CAJ | 학술논문

医养结合养老模式是社会面对老龄化挑战的一项长期战略选择。养老机构中的医养结合是指在传统机构养老提供基本生活服务和经济供养的基础上，向选择机构养老的老年人提供医疗服务，提高老年人生活质量和健康水平，缓解严峻的老龄化形势带来的冲击。从目前老龄化形势、养老机构中老年人的医疗需求、整合医疗资源等角度出发，剖析部分养老机构转型为医养结合机构的必要性，指出转型中对象的确定、医疗服务项目界定、人力资源短缺等方面的问题。并针对存在的问题从划分转型范围、发展人力资源、鼓励医疗保险进机构等方面探索解决问题的途径。
의양결합양로모식시사회면대노령화도전적일항장기전략선택。양로궤구중적의양결합시지재전통궤구양로제공기본생활복무화경제공양적기출상，향선택궤구양로적노년인제공의료복무，제고노년인생활질량화건강수평，완해엄준적노령화형세대래적충격。종목전노령화형세、양로궤구중노년인적의료수구、정합의료자원등각도출발，부석부분양로궤구전형위의양결합궤구적필요성，지출전형중대상적학정、의료복무항목계정、인력자원단결등방면적문제。병침대존재적문제종화분전형범위、발전인력자원、고려의료보험진궤구등방면탐색해결문제적도경。
The mode of integrating medical treatment and elderly care is a long‐term strategy for the society encountering challenges of population ageing .Based on the traditional elderly care institutions which offer basic living services and financial support ,the institutions integrating medical treatment and elderly care provide medical care service to the elders who choose to live in the institution .And it will improve their quality of life and health level as well as alleviating the impact from the severe ageing situation .By analyzing the current situation of ageing population ,the medical demands of middle‐aged and aged people in elderly care institutions and the integration of medical resources ,the authors argued the necessity of the transformation of elderly care institutions into the institutions integrating medical treatment and elderly care .Further ,they pointed out the problems of identification of the targeted institutions ,medical services and the shortage of human resources . Finally , they proposed resolutions of demarcating the scope of the transformation institutions , developing human resources and encouraging medical insurance to cover medical care services in these elderly care institutions .