and social care.These strategies aimed to promote the healthy development of the integrated medical and elderly care model,ensure the protection of the basic rights and interests and well-being of the elderly to the greatest extent,and ultimately achieve a fairer and more sustainable aging social governance system.
孙布克;董馨怡;曾雪兰
牡丹江医科大学卫生管理学院,黑龙江 牡丹江 157011牡丹江医科大学卫生管理学院,黑龙江 牡丹江 157011河北科技大学马克思主义学院,河北 石家庄 050018
医药卫生
医养结合养老服务伦理困境治理策略
integrated medical and elderly careelderly care serviceethical dilemmagovernance strategy
《中国医学伦理学》 2026 (1)
113-120,8
2019年度国家社会科学基金"改革开放以来农村医疗卫生制度的变迁与对策研究"(19BDJ060)2021年度牡丹江医科大学博士科研启动基金"健康中国背景下基层医疗卫生人才培养研究"(2021-MYBSKY-045)
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