Research On Medical-nursing Combined Elderly Care Service In Huanggu District Of Shenyang City

In recent years,the growth rate of the elderly population is extremely alarming.The aging population is very serious.Taking care of the elderly people suffering from chronic diseases and disability has brought a series of problems for the family and the social.In order to resolve the issue of aging population and the higher quality demand for services.The combination of medical institutions and pension institutions is very important.Medical-Nursing combined elderly care service comes into being.The thesis takes Huanggu District of Shenyang city as an example.Through the interviews of Huanggu District of Shenyang city medicine raise of endowment pattern of social surveys on the spot.And analysis the elderly care service in the pension institutions.And analysis the existing problems in the Medical-Nursing Combined elderly care service.And analyze the causes of the problem by using the theory of network governance.Finally,some suggestions are put forward to provide a new direction for the Medical-Nursing Combined.This thesis is divided into five parts.First is the introduction.It introduces the background and significance of the topic selections well as the research status of the Medical-Nursing Combined and the research methods in this thesis.And the innovation of this thesis.The second part gives a systematic exposition of the elderly care service,institutional endowment and the theory of network governance.The third part points out the existing problems according to the Medical-Nursing Combined in Huanggu District of Shenyang city,analysis the elderly care service in the pension institutions,including the combination of medical care and old-age care institutions in the high price and the number of difficult to meet the demand,pension institutions and medical institutions cooperation is not smooth,healthcare professionals and so on.The fourth part analyzes the causes of the problem,the governance network design is unreasonable,the lack of institutional norms,the lack of strong link links,the communications are not smooth,the responsibility and incentivemechanism is not sound,the lack of governance capacity construction,the lack of technical support.The fifth part puts forward the corresponding countermeasures and suggestions,optimize the governance network,communicate and coordinate the community pension service subjects,clarify the main responsibilities,incentive risk sharing mechanism,give better paly to the initiative of service subjects,strengthen the network governance capabilities,play the power of the government and strengthen the support of the technical.