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社区居家医养服务政策分析及系统优化路径研究OA

Research on the policy analysis and system optimization pathways for community-and home-based medical and elderly care services in China

中文摘要英文摘要

社区居家养老服务作为满足老年人生活和医疗需求的重要服务模式,其政策和实施效果对提高老年人的生活质量及减少传统医疗体系压力具有重要意义.分析中国社区居家医养服务的必要性,识别现有政策执行中的主要问题,并探讨系统优化的路径,以构建更高效、更公平的服务体系.研究发现,社区居家医养结合服务内容缺乏广度与深度、服务质量与效果评估不佳、资源投入与配置效率不均、监督监管与政策支持不足.因此,可通过构建以需求为导向的政策框架、优化资源配置向区域均衡覆盖转变、以需求为导向建立多元化居家医养结合服务体系、建立可持续的医养结合实施效果监督与评估机制,以期为中国社区居家养老服务政策的改革与优化提供理论支持和实践指导.

Community-and home-based elderly care services,as an important service model designed to meet the living and medical needs of the elderly,hold significant importance in improving their quality of life and alleviating the pressure on the traditional healthcare systems through their policies and implementation effects.This paper analyzed the necessity of community-and home-based medical and elderly care services in China,identified primary issues in the implementation of current policies,and explored pathways for system optimization,to build a more efficient and fair service system.It found that the content of the community-and home-based integrated medical and elderly care services lacked breadth and depth,the service quality and effectiveness were poorly assessed,resource investment and allocation efficiency were uneven,and the supervision and policy support were insufficient.Therefore,it was suggested to construct a demand-driven policy framework,optimize resource allocation to shift towards balanced regional coverage,establish a diversified home-based integrated medical and elderly care service system based on demand,and create a sustainable supervision and evaluation mechanism for the implementation effect of integrated medical and elderly care,with a view to providing theoretical support and practical guidance for the reform and optimization of community-and home-based elderly care services policies in China.

张佳雯

厦门大学嘉庚学院法学院,福建 漳州 363123

医药卫生

社区居家医养服务政策分析优化路径资源配置服务质量

community-and home-based medical and elderly care servicepolicy analysisoptimization pathwayresource allocationservice quality

《中国医学伦理学》 2026 (1)

121-128,8

国家自然科学基金项目"基于多元主体权力不对称冲突分析的医养结合服务供需匹配研究"(72274023)

10.12026/j.issn.1001-8565.2026.01.17

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