南京医科大学学报（社会科学版）2026，Vol.26Issue(1)：8-13,6.DOI:10.7655/NYDXBSSS250372
乡村振兴战略下农村医养结合的现实困境与优化进路
The practical difficulties and optimization approaches of rural integrated medical and elderly care under the rural revitalization strategy
摘要
Abstract
By conducting field observations of the practice of integrating rural medical and elderly care,this study adopts the Smith policy implementation model as the theoretical framework to analyze the implementation challenges of rural integrated medical and elderly care from four dimensions:idealized policy,policy implementation agents,policy target group,and policy implementation environment.Corresponding optimization pathways are proposed.Research shows that rural integrated medical and elderly care faces practical challenges,such as ineffective rural home-based care service centers,a lack of collaborative innovation among integrated medical and elderly care departments,a severe imbalance in the supply and demand structure,and insufficient and under-qualified caregivers.Accordingly,the article proposes optimization approaches from four aspects,including strengthening policy system construction,promoting coordination among multiple implementation agents,meeting the needs of target groups,and reinforcing human resource support.关键词
农村医养结合/政策执行/现实困境/优化进路Key words
rural integrated medical and elderly care/policy implementation/practical difficulties/optimization pathways分类
医药卫生引用本文复制引用
丁海峰,王莹,腾佳杉..乡村振兴战略下农村医养结合的现实困境与优化进路[J].南京医科大学学报（社会科学版）,2026,26(1):8-13,6.基金项目
湖南省教育厅科学研究优秀青年项目"医保支付方式改革驱动县域医共体高质量发展的机制与路径研究"(25B0322) （25B0322）
长沙市哲学社会科学规划课题"长沙市分级诊疗实施效果评价及优化路径研究"(2024CSSKKT19) （2024CSSKKT19）
湖南省卫生经济与信息学会研究课题"数字赋能湖南省基层医疗服务供给路径研究"(WJX2025A) （WJX2025A）
