重庆市医养结合养老模式发展中的政府职能研究

发布时间：2018-01-25 12:22

本文关键词： 医养结合养老模式政府职能重庆市　出处：《西南大学》2017年硕士论文　论文类型：学位论文

【摘要】：近年来,重庆市老龄化日益加剧,养老模式也因此受到人们越来越多的关注。面对逐渐增加的养老压力,传统养老模式由于医疗和养老资源的分离、缺少足够的关怀、碎片化的管理而面临着严峻的挑战。此刻,一种整合医疗和养老照护资源于一体,集医、疗、养、护于一身的新型养老模式——医养结合养老模式开始进入重庆市民众的视野,并逐步发挥良好的社会效应。重庆市政府部门在医养结合养老模式发展中,如何发挥好政府职能,关系着养老事业的持续发展。本文将重庆市医养结合养老模式发展中的政府职能作为研究对象,是由于重庆市医养结合养老模式尚处于发展初期,各区县在开展中遇到了不同程度地的困境和难题。这需要重庆市政府部门创新管理方式,转变政府职能,树立为人民服务的意识,协助各地解决医养结合养老模式的实际问题,促进重庆市医养结合养老品质化、精细化发展。本文将璧山区A机构医养结合养老模式发展中的政府职能作为典型案例研究,在实地调研的基础上从政府管理的维度深入了解A机构医养结合的开展模式,探究了机构中入住老人的基本情况,分析了璧山区为支持A机构医养结合养老模式所做的努力,以及对于重庆市其他区县在医养结合养老模式发展中政府职能层面的借鉴意义。在此前提下由点到面分析了重庆市医养结合养老模式开展中政府职能环节存在的问题,并提出了相应的改进策略。文章主体分为以下几部分:第一部分绪论,主要就重庆市医养结合养老模式发展中的政府职能这一选题的背景、意义,研究思路和研究方法展开论述,并分析了这一选题的国内外研究现状;第二部分引入了本文的核心概念。主要对重庆市医养结合养老模式发展中的政府职能的理论基础和相关概念进行阐述。结合公共物品理论、新公共服务理论、政府职能理论,对重庆市医养结合养老模式发展中的政府职能展开论述,并着重阐释了机构养老、医养结合养老模式、政府职能的概念;第三部分以璧山区A机构为典型案例,分析了璧山区在A机构医养结合养老模式发展中的政府角色和职能。首先分析了重庆市医养结合养老模式发展中的政府职能及其构成,然后介绍了A机构医养结合特色、入住老人的基本情况,最后阐述了璧山区在A机构医养结合养老模式发展中的政府职能和作用;第四部分在第三部分的基础上由点到面分析了重庆市医养结合养老模式发展中政府职能履行中出现的问题,指出当前重庆市在医养结合养模式发展中:在决策职能、组织职能和监督职能层面存在一定的困境。在决策职能领域,包括决策指引过于宏观模糊、公共问题不详尽。在组织职能环节,包含物质准备不充分和组织准备不成熟。在监督职能层面,主要有对监控的重视程度不够、以及实际操作比较困难;第五部分,针对第四部分论述的问题提出对应的政策建议。针对重庆市医养结合养老模式发展中政府职能存在的问题,重庆市政府部门首先要科学决策,做好重庆市医养结合养老模式发展规划,为此需要充分调查研究、完善决策表述;突出关键政策问题。其次,重庆市应该精心组织,形成重庆市医养结合养老模式发展合力,为此应搞好经济建设、增加财政倾斜力度;做好组织建设,形成组织保障。最后,重庆市要全面监督,打造重庆市医养结合养老模式发展可靠保障,为此,要提高对医养结合开展监控环节的重视程度,并制定可行的监控方案。
[Abstract]:In recent years, the growing aging in Chongqing, the pension model has therefore attracted more and more attention. In the face of the pension pressure increases gradually, the traditional pension model because of the separation of medical and pension resources, lack of adequate care, fragmented management is faced with severe challenges. At the moment, an integration of medical and old-age care in one set of resources, medicine, treatment, support, support a new pension model, medical support combined with pension model began to enter the Chongqing City People's vision, and gradually play a good social effect. The Chongqing municipal government departments in the development of medical support combined with the pension mode, how to play the functions of the government, the relationship between sustainable development pension business. The Chongqing City medical support combined with government functions in the development of pension mode as the research object, because Chongqing City medical raising combined with the pension model is still in the early stages of development, the county in the open Show encountered difficulties and problems in different degree. This requires innovation management of the Chongqing municipal government departments, the transformation of government functions, establish the consciousness of serving the people, to help solve practical problems around the medical raising combined with the pension mode, promote the quality of the old-age support combined with Chongqing city hospitals, fine development. In this paper A institutions in Bishan area of medical support combined with government functions in the development of pension mode as a typical case study, based on the research in the field of government management from the dimension of in-depth understanding of the A mechanism of medical support mode to carry out the basic situation of the inquiry mechanism for the elderly, analyzes the Bishan to support raising the pension model by A medical institutions efforts for the government and other counties in Chongqing in the combination of medical care and pension mode in the development of functional level reference. On the premise of this area in Chongqing city is analyzed the combination of medical care pension Carry out government functions in the aspects of the problems, and put forward the corresponding improvement strategies. This paper is divided into the following parts: the first part is the introduction, mainly for the Chongqing City medical support combined with government functions in the development of the pension model the background, significance, research ideas and research methods are discussed, and the analysis of the research the status of this topic at home and abroad; the second part introduces the core concepts of this paper. The main city of Chongqing medical support theoretical basis of combination of government functions in the development of the pension model and related concepts. Combined with the public goods theory, the new public service theory, the theory of government functions of Chongqing City medical support combined with the functions of the government pension in the development of the model is discussed, and focuses on institutional care, medical raising combined with the pension model, the concept of government functions; the third part to Bishan A institutions as the typical case, analysis of the bi The mountain at the A Institute of medical support combined with the role and function of government pension model development. First analysis of the Chongqing medical support combined with government functions in the development of endowment pattern and its constitution, and then introduces the A mechanism of medical support combined with characteristics, basic situation of elderly, finally elaborated the Bishan District at the A Institute of medical support combined with the functions of the government and the role of pension mode in development; in the fourth part, on the basis of the third part from the analysis of Chongqing City medical support combined with government pension model development to fulfill the functions of the problem, pointed out that the current Chongqing City in medical support combined with raising pattern of development: in the decision-making functions, there are certain difficulties of organization function and supervision function level. In the field of decision-making functions, including macro decision guidelines are too vague, not exhaustive. Public problems in the organization function links, including material preparation is not sufficient and not mature. In the supervision organization and preparation Function level, main emphasis on monitoring is not enough, and the actual operation is difficult; the fifth part, the fourth part discusses the problems and put forward some corresponding policy suggestions. In view of the Chongqing City medical raising combined with the pension mode existing problems in the development of the functions of the government, the Chongqing municipal government departments must first make scientific decision, Chongqing City medical support combined planning for the development of pension model, this requires a full investigation and study, improve the decision-making problem of expression; highlighting key policy. Secondly, Chongqing city should be carefully organized, raising the pension model formed the development of force Chongqing city hospitals, so we should improve economic development, increase financial support; good organization construction, the formation of organizational security. Finally, Chongqing city comprehensive supervision, build Chongqing City medical raising combined with the pension model the development of reliable protection, therefore, to improve the medical support combined with emphasis to carry out monitoring link, and make available The monitoring scheme of the line.

【学位授予单位】：西南大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;D669.6

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