冯延平

    [摘要] 针对我国现有的养老模式均存在医养分离、有养无医的现状，我国开始在养老服务体系改革中推行“医养融合”方式，希望通过养老机构与医疗卫生机构开展合作、社区日间照料中心与基层医疗卫生服务机构无缝对接和落实国家分级诊疗、全科医生制度，为老年人提供便捷的医疗护理服务，促进医疗、养老资源的合理配置。但是，这一政策在实施过程中面临着医养融合政策制度需要完善、医养融合制约因素较多、社区基础医疗发展难等问题。因此，本文建议通过在政策层面、管理层面、操作层面综合发力，建立健全居家养老支持政策，进一步优化健康养老服务供给结构，推动医疗卫生和养老服务相结合，探索建立多层次长期照护保障体系，以加快医养融合进程。

    [关键词] 养老服务体系；医养融合；居家养老；社区养老；机构养老

    [中图分类号] R193.2 [文献标识码] A [文章编号] 1673-7210(2017)01(c)-0184-04

    [Abstract] Facing the status quo of separation of medicine and support in elderly supporting mode， China begins to implement medical-support-integration in the reform of elderly care service， to provide convenient medical care service， promote the reasonable allocation of medical and elderly care resources by means of the cooperation between elderly care agencies and medical agencies， the seamless integration between community daycare centers and primary medical service agencies and the implementation of national hierarchical medical system and general practitioner system. However， this policy encounters have many problems in the process of implementation， such as the need of perfection of medical-support-integration policy and system ......