Research On The Efficiency Improvement Of Old-age Raising Security Policy In Chongqing

With the rapid development of social economy and medical technology,aged tendency of population has become one of the major social risks that each country needs to deal with urgently and many of the effects that the rapid population growth brought about have become the focus of academic researches.China has entered a period of rapid population growth.In order to solve the growing demand for old-age raising care and deal with the potential hidden dangers of old-age raising care in the future,the national government has introduced a series of old-age raising security policy and measure for intervention and regulation.However,old-age raising problems keep emerging,and the traditional old-age raising model has been unable to meet the diversified old-age raising needs of the elderly.Various newly developing old-age raising models emerge at this moment,and the combination of medical and health care has become the most representative old-age raising model.As one of the first state-level trials of combining medical and health care,Chongqing has explored the old-age raising model in combination of medical and health care in order to implement the central government’s policy and instruction.In the face of the severe situation that population aging ranks in the forefront,according to the needs of objective reality,local governments of Chongqing adjusted and changed people’s livelihood policies,during which a relatively comprehensive system of old-age raising security policy has been formed.The paper is based on the current situation of old-age raising services in combination of medical and health care,focuses on old-age raising security policy system,uses the new public management theory,Maslow’s hierarchy of needs,and the policy network theory,and constructs the interactive logical relation diagram of network subjects of old-age raising security policy and overall satisfaction evaluation index system of old-age raising service in combination of medical and health care.It aims to reflect the efficiency of old-age raising security policy through the results of customer-oriented satisfaction evaluation,and design the way to improve the efficiency of old-age raising security policy by combining theoretical research and empirical research.The paper mainly includes six parts:The first part is the basis of topic selection and the summary of academic trends.This chapter expounds the background and significance of the research,concludes the current research situation of the combination of medical and health care and related policy system at home and abroad,and explains the research methods,research ideas and innovation points of this paper.The second part is the concept definition and theoretical support.This chapter explains the two core concepts of the combination of medical and health care and policy effectiveness,and discusses the new public management theory,Maslow’s hierarchy of needs theory and policy network theory adopted in the research.The third part is the analysis of old-age raising security policy network in Chongqing.This chapter summarizes the framework of the old-age raising security policy in Chongqing,analyzes the composition of policy subjects and the relationship among the subjects based on the policy network theory,and finally draws the interactive relation diagram of the network strategy of the old-age raising security policy.The fourth part is the empirical analysis of old-age raising services in combination of medical and health care in Chongqing.In this chapter,combined with SERVQUAL model,the author constructs the overall satisfaction evaluation model and questionnaire of old-age raising service in combination of medical and health care,empirically measures the subjective evaluation of elderly people on old-age raising service in combination of medical and health care in Chongqing community for the purpose of multiple regression analysis,and finally concludes the common constraints of old-age raising service in combination of medical and health care in Chongqing.The fifth part is the suggestion of improving policy effectiveness.According to the results of theoretical research and empirical research,the author designs the improvement path of the old-age raising security policy in Chongqing.The sixth part is the conclusion and prospect,which expounds the main conclusions,shortcomings and future prospects of the research.There are two main research conclusions in this paper.The first part is the theoretical analysis.The issue network is closely connected with the inter-governmental network,but the mode of strategic interaction is single.To be specific,the network can only influence the implementation of policies through the appeal of public interest,and the inter-government network can actively receive the interest appeal and have a containment and cooperative relationship with the producer network to realize the interest appeal of the issue network.The second part is the empirical research.The results show that the degree of education is inversely related to the degree of overall satisfaction with significant influence on the level of 0.001.In the four service quality dimensions of tangibility,responsiveness,empathy and reliability,the empathy of medical and health services has the greatest impact on overall satisfaction,firstly followed by the responsiveness of daily care services,secondly followed by the empathy and reliability of spiritual consolation services,and the influence degree of policy benefits is less.In addition,the interview data show that there are some problems,such as the lack of supporting policies,the confusion of service supply sequence,the shortage of human resources,the vague scope of medical insurance reimbursement,and the misunderstanding of cognition and concept in the old-age raising services in combination of medical and health care in Chongqing.Finally,the author puts forward the improvement path of policy efficiency from three aspects: strengthening the coordination of inter-governmental network,strengthening the integration of producer network resources and paying attention to the participation of issue network.The main innovations of this study are that the research method breaks through the boundary between natural science and social science,and it researches on the old-age raising security policy system through the two logical paths of theoretical and empirical studies,strengthens the pertinence of research and makes up for the deficiency of emphasizing theory over empirical evidence and emphasizing qualitative over quantitative analysis.