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中文摘要: 目的 对基层医疗机构开展医养结合养老服务的优势、劣势、机遇和威胁进行分析，并提出相关策略。方法 对相关部门负责人进行访谈，对重庆市内外基层医疗机构及养老机构进行现场调研，采用SWOT-PEST模型进行分析。结果 基层医疗机构开展医养结合养老服务具有国家政策支持、减少医疗开支、满足老年人心理及医疗需求等优势，但存在管辖不明、服务意识不足和基础薄弱等劣势。相关部门的支持、加强基层医疗机构的改造和建设为其发展提供了机遇，同时面临着缺乏具体政策、滥用医保和信任度低等威胁。结论 基层医疗机构应充分利用自身优势和外部机遇，从政治、经济、社会和技术4个方面采取相应措施，促进医养结合服务的开展。
中文关键词: 基层医疗机构 医养结合 SWOT-PEST分析
Abstract:OBJECTIVE To analysis the strength、weakness、opportunity and threat of providing medical and pension combined services by primary health care institutions，and put forward relevant suggestions.METHODS Interviewed principals of corresponding departments,investigated the primary health care institutuions and pension agencies inside and outside Chongqing city, used the SWOT-PEST model foranalysis.RESULTS The primary health care institutions had advantages such as supported by national policies、reduced medical expenses、meeting psychological and medical needs of the elderly etc. But there were some problems ,such as confusion of administration、lack of pension service awareness、being weak in foundation etc.The support of related departments、strengthening the transformation and construction of primary medical institutions provided opportunities for the development of medical and pension combined services .This project also facing some threats ,such as lack of specific policies, abuse of medical insurance, not be trusted by residents etc.CONCLUSION Primary health care institutions should make full use of their own advantages and external opportunities.Take appropriate measures from the aspects of political, economic, social, technical.and finally facilitate the development of medical and pension combined services.
文章编号：3201802001 中图分类号：R195 文献标志码：
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