| With an aging population gradually deepened, the health care and pension issues of semi disability and disabled elderly in our country will become increasingly prominent. Pension system reform in developed countries basically have experienced the resource integration and pension institutions in transition. It can be seen that research on Medical-Nursing Combined Institutional Care Mode with the elderly long-term care insurance is the trend and also the the purpose of this article.There are four kinds of research methods used in this paper:(1)Literature researchCollecting data and Literatures in CNKI, Wanfang database, the relevant government medical website and Wuhan Statistical Yearbook 2010-2014. Then using Baidu Encyclopedia, Wikipedia, and other network resources to expand and analysis the information.(2)Site investigationFor understanding the existing Medical-Nursing Combined Institutional Care Mode in Wuhan detailed and in-depth, we do site investigations on the 3 institutions.(3)Comparative analysisA Comprehensive investigation of the three institutions’ nature, scale, personnel, medical support methods, fees, etc. Then summarize the meaning, current situation and insufficient of the three kinds of Medical-Nursing Combined Institutions.(4) International Labour Organization Financing ModelEstablish demographic model, Economic Model and Estimated revenue model (payment number and base pay) based on the data of Wuhan Statistical Yearbook 2013. Eventually propose the establishment of the elderly long-term care insurance in Wuhan, then determine the financing model. The final step is to estimate the proportion of the cost of financing the Wuhan City-year long-term care insurance.After the investigation and research, we can obtain the fol lowing results:there are different degrees of difficulty on fu nds, hardware facilities, human resources, services provided, m edical and pension resources integrated about the three kinds o f Medical-Nursing Combined Institutions. Overall, the situation in public institution is better than private institution, but the fairness and welfare also need to be improved. These Medica 1-Nursing Combined Institutions are facing the double dilemma. Endogenous dilemma is the lower level of medical services and t he lack of high-quality health care. Exogenous dilemma is the 1 ack of funds and standard system, the absence of responsible un its and legal protection. By collecting the national, provincia 1 and municipal on promoting Medical-Nursing Combined Instituti onal Care Mode can be seen the government’s determination to so lve the problem and the inevitability of policy reform.In order to solve these problems, we must adopt a long-term care insurance method and establish the personalized service pack of Medical-Nursing Combined Institutional Care Mode. Establish a long-term care insurance should balance the relationship of efficiency and fairness, uphold the universality, freemasonry, systematic principle. By ILO financing model to calculate the percentage of the estimated costs and financing of Wuhan City-year long-term care insurance, and other values. By customizing the personalized service package to meet the different needs of the elderly.Finally, we made the outlook of relevant policy. Then propose various mechanisms for vocational education and continuing education to motivate high caliber performance and training oriented professionals of the Medical-Nursing Combined Institutional Care Mode. The new things should get legal and institutional guarantee and make the government as the dominant, agency as a carrier, the market as a source. Later, long-term care insurance will work with medical insurance, pension insurance like the entirely linkage. The Research on Medical-Nursing Combined Institutional Care Mode strive to make this industry for the elderly the most dynamic and most promising sunrise industry. |