In recent years,the speed of aging in China is accelerating,the degree of aging is becoming more and more serious,and a series of problems brought about a series of problems that have brought a lot of pressure to social and economic development,the most direct of which is the shortage of old-age services,at the same time,the Chinese the traditional model of old-age care at home and dependent on children’s service and support has been difficult to meet the needs of the elderly,and the demand for "medical + old-age" services for the elderly has increased.This thesis further focuses on the responsibility of the government under the mode of medical and nursing integration,and combines the specific practice of promoting the integration of medical and nursing care in Tianning District of Changzhou City,and extensively carries out investigation and research,visits and research.Although Tianning District has carried out certain explorations,there are still many gaps in the overall goal of supporting the elderly and relying on the elderly,in addition to the problems of superior problems such as imperfect supporting policies,there are still outstanding problems such as multi-head management,few sources of operating funds,and lack of professional talents.Combined with the theoretical basis of the new public service theory and the welfare triangle theory,the thesis deeply analyzes the main reasons for the emergence of current work problems,and further puts forward the views that the government’s leading and guiding roles have not been fully and effectively played,and there is also a lack of scientific and authoritative work evaluation mechanism for the integration of medical and nursing care.In this regard,the author believes that the construction of the system should be strengthened around the implementation of long-term care insurance,and the clarification and integration of functions and powers should be increased based on the actual situation of grass-roots work,so as to rationalize the management mechanism of medical and nursing integration,and it is necessary to establish a diversified source of resources and channels to solve the problem of difficult operation of medical and nursing integration institutions.It is necessary to explore an evaluation system suitable for the development of grass-roots medical and nursing integration,strengthen the building of the contingent of qualified personnel,and continue to promote the benign development of medical and nursing integration. |