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五 研究重点和难点

(一)研究重点

1.阐析城市医养融合参与主体的不同行动逻辑,阐明城市医养融合机构长效运行的机制。

2.厘清城市医养融合不同参与主体之间的多维互动关系,找出它们之间的合作困境。

3.对城市医养融合机构及其具体运作模式的发展趋势做出理性判断,从理论上分析制度化合作的实现条件,并针对实践过程中存在的问题提出相应的调适策略。

(二)研究难点

1.城市医养融合是一个多主体参与的过程,这些参与主体在医养融合体系中的地位、角色不同,追求的目标与所承受的环境压力不同,因而行动逻辑也各不相同。从非常复杂、彼此交织的医养融合参与主体的互动过程中抽离出不同主体的行动逻辑并进行合理分析便是本书一个难点。

2.由于医养融合协作模式是一个多元主体的行动过程,又由于行动逻辑各不相同,导致多元主体的关系结构非常复杂,进而产生诸多合作困境。找准多元参与主体的合作困境,并对城市医养融合机构运作模式的发展趋势做出恰当的判断,提出有效的调适策略就是本书的另一个难点。这不仅体现出一定的理论意义,也有可能促进实践领域的创新发展。

[1] Jane Jenson and Stephane Jacobzone,“Care allowances for the frail elderly and their impact on women care-givers”, OECD Labour Market and Social Policy Occasional Papers ,No.41,July 13,2000.

[2] J.Feder,H.L.Komisar & M.Niefeld,“Long-term care in the United States:an overview”, Health Aff Millwood ),2000 (3),pp.40-56.

[3] M.Geraedts,G.V.Heller & C.A.Harrington,“Germany's Long-Term-Care Insurance:Putting a Social Insurance Model into Practice”, Milbank Quarterly ,2000 (3),pp.26-39.

[4] M.Karlsson,L.Mayhew,R.Plumb,et al.,“Future costs for long-term care:Cost projections for long-term care for older people in the United Kingdom”, Health Polic ,Vol.75,No.2,January 2006.

[5] A.Comas-Herrera,R.Wittenberg,J.Costa-font,et al.,“Future long-term care expenditure in Germany,Spain,Italy and the United Kingdom”, Ageing and Society ,Vol.26,No.2,February 2006.

[6] Reed J.,Cook G.,Childs S.,et al.,“A literature review to explore integrated care for older people”, International Journal of Integrated Care ,Vo.l5,No.1,June 2005.

[7] Lubitz J.,Greenberg L.,Gorina Y.,et al.,“Three decades of health care use by the elderly,1965-1998”, Health Affairs ,Vol.20,No.2,September 2001.

[8] Pinka Chatterji,Nan R.Burstein,David Kidder,et al., Evaluation of the Program of All-Inclusive Care for the Elderiy PACE Demonstration The Impact of PACE on Participant Outcomes ,Cambridge:Abt Associates Inc.,1998,pp.15-17.

[9] Laura.R.Gadsby,“B.A.PACE- Program of All-inclusive Care for the Elderly”, Age in Action ,Vol.19,No.4,April 2007.

[10] Ozawa.M.N.and Nakayama.S.,“Long-term care insurance in Japan”, Journal of Aging & Social Policy ,Vol.61.No.3,March 2005.

[11] J.C.Campbell,N.Ikegami and M.J.Gibson,“Lessons From Public Long-Term Care Insurance In Germany And Japan”, Health Affairs ,Vol.29,No.1,August 2010. aeS8EyxNlqSCWhZ3sP5Kp/j5ynDBogMkKs9WT8emuOXdfAfmv4oCmnZwXDz6M2tn

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