社区卫生服务中心与养老机构合作路径探析--以朴素式创新和伙伴关系理论为视角

发布时间：2018-11-02 14:29

【摘要】：伴随我国失能、半失能等特殊老年群体养老需求的日益增长,医疗专业治疗资源和养老照料服务资源供不应求,而存在种种合作优势的社区卫生服务中心与养老机构却存在设备、床位闲置等资源浪费现象,真正利益共享的社区医养结合寥寥可数。尽管自2013年以来,我国学者对医养结合的研究大大增加,但是对于社区卫生服务中心与养老机构合作的论述却很少,并且局限于对一些社区卫生服务中心与养老机构合作实施方法的简单介绍,缺乏两者合作方式及机制的理论提炼和系统研究。基于朴素式创新和伙伴关系理论,尝试构建出包括理念、目标和结果评估,政府支持,参与者合作,社区参与四个维度的合作分析框架,并依此提出社区卫生服务中心与养老机构“独立+相连”和“改造+补充”的合作方式,及包括外部支持机制、信任管理机制、知识转移机制、结果评估机制、共同生产和监督机制、非货币型奖惩机制的合作机制。
[Abstract]:With the increasing demand of special elderly groups, such as disability, semi-disability and so on, medical professional treatment resources and old-age care services resources are in short supply. However, the community health service centers and pension institutions with various cooperation advantages have waste of resources such as equipment, idle beds and so on, and the community medical and nursing combination of real benefit sharing is few. Although the research on the combination of medical and nursing has increased greatly since 2013, there has been little discussion on the cooperation between community health service centers and pension institutions. And limited to some community health service centers and pension institutions in the implementation of the simple introduction of the lack of cooperation between the two ways and mechanisms of theoretical refining and systematic research. Based on the theory of simple innovation and partnership, this paper tries to construct a cooperative analysis framework that includes four dimensions: idea, goal and result evaluation, government support, participant cooperation, community participation. Based on this, the paper puts forward the cooperation mode of "independent connection" and "reform and supplement" between community health service center and pension institution, including external support mechanism, trust management mechanism, knowledge transfer mechanism, result evaluation mechanism, etc. Joint production and supervision mechanism, non-monetary reward and punishment mechanism of cooperation mechanism.
【作者单位】：中国海洋大学法政学院;
【分类号】：D669.6

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