中日医养结合养老模式的多重制度逻辑比较及启示The Comparison of Multiple System Logic between Chinese and Japanese Endowment Patterns Combining Medical Care and Pension and Its Enlightenment
郑军,秦妍
摘要(Abstract):
日本医养结合养老模式的发展得益于家庭、政府、市场三方面的密切配合。文章基于多重制度逻辑理论,从家庭逻辑、政府逻辑以及市场逻辑三个维度,对比分析中日两国医养结合的养老模式。与中国相比,在促进医养结合养老模式发展方面日本的老年人思想态度、养老服务标准体系、地区福利政策体系、市场竞争机制及人才信息体系都具有较大优势。因此,借鉴日本医养结合养老模式的成功经验,从转变老年人思想、完善养老服务标准体系、建立地域福利政策体系、吸引企业参与竞争、培养专业护理人才、健全智慧养老信息体系等方面,为我国医养结合养老模式的发展提出有益启示。
关键词(KeyWords): 医养结合养老模式;多重制度逻辑理论;中日比较
基金项目(Foundation):
作者(Author): 郑军,秦妍
参考文献(References):
- [1] 邓大松,李玉娇.失能老人长照服务体系构建与政策精准整合[J].西北大学学报(哲学社会科学版),2017,47(6):55-62.
- [2] 付诚,韩佳均.医养结合养老服务业发展对策研究[J].经济纵横,2018(1):28-35.
- [3] GRONE O,GARCTIA B M.Integrated care:a position paper of the WHO European Office for integrated health care services[J].Int J Integr Care,2001,1(1):79-101.
- [4] KODNER D L,SPREEUWENBERG C.Integrated care:mea-ning,logic,applications and implications a discussion paper[J].Int J Integr Care,2002,2(7):235-245.
- [5] 冯杰,郑泓.“健康中国”背景下社区“医养结合”发展的环境建设:基于英国社区整合照顾之PEST模型经验探索[J].太原理工大学学报(社会科学版),2019,37(6):87-96.
- [6]■.Satisfaction with the lives of elderly nursing homes residents[J].Pielegniarstwo XXI wieku/Nursing in the 21st Century,2019,18(4):220-227.
- [7] 张莹.日本介护保险制度中老年长期护理分级标准研究[J].中国全科医学,2011,14(22):2544-2545.
- [8] 刘清发,孙瑞玲.嵌入性视角下的医养结合养老模式初探[J].西北人口,2014,35(6):94-97.
- [9] 胡雯.健康中国背景下机构改革助力医养结合发展的方案构想[J].行政管理改革,2019(2):48-56.
- [10] PLOCHG T,DELNOIJ D M,HOOGEDOORN N P,et al.Collaborating while competing?The sustainability of community:based integrated care initiatives through a health partnership[J].BMC Health Services Research,2006,6(1):37.
- [11] CARPENTIER N,DUCHARME F.Care-giver network trana formations:the need for an integrated perspective[J].Ageing and Society,2003,23(4):507-525.
- [12] ALEUT W N,GREENLICK M R,CAPITMAN J A.Integrating acute and long-term care[J].Health Affairs,1994,13(4):58-74.
- [13] 杨翠迎,鲁於.“医疗嵌入型”医养结合服务的行为逻辑与实践经验:基于上海市六个区的调查分析[J].云南民族大学学报(哲学社会科学版),2018,35(6):106-112.
- [14] 杨哲,王茂福.日本医养结合养老服务的实践及对我国的启示[J].社会保障研究,2021(1):93-102.
- [15] 杨立雄,余舟.多重制度逻辑下的养老服务产业发展研究[J].南京社会科学,2018(6):67-74.
- [16] FRIEDLAND R,ALFORD R.Bringing society back in:symbols,practices,and institutional contradictions[M].Chicago:University of Chicago Press,1991:24-57.
- [17] THORNTON P H,OCASIO W.Institutional logics and the historical contingency of power in organizations:executive succession in the higher education publishing industry,1958-1990[J].American Journal of Sociology,1999,105(3):801-844.
