【作者】 张浩；

【导师】 王芳菲；

【作者基本信息】 大连理工大学 ， 公共管理（专业学位）， 2020， 硕士

【摘要】 当前,我国的人口老龄化现象越来越严重,特别是对于患病和失能老人,这类人群的养老问题更加突出。随着我国“医养结合”养老模式的逐步推行,越来越多的地区开始实施“医养结合”。“医养结合”是通过特定的方式,将“医疗”和“养老”有机的结合在一起,更加有效的解决养老问题。本文以辽宁省沈阳市为背景,分析老龄化日趋严重的条件下,养老问题如何更好的加以解决。首先,分析沈阳市近年来医养结合政策的开展情况,对沈阳市医养结合的开展意愿进行了调查,并对调查对象进行了分析。第二,对沈阳市医养结合机构服务现状进行了分析,对医养结合进行了阐述。第三,对沈阳市医养结合的各种因素进行了分析,在归纳的过程中发现了相关问题:组织架构的体制问题;医院和养老机构发展缺少资金支持;医养结合专业医护人员数量严重不足;医养结合内容仍需完善。第四,从结构性改革和政策性驱动有机结合、政府及社会力量投资力度、医养结合人才的培养、多元化发展医养结合服务几个方面对上述问题进行了解决。在因素分析层面,沈阳市还存在着养老政策制度不健全,医养结合的专业医护人员缺乏等情形,为进一步促进沈阳市医养结合的发展,在全方位掌握沈阳市发展的条件下,不断完善养老基础设施建设,将医养结合纳入到城市服务体系中,根据老人的不同情况进行相应的照顾,为沈阳市老年健康事业的发展作出重大贡献。更多还原

【Abstract】 At present,my country’s population aging phenomenon is becoming more and more serious,especially for the sick and disabled elderly,the problem of elderly care for this kind of people is more prominent.With the gradual implementation of my country’s "medical and nursing" pension model,more and more regions have begun to implement "medical and nursing integration"."Medical and nursing care" is a combination of "medical care" and "senior care" in a specific way to solve the problem of old age care more effectively.This article takes Shenyang City,Liaoning Province as the background,and analyzes how to solve the problem of old-age care under the condition of aging.First of all,it analyzes the development of Shenyang’s integration of medical and nursing policies in recent years,surveys the willingness of Shenyang to integrate medical and nursing,and analyzes the surveyed objects.Second,it analyzes the service status of medical and nursing integration institutions in Shenyang,and explains the integration of medical and nursing.Third,the various factors of the combination of medical and nursing in Shenyang City were analyzed,and related issues were found during the induction process: organizational problems in the organizational structure;lack of financial support for the development of hospitals and elderly care institutions;Insufficient;the content of the combination of medical and nursing needs to be improved.Fourth,the above problems have been solved from the aspects of organic integration of structural reform and policy-driven,investment of government and social forces,cultivation of medical and nursing personnel,and diversified development of medical and nursing services.At the level of factor analysis,Shenyang City also has a situation of unsound old-age policy system and lack of professional medical personnel in the combination of medical and nursing.Improve the construction of elderly care infrastructure,integrate medical and nursing care into the urban service system,and take appropriate care according to the different conditions of the elderly,making a major contribution to the development of Shenyang’s elderly health cause.更多还原