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多源流理论视角下医养结合政策形成与变迁研究

吕莹 葛兵 余元

中国农村卫生事业管理2025,Vol.45Issue(1):19-24,6.
中国农村卫生事业管理2025,Vol.45Issue(1):19-24,6.DOI:10.19955/j.cnki.1005-5916.2025.01.004

多源流理论视角下医养结合政策形成与变迁研究

Formation and change of the policy for old-age care combined with nursing care from the perspective of multiple streams theory

吕莹 1葛兵 2余元1

作者信息

  • 1. 贵州大学医学院,贵州贵阳 550025
  • 2. 贵阳市第四人民医院
  • 折叠

摘要

Abstract

Based on multiple streams theory,this paper made in-depth analysis of the driving factors for the establishment of the policy agenda of combining old-age care with nursing care in China.Aging population,in-creasing demand for medical services of the elderly and weakening function of old-age care constitute the source of problem;Policy participants offering advice and suggestions,and the gradually enhanced participation of experts and scholars constitute the source of policy;The game among stakeholders,the expression and appeal of national sentiment,and the change in the government's concept of old-age care policy all contribute to the political origin.At an important moment,the above three streams come together to jointly promote the introduction and reform of the policies for old-age care combined with nursing care.In practice,there are still some problems in the policies,such as vague classification standards of old-age care institutions,the effectiveness of the policies to be improved,diversified policy providers and imperfect medical insurance payment system.In the future,it is necessary to clari-fy the classification standards of old-age care institutions,strengthen the effectiveness of policies,build a perfect medical insurance payment system for old-age care combined with nursing care,unify the policy providers,and continuously monitor the policy implementation effect to optimize the policy implementation,so as to promote the high-quality development of the combination of old-age care and nursing care in a more effective way.

关键词

医养结合/多源流理论/人口老龄化/政策变迁/养老机构/养老服务需求

Key words

Integrated old-age care and nursing care/Multiple streams theory/Population ageing/Policy change/Old-age care institution/Demand for old-age care services

分类

医药卫生

引用本文复制引用

吕莹,葛兵,余元..多源流理论视角下医养结合政策形成与变迁研究[J].中国农村卫生事业管理,2025,45(1):19-24,6.

中国农村卫生事业管理

1005-5916

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