Research On Government Responsibility In The Development Of "combination Of Medical Care And Elderly Care" In Institutional Pensions

In recent years,in order to actively respond to the aging trend and realize the strategic concept of Healthy China,the Chinese government and all walks of life have actively explored the realization of new types of elderly care services,and the concept of"combination of medical care and elderly care " came into being.Over the past ten years,the government has issued a series of policy documents,and the policy system of "combination of medical care and elderly care " has also gone through the stage of initiation,implementation,and deepening and improvement.The government has provided legal guarantees for institutions to carry out "combination of medical care and elderly care " services,and has also given greater support at the level of financial subsidies and supervision and management.Based on their actual conditions,local governments have explored multiple models of " combination of medical care and elderly care " and accumulated valuable experience.At present,the development goal of "combination of medical care and elderly care " is to establish an elderly care service system based on the home,supported by the community,and supplemented by institutions through a government-led,market-driven,and socially-participated approach.In the specific work of "combination of medical care and elderly care",the government has made full use of market-oriented advantages to encourage social capital to enter the medical care market.Through joint construction by government and enterprises,government purchases,and public construction of private enterprises,a number of high-quality products have been built."Combination of medical care and elderly care " institutions promote the integration of institutional care for the elderly with the community and home care through cooperation with social organizations."Combination of medical care and elderly care " is of far-reaching significance to the realization of healthy aging.However,Chinese " combination of medical care and elderly care " is facing a more serious imbalance in urban and rural development.Experience and resources are mostly concentrated in more developed areas,and the degree of popularization in rural areas is relatively low.Therefore,carrying out research on the "combination of medical care and elderly care " in less developed areas and exploring its development status,difficulties,and the performance of government responsibilities have a certain positive effect on the " combination of medical care and elderly care ".Taking Hulunbuir as an example,this thesis analyzes the background of the " combination of medical care and elderly care "services carried out by institutions in Hulunbuir,summarizes the status of " combination of medical care and elderly care " services provided by institutions,and the status quo of responsibility performance with various government departments,combined with interviews with relevant personnel As a result,it is concluded that the government has the following problems in promoting the development of "combination of medical care and elderly care ":First,it has failed to effectively handle the relationship between government,market and society,including insufficient positioning of government functions,insufficient ' market intervention,and insufficient participation of social actors;the second is the imperfect legal policy and management mechanism,including the inadequate policy and regulation system,the inadequate related supporting policies,the lack of communication and cooperation and performance management mechanism;the third is the insufficient supervision mechanism,including the insufficient supervision content,the insufficient supervision method,and the insufficient supervision system;fourth,the insufficient financial support,including insufficient fiscal capital investment,lack of special funds for medical care,and insufficient fiscal fund subsidy policies.This thesis combines interview data and literature data,uses welfare pluralism theory and new public service theory as the theoretical basis,and refers to the development experience of "combination of medical care and elderly care " in developed areas,and puts forward the following suggestions:First,correctly handle the government and the market,social relations,optimize the positioning of government functions,increase market participation,and encourage the participation of social entities;second,improve top-level design responsibilities,improve relevant laws and regulations,strengthen supporting policy support,and improve management mechanisms;third,improve supervision and management responsibilities,and improve supervision contents,optimize supervision methods,and perfect the supervision system;fourth,improve financial support responsibilities,broaden financing channels,plan special funds for medical care,and improve financial subsidy policies.