The accelerating population aging in China,coupled with significant shifts in disease spectrum,has led to growing challenges including expanding healthcare demands,rising medical costs,and increasing social burdens of...The accelerating population aging in China,coupled with significant shifts in disease spectrum,has led to growing challenges including expanding healthcare demands,rising medical costs,and increasing social burdens of elderly care.Although China formally introduced the integrated medical-elderly care policy through the Several Opinions on Promoting the Development of the Health Service Industry(2013),substantial gaps persist between policy implementation outcomes and original objectives.Guided by Smith's policy implementation process model,this study examines four analytical dimensions:policy framework,executing agencies,target populations,and environmental factors.The analysis reveals four key constraints:(1)discrepancies between idealized policy design and complex intergovernmental relations,(2)ambiguous division of responsibilities coupled with inadequate professional workforce,(3)persistent traditional family values conflicting with diversified healthcare needs,and(4)insufficient legal oversight alongside misaligned medical service philosophies.To address these challenges,the study proposes policy recommendations including improving the legal framework for integrated care systems,fostering tripartite collaboration among hospitals,communities,and elderly care institutions,refining medical-elderly care insurance payment mechanisms,and advancing intelligent information infrastructure development.展开更多
文摘The accelerating population aging in China,coupled with significant shifts in disease spectrum,has led to growing challenges including expanding healthcare demands,rising medical costs,and increasing social burdens of elderly care.Although China formally introduced the integrated medical-elderly care policy through the Several Opinions on Promoting the Development of the Health Service Industry(2013),substantial gaps persist between policy implementation outcomes and original objectives.Guided by Smith's policy implementation process model,this study examines four analytical dimensions:policy framework,executing agencies,target populations,and environmental factors.The analysis reveals four key constraints:(1)discrepancies between idealized policy design and complex intergovernmental relations,(2)ambiguous division of responsibilities coupled with inadequate professional workforce,(3)persistent traditional family values conflicting with diversified healthcare needs,and(4)insufficient legal oversight alongside misaligned medical service philosophies.To address these challenges,the study proposes policy recommendations including improving the legal framework for integrated care systems,fostering tripartite collaboration among hospitals,communities,and elderly care institutions,refining medical-elderly care insurance payment mechanisms,and advancing intelligent information infrastructure development.
