破解医养结合模式下养老机构的伦理困境：实践路径探索与优化

[中图分类号]R-052 [文献标志码]A [文章编号]1001-8565（2025）10-1270-05

DOI：10.12026/j.issn.1001-8565.2025.10.06

Breaking the ethical dilemmas in elderly care institutions under the integrated medical and elderly care model：exploration and optimization of practical pathways

FENG Xiangyan1，MIAO Lele²，LYU Qingqiao1，LI Xiaoe1，YANG Zhinan1，MA Yuzhuo³

（1.School of Health Care， Xi'an Vocational and Technical Collge， Xi'an 71O6oo，China; 2. School ofNursing and Health，Yan'an University，Yan'an 716Ooo，China;3.Honghui Hospital， Xi'an Jiaotong University，Xi'an710054，China）

Abstract：The integrated medical and elderly care model provides comprehensive medical and elderly care services by establishing medical facilities in elderly care institutions or forming close cooperative relationships with surrounding medical institutions. Curently，there are 87，OOO paired partnerships established nationwide between medical and health institutions and elderly care service institutions，and more than 7，8OO integrated medical and elderly care institutions have obtained the qualifications of medical and health institutions and completed elderlycare service registration.This modelnot onlymeets the elderly’s healthcare needs but also provideslife care，psychological support，and social activities，thereby improving their quality of life.However， the integrated medical and elderly care model also faces numerous ethical dilemmas in practice.This paper aimed to explore in depth the ethical dilemmas and countermeasures optimization in the work of elderly care institutions under this model，to promote the improvement of service quality，comprehensively guarantee the rights and interests of the elderly，and promote the healthy development of this model in practice.Under this model，the elderlycare institutions notonlybear the responsibility of providing long-term care and life services but also need to cooperate with medical institutions to provide healthcare and health management services for the elderly.By exploring the practical paths for elderly care institutions to address the ethical dilemmas faced with this model，feasible solutions were proposed to enhance the welfare of the elderly and promote the harmonious development of society.

Keywords： integrated medical and elderly care model;work in elderly care institution;ethical dilemma

随着人口老龄化形势的日益严峻，医养结合模式成为解决老年人健康和生活照护问题的重要途径之一。（剩余7641字）