医养融合的内在冲突及其制度化途径
发布时间：2019-05-28 23:11
【摘要】：医养融合是通过对医疗资源和养老资源进行系统化、科学化配置和管理,为老年人提供集医疗护理和生活照料为一体的综合养老服务,实质上是对现有传统医疗资源和养老资源的细分整合、转型升级、创新和延续传统医疗服务和养老服务。然而在当前我国医疗服务和养老服务"分而治之"状态下,在医养融合中客观存在着利益诉求冲突、付出与回报之间冲突以及合法性基础冲突等问题,由此造成诸多发展困境。从组织社会学角度上看,造成这些内在冲突的原因在于医疗机构和养老机构资源的非对称性、合作的交易成本较高以及具有不同的合法性基础和压力。文章基于制度化合作的思路,尝试提出化解这些内在冲突的关键在于尽快构建一个相对合理、比较系统、便于操作且易于被各方面认可的制度化合作框架。
[Abstract]:The integration of medical and nursing care is a comprehensive old-age service for the elderly, which integrates medical care and life care through systematic, scientific allocation and management of medical resources and old-age resources. In essence, it is the subdivision and integration of the existing traditional medical resources and pension resources, transformation and upgrading, innovation and continuation of traditional medical services and pension services. However, in the current state of "divide and rule" of medical service and old-age service in our country, there are objectively many problems in the integration of medical and nursing, such as the conflict of interest demand, the conflict between pay and return, and the conflict of legitimacy basis, which leads to many development dilemmas. From the point of view of organizational sociology, the reasons for these internal conflicts lie in the asymmetry of resources between medical institutions and pension institutions, the high transaction cost of cooperation, and the different legitimacy and pressure of cooperation. Based on the idea of institutionalized cooperation, this paper tries to put forward that the key to resolve these internal conflicts lies in the construction of a relatively reasonable, systematic, easy to operate and easy to be recognized by all aspects of the institutionalized cooperation framework as soon as possible.
【作者单位】： 华中师范大学社会学院;广西医科大学人文社会科学学院;
【基金】：广西哲学社会科学研究课题“广西养老机构的多元发展研究”(15FRK001) 广西医科大学人文基地(马克思主义理论研究与建设工程广西医科大学研究基地 广西高校人文社会科学重点研究基地——健康与经济社会发展研究中心)课题“医养融合养老机构的发展困境及化解路径研究”(2016RWA03) 广西医科大学社会科学研究课题“广西‘医养融合’养老模式研究”(2015B04)
【分类号】：D669.6;R197.1
，
本文编号：2487438
[Abstract]:The integration of medical and nursing care is a comprehensive old-age service for the elderly, which integrates medical care and life care through systematic, scientific allocation and management of medical resources and old-age resources. In essence, it is the subdivision and integration of the existing traditional medical resources and pension resources, transformation and upgrading, innovation and continuation of traditional medical services and pension services. However, in the current state of "divide and rule" of medical service and old-age service in our country, there are objectively many problems in the integration of medical and nursing, such as the conflict of interest demand, the conflict between pay and return, and the conflict of legitimacy basis, which leads to many development dilemmas. From the point of view of organizational sociology, the reasons for these internal conflicts lie in the asymmetry of resources between medical institutions and pension institutions, the high transaction cost of cooperation, and the different legitimacy and pressure of cooperation. Based on the idea of institutionalized cooperation, this paper tries to put forward that the key to resolve these internal conflicts lies in the construction of a relatively reasonable, systematic, easy to operate and easy to be recognized by all aspects of the institutionalized cooperation framework as soon as possible.
【作者单位】： 华中师范大学社会学院;广西医科大学人文社会科学学院;
【基金】：广西哲学社会科学研究课题“广西养老机构的多元发展研究”(15FRK001) 广西医科大学人文基地(马克思主义理论研究与建设工程广西医科大学研究基地 广西高校人文社会科学重点研究基地——健康与经济社会发展研究中心)课题“医养融合养老机构的发展困境及化解路径研究”(2016RWA03) 广西医科大学社会科学研究课题“广西‘医养融合’养老模式研究”(2015B04)
【分类号】：D669.6;R197.1
，
本文编号：2487438
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