基于个体养老偏好的健康养老模式研究

发布时间：2018-04-14 03:25

本文选题：养老偏好 + 健康养老　；参考：《青岛大学》2017年硕士论文

【摘要】：近年来,随着我国老龄化程度的加深、高龄化趋势明显,失能失智老人越来越多,2015年,国务院办公厅发布《关于推进医疗卫生与养老服务相结合指导意见的通知》,将医养结合提上日程,健康养老问题成为社会及政府关注的焦点。目前,我国多省市都已积极开展医养结合服务,并已形成各具特色的健康养老模式。但是,各地区的健康养老模式并不完善,还存在服务内容同质化、供给资源不足、监管主体不明确等问题。本文以健康养老模式为研究中心,从健康养老理论概述、健康养老模式实践与实证研究以及提出建议三个方面进行阐释:首先,对健康养老模式等相关概念进行界定。运用需求层次理论、效用与偏好理论、健康管理与健康促进理论,阐释健康养老模式的理论基础。在此基础上,介绍丹麦、美国及日本的实践经验,总结出对完善我国健康养老模式的启示。其次,本文分析我国健康养老相关政策和模式发展,总结出我国的健康养老模式发展特点。同时,以北京市老年人个体养老偏好为研究视角,从个人自身情况、家庭状况及收入情况三个方面,分析了我国不同健康养老模式选择的影响因素。基于各地实践及实证研究,提出现存健康养老模式存在的问题,旨在为完善我国健康养老模式的发展提供政策建议。最后,针对我国健康养老模式发展存在的问题,从筹资支付制度、需求层面、供给层面和监管层面四个角度提出完善我国健康养老模式的政策建议。从筹资支付制度看,需建立多元化筹资渠道,完善支付制度建设;需求层面,完善老年分类分级标准,构建多元健康养老模式;供给层面,完善健康养老服务标准、规范和指南,加强健康养老服务专业队伍建设,扶持社会资本参与健康养老服务业;监管层面,强化政府的责任,完善健康养老服务的监管。
[Abstract]:In recent years, with the deepening of aging in our country, the trend of aging is obvious, and the number of disabled and retarded elderly is increasing. In 2015,The General Office of the State Council has issued the notice on promoting the combination of medical and health services and old-age services, putting the combination of medical care and support on the agenda, and the issue of health care for the aged has become the focus of attention of the society and the government.At present, many provinces and cities in our country have actively developed the combination of medical and nursing services, and have formed their own patterns of health care for the aged.However, there are still some problems, such as homogeneity of service content, shortage of supply resources, unclear supervision body and so on.In this paper, the health pension model as the research center, from the health pension theory overview, health pension model practice and empirical research and put forward three aspects of the interpretation: first, the definition of health pension model and other related concepts.Based on the theory of hierarchy of needs, utility and preference, health management and health promotion, this paper explains the theoretical basis of health pension model.On this basis, the practical experiences of Denmark, the United States and Japan are introduced, and the enlightenment to consummating the pattern of health care for the aged in China is summarized.Secondly, this paper analyzes the development of health care related policies and models in China, and summarizes the characteristics of the development of health pension model in China.At the same time, from the perspective of the individual old-age preference of the elderly in Beijing, this paper analyzes the influencing factors of the choice of different health pension models in China from three aspects: the personal situation, the family situation and the income situation.Based on local practice and empirical research, this paper puts forward the problems existing in the existing health pension model, in order to provide policy suggestions for improving the development of health pension model in China.Finally, in view of the problems existing in the development of healthy old-age pension model in China, this paper puts forward some policy suggestions on how to perfect the health old-age pension model in China from four aspects: financing and payment system, demand level, supply level and supervision level.From the point of view of financing payment system, it is necessary to establish diversified financing channels and improve the construction of payment system; at the demand level, to perfect the classification and grading standards for the elderly, and to build a pluralistic model of health care for the aged; to improve the standard of health care for the aged at the supply level;Standardize and guide, strengthen the construction of health pension service professional team, support the social capital to participate in the health pension service industry, supervise the level, strengthen the responsibility of the government, perfect the supervision of the health pension service.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;D669.6

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