【摘要】 我国老年医疗服务链中院中急性期照护和长期照护之间出现了断层状态，中期照护的缺失不仅造成了老年患者非计划性重返病房，还会留下不同程度的功能障碍。本文为修复断层的老年医疗服务链提供路径参考，提出在医联体内基层医院中构建中期照护模式，通过“互联网+”衔接并整合医疗资源，更好的为老年患者提供完整性的服务，打造全生命周期的老年医疗服务链。更多还原

【Abstract】 There is a default between acute care and long-term care within geriatric medical service chain in China.The absence of mid-term care not only causes the elderly patients returning to the ward unplanned, but also leaves various degrees of dysfunction.The path to repair the fault-line of geriatric medical service chain was provided, which were developing a mid-term care model in primary hospitals within the medical union, connecting and integrating medical resources through "Internet +",providing better integrated services for elderly patients, and creating a full life cycle geriatric medical service chain.更多还原