The Reconstruction Of The Medcial-nursing And Care Combination Service System

As the aging problem is becoming more and more serious nowadays, the elderly presents new characteristics with more empty-nest elderly, more disabled elders, the elderly live longer, they are more likely to get sick, and the demand of medical care is growing in the process of the aging trend. While China's pension institutions and medical institutions are independent of each other, self-contained system makes the elderly health care services can't effectively meet the demand. The elderly have to often round-trip between pension institutions and medical institutions. Both time delay and increase medical costs. In order to fulfill the successful aging, combine medical care and pension services, combine healthcare and elderly care resources together is very important. Although some cities appeared in the exploration of the Combination of Medical-nursing and Care service, mostly follow the logic of "who cares, who integrates". Only a portion of the medical needs of the elderly with better economic conditions had been met. The vast majority of family endowment and community endowment of the old man's basic medical service needs has not been effectively met.This article adopts the way of qualitative research. In order to finish this paper, the author through a combination of literature reading and practical investigation. To understand theoretically the generated background of the Combination of Medical-nursing and Care service and typical pattern about the Combination of Medical-nursing and Care service at present, the author through on-the-spot investigation and research to know how Community Sanitary Service Center of Wenjia street, Qingyang district, Chengdu City, supply the specific practices and play the role in the Combination of Medical-nursing and Care service.After reading a lot of references about the Combination of Medical-nursing and Care service, organize information obtained from investigation, and after deep thinking. The author thinks that, the Combination of Medical-nursing and Care service needs through a variety of coordination mechanisms to integrate medical service resources and endowment service resources, and should not just to upgrade institutions endowment, but also build up the Combination of Medical-nursing and Care service system. In the service system of the Combination of Medical-nursing and Care service, also need to establish a needs assessment system, two-way referral system, information sharing system. We need to emphasize the importance of preventive care, and emphasize the importance of meet the basic health requirements of the elderly. This service system should be geared to the needs of the majority of the elderly, combined with the demand characteristics of the elderly, and highlight the function and development orientation of community health service institutions in the Combination of Medical-nursing and Care service system. Provide disease treatment, rehabilitation care, prevention, health care and health management for the elderly with economic, effective, sustainable, comprehensive and coordinated.To carry out the Combination of Medical-nursing and Care service, build the Combination of Medical-nursing and Care service system, take into account the difference of pattern supporting the aged, the difference of the needs of the aged and the actual situation of health care and pension service providers. Endowment service agencies and medical service institutions should clarify its function in system of elderly care service and meet the demand of health care of the elderly by supply a great variety of medical services and endowments service. In the process of promoting the development of the Combination of Medical-nursing and Care service, we should avoid the waste of resources caught by service function convergence and service convergence in the Old-age service system. Keep combining with the development of pension services need effective guidance and supervision, need a large number of high-quality first-line old nurse, need to build up the long-term care insurance to support the Combination of Medical-nursing and Care service forward.