医养结合视角下对基层社区卫生服务机构举办养老机构模式的探索与研究——基于北京市西城区月坛社区卫生服务中心举办银龄老年公寓的案例分析

随着我国人口老龄化进程逐年加快，养老问题日益突显。2013—2021年，国务院办公厅陆续发布了关于推进医养结合服务、提升养老服务质量、加强新时代老龄工作等若干意见。由此，基层医疗卫生机构与养老机构将“老有所医、老有所养”如何合作与分工等问题摆上重要议事日程。本文从基层社区卫生服务机构举办养老机构这一模式的重要性和必要性出发，从“服务主体、服务内容、服务形式、服务对象、运行效果”5个维度分析其存在的优势及面临的困境，期望可以逐步实施医养结合能力提升行动、建设高质量的社区医养结合模式、推广健康老龄化理念。

Exploratory Research on Models of Operating Elderly Care Facilities by Community Health Institutions from Integrated Medical and Elderly Care Perspective: a Case Study of Yinling Elderly Nursing Home Held by Beijing Xicheng District Yuetan Community Health Center

The need for elder care has become more pressing as population aging is accelerating in China. The General Office of the State Council of the People's Republic of China has promulgated a number of opinions between 2013 and 2021 aiming at promoting the implementation of integrated medical and elderly care services, enhancing the quality of geriatric services, and strengthening aging services in the new era. And then primary care institutions and elderly care facilities have put the issue on the critical agenda, namely how to take actions to divide labor and cooperate to ensure the elderly to get security and support. This paper discusses the importance and necessity of the model of elderly care institutions operated by community health institutions, and analyzes its benefits and drawbacks from five dimensions: service providers, service scope, service forms, service receivers, and operational effects, with the expectation of gradually implementing the actions to improve the national level of integrated medical and elderly care, to develop a high-quality community-based integrated medical and elderly care model, and to promote the concept of healthy aging.