SWOT分析在评估家庭医生制度下推进医养结合养老模式的应用

朱美芬; 吕鹏飞; 周宏东; 祝秀英; 傅晨杰; 孙肖潇; 陈晓玲

doi:10.19428/j.cnki.sjpm.2018.18851

SWOT分析在评估家庭医生制度下推进医养结合养老模式的应用

SWOT analysis on combination of medical and pension model under family doctor system

摘要

摘要:
目的评估家庭医生制度下的医养结合养老服务模式开展状况并提出针对策略。
方法从卫生监管的角度，采用态势分析法分析家庭医生制度下的医养结合养老服务模式内在优势和劣势、外在机遇和风险。
结果家庭医生制度下的医养结合养老服务模式优势在于便捷的路径、有益身心健康、管理保障、可及性和系统性，劣势在于人员不足、需求不对称、法律滞后，机会在于政策引导和较高的社会需求，挑战在于社会预期过高、精准监管欠缺。
结论当前应契合社会需求，构建以社区卫生服务中心为平台的家庭医生-医养结合养老服务体系，加强宣传和引导，促进政策进一步完善，探索有效监管。

Abstract:
ObjectiveTo evaluate the status of the combination of medical and pension model (CMP) under the family doctor system in Shanghai Pudong New Area and to propose strategies in this regard.
MethodsFrom the perspective of health supervision, SWOT analysis was applied for internal advantages and disadvantage, external opportunities and risks of the CMP model under the system of family doctors in Shanghai Pudong New Area.
ResultsThe advantages of the CMP model under the system of family doctors lay in convenient path, good physical and mental health, management security, accessibility, and systematization.The disadvantages were insufficient personnel, asymmetric demand, and lagging legislation.Opportunities were in policy guidance and higher social needs.Challenges were that social expectations were too high and precise supervision was lacking.
ConclusionAt present, we should meet the needs of society, build a family doctor-medicine-based pension service system based on the community health service center, strengthen its publicity and guidance, promote policy improvement, and explore effective supervision.

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