| In 2013,the State Council launched the policy of "combination of doctors and nurses".At present,"medical support combination" is still in the exploratory stage in the whole country.In the literature research on the integration of medical care in China,scholars have studied the models,factors and problems of the combination of urban medical care in the eastern coastal Han gathering areas,such as Shanghai,Dalian,Qingdao,Hefei and so on.According to the situation and effect of the practice of medical care in the developed coastal areas,such as Shanghai and Qingdao,it can be used as a long-term solution to the problem of aging population in China.However,the practice of eastern coastal areas is not universally applicable to Guangxi's ethnic areas.Guangxi is located in the southwestern part of our country,which is located in the southwestern part of China.It is a minority gathering area with the characteristics of multi-ethnic,mountainous,multi poor and border areas.The medical and old-age resources are relatively poor.Influenced by the economic development level,ethnic population characteristics and cultural customs differences,Guangxi is naturally different from the developed provinces and provinces in the eastern coastal areas.Nanning,Hezhou and Baise in the district were approved by the Ministry of civil affairs to become a national pilot city for medical care,which has played an important role in promoting the development of Guangxi medical support.This study selects Nanning,Hezhou,Baise and Guilin City,which is a representative combination of medical and medical care in Guangxi.Since the combination policy of medical care has just started in Guangxi for about 3 years,the total amount of medical care institutions is limited and the number of elderly people in the institutions is limited.Therefore,this study only uses interview method for the civil affairs and health of four cities.On the basis of combing the interview data,the leaders of the departments of other departments and the medical support organizations and the elderly people in the organization have found out the current situation and existing problems of these cities,mainly in the management of the government departments,the standards of policies are not unified,and the distribution of medical resources is not distributed.A reasonable and effective linkage mechanism is not perfect;the main body of medical service is single,and lacks the participation of market society.Using the overall governance theory,we put forward the countermeasures and suggestions: to strengthen the coordination of the civil and health departments,to unify the policy standards among departments,to optimize the distribution of medical endowment resources,to increase the integration of medical resources,to encourage different subjects to provide services and to smooth the channels of market social intervention.We need to explore the path of medical service combined with the old age in Guangxi,so as to achieve the goal of "old age and old age" for the elderly in Guangxi.This study is divided into five parts: the first part is the introduction,which introduces the background,purpose and significance of this study,summarizes the progress of the combination of medical care at home and abroad,and explains the contents and main methods of this study.The second part is the related concepts of the combination of medical care and the origin,concept and content of the theory of holistic treatment.The third part expounds the status of Guangxi medical care and pension service,including population status,institutional status,policy status,and so on.The fourth part makes a clear understanding of the problems faced by Guangxi medical care and pension services through the investigation of the pension institutions in the four cities of Guangxi.The fifth part is aimed at the existing problems,and puts forward the countermeasures and suggestions for further improving the medical service combined pension service in Guangxi. |
PDF Full Text Request