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李培林
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    小规模多机能医养结合机构的模式与实践探索

    摘要

    我国已进入老龄化社会,医养结合、社区居家养老将成为具有中国特色的养老模式,并在很长一段时间内占据主流位置,这就衍生出“小规模多机能医养结合机构”。该模式主要为需要生活支援及介护服务的居家老人或有身心障碍者提供以日间照料与身心机能训练为中心的通所服务,也应老人的要求提供短期住宿、上门访问等服务。优护万家率先引入“小规模多机能医养结合机构”模式,实行“多部门联合、交叉监督”的无死角标准化质控管理,建立一套完善的标准化服务体系,保障项目连锁化服务的一致性。未来,连锁化、规模化、平台化、网络化是小规模多机能医养结合机构的发展方向,由以养老机构为主体转为以医疗机构为主体,带动医疗向基层发展,同时提升养老服务专业度,整合上下游融合发展。但现阶段也存在行业管理有待规范、政策支持有待落地、服务人才缺乏以及市场化运营有待形成规模化等问题。

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    Abstract

    China is experiencing an aging society. Integrated medical care and elderly care institutions” and “home-and community-based care services” model will become a model of elder care with Chinese characteristics,and it is likely to continue to dominate in a significantly long term,which leads to institutionsof “small-scale integrated institutions with multi-functional medical and elder care services”. The model mainly provides day care and physical and mental function trainingfor the elderly or the physically handicapped who need life support andnursing services,as well as short-term accommodation and door-to-door visits at requests of the elderly. Beijing United-Home Senior Care Services Group Limited Companytook the lead in introducingthe model of small-scale integrated institutions with multi-functional medical and elder care services,implementing all-wavestandardized quality control managementof multi-departmental joint and cross-supervision,establishing a set of perfect standardized service systemand ensuring consistency of group chain service of the project. In the future,chain,scale,platform and networking are the development direction of model of small-scale integrated institutions with multi-functional medical and elder care services. It requires from elder care services institutions to the main body of medical institutions to promote development of medical care to grass-roots level and improve the professionalism of elder care service simultaneously,and integrate upstream and downstream development. However,there are also some problems at this stage,such as industry management needs to be regulated,policy support needs to be landed,service talents are lack,and market-oriented operations should to be scaled up.

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    作者简介
    段萱:段萱,优护万家创始人及董事长,中国老龄产业协会医养结合与健康管理委员会副主任,中国民营医院发展联盟执行副主席,对医养结合型养老服务运营模式有较深入的研究和实践。
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