中国机构养老医养结合模式服务利用效能影响因素研究

打开文本图片集

[中图分类号]R197.1 [文献标志码]A DOI：10.12026/j.issn.1001-8565.2025.10.05

[文章编号]1001-8565（2025）10-1259-11

Research on the influencing factors of serviceutilization eficiency in the integrated medicaland elderly caremodelinChina'sinstitutionalelderlycare

DING Shangzhen，LI Hanwei

（School ofManagement，Shanghai University of Engineering Science，Shanghai 2Ol62O，China）

Abstract： Objective：Integrated medical and elderly care is a practical step to implement and enhance the health and quality of elderly care.This paper aims to delve into the underlying relationships among factors influencing institutional utilization of integrated medical and elderly care services，promote the effcient service utilization ofintegrated medical and elderly care model in institutions，and achieve substantial progress in elderly care welfare.Methods： Through literature review，questionnaire surveys，and expert interviews， 15 key factors influencing the utilization of integrated medical and elderly care services in elderly care institutions were identified and screened. The TISM model and MICMAC method were employed to establish the mechanism of the influencing factors of theutilization of integrated medical and elderly care services in elderly care institutions，and the dependence and driving force among the influencing factors were analyzed.Results： Overlapping functions among government departments，unclear boundaries of powers and responsibilities，and a low degree of improvement and implementation of the policy were the core driving factors affecting institutional utilization of integrated medical and elderly care services.Conclusion：Through in-depth analysis of the interaction among various influencing factors，practical suggestions for improvement were proposed to build a tree-dimensional collaborative intellgent governance mechanism，shape the new advantages of the self-construction of elderlycare institutions，and provide strategic support for the optimization of integrated medical and elderly care servicesutilization in China.

Keywords： integrated medical and elderly care；institutional elderly care；service utilization

0 引言

“十四五"时期，中国人口老龄化程度进一步加深，根据第七次全国人口普查数据，中国60岁及以上的老年人口数量高达2.64亿，其中，65岁及以上的老年人口更是多达1.91亿，占比 13.5% ，在养老问题上中国正面临着前所未有的挑战和严峻的形势[1]。（剩余15011字）