| Disability,half fail the long-term care of old people is social problem of tens of millions of families.Da combination of pension mode to a certain extent,solve the problem of the old time,LaoYouSuoYi "social,for the elderly to provide timely,convenient,accurate and comprehensive pension and health care services,effectively relieve pension and difficult problem.To further promote the development of pension services,pension services into full play in ensuring and improving people’s livelihood and promote the role of economic transformation and upgrading,fully enhance the level of industrialization,marketization,socialization endowment service industry in shandong province,shandong provincial government increasing support,promote have combined with model of development.Although some progress have been achieved,but overall is still in the early stage of development,there are many places need improvement.In this article,through the empirical analysis of the typical areas in shandong province medical combined with current situation of the development of pension mode,and points out that the main problems existed in the targeted put forward to promote the shandong province medical combined with policy Suggestions on the development of pension mode,as the medical keep combining endowment patterns of policy and practice exploration has important theoretical significance and practical value.Based on medical keep together with the present situation of endowment patterns of development in shandong province as the research object,to optimize the shandong medical combination of pension mode,meet the old "old be raised,LaoYouSuoYi,old-aged’s providing" endowment demand as the main line,on the basis of literature review,expert interview,field investigation,based on the first-hand information obtained by the field visit investigation,the integrated use of system analysis,statistical analysis and econometric analysis,structure analysis and hierarchical analysis method,mainly from the policy support and organizational leadership,basic paths,basic pension system,talent team construction analysis of the current medical keep the current situation of supply of pension mode in shandong province,from the elderly to cure have combined with the needs of the institution endowment service intention and its influencing factors,demand content analysis of the current medical keep together with the present situation of the demand of endowment patternsin shandong province.Orderly and further classification based on Logistic model and the ISM model to check in medical raise combination of pension institution analysis the influence factors of the elderly quality of life satisfaction,and then find out the current medical in shandong province have combined in the development process of endowment patterns of the main problems and puts forward relevant optimization measures.Through the study of this article,the following conclusions:(1)In shandong province medical raise pension agency obtains rapid development,as of June 2016,the province has endowment service agencies in 190 medical institutions,with clinics,clinic 994,have been incorporated into medical insurance fixed-point has 110.Basic formed the "overall care","joint operation",and "support radiation" three medical combination mode,each model has different characteristics,form and scope of application,but also has its advantages and disadvantages.(2)By economic factors,family factors,children and the influence of traditional ideas of inter-generational relations,there are still nearly half of older people tend to choose home endowment;23.86% of the elderly still tend to choose the traditional pattern of institutional pension;27.01% of the elderly said if in the case of reasonable prices will choose this type d have combined with pension model.(3)Using the ISM model and AHP model to cure a combination of pension service demand will influence factors were analyzed.ISM model analysis results show that the family income level,government support and development stage as deep fundamental factors of the elderly medical a combination of pension mode selection will influence is the foundation and profound.And then using the AHP model to determine the effects of the old medical have combined with pension mode selection of the will of all the factors of the comprehensive weighting results show that the family income levels,ADL and the level of health insurance,number of chronic diseases,such as government support comprehensive weighting,affecting the elderly medical combination endowment mode choice of the will of the key factors.(4)Along with the continuous development of social economy and accelerating aging speed,ageing population endowment demand gradually present condition,service category diversification and service requirements with high quality quantitative trend.Disability,half of disability,the old man as the elderly vulnerable groups,to medical have combined with a more comprehensive care need to sort,mainly concentrated in the daily life care,medical andrehabilitation services,and mental comfort services in three aspects.(5)Using multivariate Logistic model and the ISM model to check in medical raise pension agency elderly people’s quality of life satisfaction analysis.Results show that as the deep influence factors,physical condition,the condition of spouses and family income directly affect the degree of family harmony,recreational activity participation and degree of social concern,along the physical health,spouse,family income of sport participation,family harmony degree" to "the degree of concern about life","quality of life satisfaction,"the positive conduction relationship,from the source influence has been in the medical combination of pension agency elderly people’s quality of life satisfaction.(6)Although shandong medical combination of pension service work has made some progress,but overall is still in the early stage of development,there are many shandong province medical obstacle factor of the development of the pension mode.Mainly includes:medical raising barriers to combination of pension services department has yet to break,medical combined with the obvious contradiction between supply and demand,public service pension hospitals in medical combination of pension service underpowered,run by the local medical have combined with the development of the endowment agencies lost momentum,the combination of medical raise payment security system is not sound.(7)For shandong province medical obstacle factor of the development of the pension mode,government should actively play a role to guide management,strengthening the medical interagency collaboration strategy of combining mechanism,development and perfect medical combined with long-term care insurance mechanism,build multi-level medical a combination of pension service personnel training mode,constantly efforts,promote the development of shandong province medical keep combination of pension mode,constantly to meet the old old be raised,LaoYouSuoYi,old-aged’s providing" the pension requirements. |
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