国外_医养一体化_服务模式发展经验及对我国的启示_陈宁.pdfVIP

·医药前沿· 国外“医养一体化”服务模式发展经验及对我国的启示Δ ＊ 陈 宁 （辽宁中医药大学经济管理学院，沈阳 110847） 中图分类号 C913.6 文献标志码 A 文章编号 1001-0408（2017）11-1441-04 DOI 10.6039/j.issn. 1001-0408.2017.11.01 摘 要 目的：探索“健康中国2030”发展战略下“医养一体化”服务模式发展之路。方法：概括美国、澳大利亚、日本、德国和瑞典 等发达国家“医养一体化”服务模式的发展经验，分析其对我国的启示。结果与结论：美国主要实施的是全面的老年人服务项目； 澳大利亚充分利用第三方平台来保障“医养一体化”服务模式的合理运营；日本对老年人的医疗服务采取的是护理保险制度与覆 盖全民的医疗保险体系的有机结合；德国和瑞典鼓励“居家养老”的服务模式。我国“医养一体化”服务模式在借鉴国外先进经验 的基础上，应结合我国国情，坚持政府主导地位，引入市场竞争机制，制定严格的“医养一体化”服务机构准入标准，培养专业的护 理人员，才能取得长远的发展。 关键词 医养一体化；养老服务模式；医疗保险；护理保险制度 Development Experience of “Medical Support Integration”Service Mode in Foreign Countries and Its En- lightenment to China CHEN Ning（College of Economic Management ，Liaoning University of TCM ，Shenyang 110847，China ） ABSTRACT OBJECTIVE ：To explore the development of “Medical support integration”service mode under the “Healthy China 2030”development strategy. METHODS ：The development experience of “Medical support integration”service mode in developed countries like the United States ，Australia ，Japan ，Germany and Sweden were summarized ，and its enlightenment to China was ana- lyzed. RESULTSCONCLUSIONS ：In the United States ，comprehensive services for the elderly was main project ；Australia made full use of the third party platform to guarantee the reasonable operation of the “Medical support integration”service mode ；Japa- nese health services for the elderly was taken by the combination of nursing insurance system with universal medical insurance sys- tem ；Germany and Sweden encouraged “Home care”service mode. Based on the advanced experience of foreign countries ，com- bined with Chinese national conditions ，Chinese “Medical support integration”service mode should adhere to the leading position of the government ，introduce market competition mechanism ，formulate strict “Medical support integration”services access stan- dards ，and actively cultiva