中国医学伦理学2025，Vol.38Issue(10)：1259-1269,11.DOI:10.12026/j.issn.1001-8565.2025.10.05
中国机构养老医养结合模式服务利用效能影响因素研究
Research on the influencing factors of service utilization efficiency in the integrated medical and elderly care model in China's institutional elderly care
摘要
Abstract
Objective:Integrated medical and elderly care is a practical step to implement and enhance the health and quality of elderly care.This paper aims to delve into the underlying relationships among factors influencing institutional utilization of integrated medical and elderly care services,promote the efficient service utilization of integrated medical and elderly care model in institutions,and achieve substantial progress in elderly care welfare.Methods:Through literature review,questionnaire surveys,and expert interviews,15 key factors influencing the utilization of integrated medical and elderly care services in elderly care institutions were identified and screened.The TISM model and MICMAC method were employed to establish the mechanism of the influencing factors of the utilization of integrated medical and elderly care services in elderly care institutions,and the dependence and driving force among the influencing factors were analyzed.Results:Overlapping functions among government departments,unclear boundaries of powers and responsibilities,and a low degree of improvement and implementation of the policy were the core driving factors affecting institutional utilization of integrated medical and elderly care services.Conclusion:Through in-depth analysis of the interaction among various influencing factors,practical suggestions for improvement were proposed to build a three-dimensional collaborative intelligent governance mechanism,shape the new advantages of the self-construction of elderly care institutions,and provide strategic support for the optimization of integrated medical and elderly care services utilization in China.关键词
医养结合/机构养老/服务利用Key words
integrated medical and elderly care/institutional elderly care/service utilization分类
预防医学引用本文复制引用
丁上真,李含伟..中国机构养老医养结合模式服务利用效能影响因素研究[J].中国医学伦理学,2025,38(10):1259-1269,11.基金项目
国家社会科学基金项目"流动老年人社会支持与社会融合研究"(21BRK006) （21BRK006）