- [18] ROGER FRIEDLAND,ROBERT R A.Bringing society back in:symbols,practices,and institutional contradictions[J].The New Institutionalisms in Organizational Analysis,1991,41(11):232-263.
- [19] GREENWOOD R,RAYNARD M,KODETH F,et al.Institutional complexity and organizational responses[J].Academy of Management Annals,2011,5(1):317-371.
- [20] GREVE H,ZHANG M C.Institutional logics and power sources:merger and acquisition decisions [J].Academy of Management Journal,2017,35(2):671-694.
- [21] ADAM COBB,TYLER WRY,ZHAO E.Funding financial inclusion:institutional logics and the contextual contingency of funding for microfinance organizations[J].Academy of Management Journal,2015,15(6):2103-2131.
- [22] BRONWYN KEEFE.Can a unified service delivery philosophy be identified in aging and disability organizations?Exploring competing service delivery models through the voices of the workforce in these organizations[J].Journal of Aging Social Policy,2018,30(1):48-71.
- [23] IAN VICKERSA,FERGUS LYONA,LEANDRO SEPU-LVEDAA,et al.Public service innovation and multiple institutional logics:the case of hybrid social enterprise providers of health and wellbeing[J].Research Policy,2017,27(8):1755-1768.
- [24] 刘桂海,范雨琪,刘章生,等.医养结合如何影响民营养老机构的服务效率:来自北京市的证据[J].管理评论,2020,32(12):295-306.
- [25] 王铁军.现代日本文化影响要素研究[J].江汉论坛,2013(4):103-107.
- [26] 彭希哲,胡湛.当代中国家庭变迁与家庭政策重构[J].中国社会科学,2015(12):113-132,207.
- [27] 四川省民政厅.地方民政自贡市高标准推动全市养老服务体系建设工作[EB/OL].[2021-05-12].http://mzj.sichuan.gov.cn/.
- [28] 程承坪,吴琛.健康战略下发达国家发展养老健康产业借鉴研究:以美国、德国、日本为例[J].当代经济管理,2018,40(3):83-88.
- [29] 张泽滈,肖瑶,雷佳.将养老服务推向高质量发展阶段:“养老服务质量理论与实践论坛”观点综述[J].西安交通大学学报(社会科学版),2018,38(4):84-88.
- [30] 安徽省民政厅.建立养老服务发展支持体系推动养老服务高质量发展[EB/OL].[2021-03-11].http://mz.ah.gov.cn/.
- [31] 牛文涛,姜润鸽.新中国70年的农村养老保障:历史演进与现实困境[J].农业经济问题,2020(2):54-64.
- [32] 中华人民共和国民政部.2020年4季度民政统计数据[EB/OL].[2021-01-19].http://www.mca.gov.cn/.
- [33] ARAI H,OUCHT Y,TOBA K,et al.Japan as the front-runner of super-aged societies:perspectives from medicine and medical care in Japan[J].Geriatr Gerontol Int,2015,15(6):673-687.
- [34] HORIGUCHI H,HARA Y,IKEDA H,et al.Differences in facilities’ acceptance of patients under long-term care insurance in Japan[J].Aging Soc Policy,2004,16(3):57-70.
- [35] SHI JING.The practical logic and countermeasures of community home:based elderly care service under the dimension of Innovative big data[J].Humanities and Social Sciences,2020,8(2):48-61.
- [36] 张思锋.中国养老服务体系建设中的政府行为与市场机制[J].社会保障评论,2021,5(1):129-145.
- [37] 林杰,陈星玲.日本养老服务专门人才教育体系探析[J].比较教育研究,2018,40(6):90-98.
- [38] SUNG HOON LEE,JUNE YEOP LEE,JUNG SOOK KIM.Monitoring system for the elderly living alone using the RaspberryPi sensor[J].Journal of Digital Contents Society,2017,18(8):1661-1669.