中国医学伦理学2026，Vol.39Issue(1)：113-120,8.DOI:10.12026/j.issn.1001-8565.2026.01.16
医养结合养老模式的伦理困境与治理策略
Ethical dilemmas and governance strategies of the integrated medical and elderly care model
摘要
Abstract
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.关键词
医养结合/养老服务/伦理困境/治理策略Key words
integrated medical and elderly care/elderly care service/ethical dilemma/governance strategy分类
医药卫生引用本文复制引用
孙布克,董馨怡,曾雪兰..医养结合养老模式的伦理困境与治理策略[J].中国医学伦理学,2026,39(1):113-120,8.基金项目
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) （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) （2021-MYBSKY-045）
