积极老龄化背景下社区医养结合养老服务供给问题及对策研究-以蚌埠市银河中心社区为例

摘要伴随着中国社会经济的迅猛增长和人口逐渐老龄化的趋势，养老服务的问题也随之浮现，对高品质养老服务的需求日益增长，这对我国的养老服务体系建设提出了更为严格的标准。医养结合有别于提供单一生活照料的传统养老服务，是一种将医疗和养老相结合的新型养老模式，能最大程度地满足老年人健康养老服务需求，它的出现为我国老年群体的健康养老问题提供了新的解决路径。在积极老龄化的背景下，探索社区医养结合养老服务供给问题及对策，可以提升老年群体的生活品质、缓解家庭照料压力，还能有效降低社会养老成本，具有重要的现实意义。本研究以蚌埠市银河中心社区为例，采用问卷调查、访谈和文献分析等方法，深入研究以下内容：一是分析蚌埠市银河中心社区老年人的基本情况和养老服务需求；二是评估当前社区医养结合养老服务的供给现状，包括服务供给模式、供给主体和内容、设施与人员配备、服务满意度等方面；三是识别服务供给中存在供不应求、供给主体比较单一、医养基础设施分布不均和医养结合专业人才较为缺乏的问题并分析；四是提出针对性的对策和建议，包括构建区域整合型医疗服务体系、吸引社会资本积极参与、加强医养结合专业人才培育等，促进社区内医疗与养老相结合的服务向健康方向发展。关键词：积极老龄化；医养结合；养老服务；服务供给 AbstractAccompanyingtherapideconomicgrowthandthetrendofanagingpopulationinChina,issuesrelatedtoelderlycarehaveemerged.Thedemandforhigh-qualityelderlycareservicesisgrowing,whichimposesstricterstandardsontheconstructionofourcountry'selderlycareservicesystem.Integratedmedicalandelderlycarediffersfromtraditionalelderlycarethatonlyprovidesdailylivingassistance;itisanewmodelthatcombinesmedicalandelderlycare,capableofmeetingthehealthandcareneedsoftheelderlytothegreatestextentpossible.Itsemergenceoffersanewsolutiontotheissueofhealthyagingfortheelderlypopulationinourcountry.Therefore,underthebackdropofactiveaging,exploringthesupplyissuesandstrategiesforcommunity-integratedmedicalandelderlycarecanenhancethequalityoflifefortheelderly,alleviatefamilycaregivingpressures,andeffectivelyreducesocialelderlycarecosts,makingithighlysignificantinpracticalterms.ThisstudytakestheGalaxyCentralCommunityinBengbuCityasanexample,employingmethodssuchasquestionnairesurveys,interviews,andliteratureanalysistodelveintothefollowingaspects:First,itanalyzesthebasicsituationofelderlyresidentsandtheirneedsforelderlycareservicesintheGalaxyCentralCommunityofBengbuCity;Second,itevaluatesthecurrentsupplystatusofintegratedmedicalandelderlycareservicesinthecommunity,includingserviceprovidersandcontent,facilitiesandstaffing,andservicesatisfaction;Third,itidentifiesissuessuchasinsufficientsupply,arelativelysinglerangeofserviceproviders,unevendistributionofmedicalandelderlycareinfrastructure,andalackofspecializedtalentforintegratedmedicalandelderlycare,andanalyzestheseissues;Fourth,itproposestargetedstrategiesandrecommendations,includingbuildingaregionallyintegratedmedicalservicesystem,attractingsocialcapitaltoactivelyparticipate,strengtheningthecultivationofspecializedtalentforintegratedmedicalandelderlycare,andpromotingthetransformationanddevelopmentofelderlycareinstitutions,withtheaimofpromotingtheintegrationofmedicalandelderlycareserviceswithinthecommunitytowardsahe