Ethical dilemmas and governance strategies of the integrated medical and elderly care model
10.12026/j.issn.1001-8565.2026.01.16
- VernacularTitle:医养结合养老模式的伦理困境与治理策略
- Author:
Buke SUN
1
;
Xinyi DONG
1
;
Xuelan ZENG
2
Author Information
1. School of Health Management， Mudanjiang Medical University， Mudanjiang 157011， China
2. School of Marxism， Hebei University of Science and Technology， Shijiazhuang 050018， China
- Publication Type:Journal Article
- Keywords:
integrated medical and elderly care;
elderly care service;
ethical dilemma;
governance strategy
- From:
Chinese Medical Ethics
2026;39(1):113-120
- CountryChina
- Language:Chinese
-
Abstract:
The integrated medical and elderly care model is a new type of elderly care model designed to address the demands of the elderly in terms of physical health， daily care， and spiritual comfort. It has significant practical significance for actively responding to the problems of population aging. However， this model still faces a series of ethical dilemmas in practical. By analyzing the ethical issues that may arise during the integration of medical and elderly care services， including conflicts between medical care and elderly autonomy， the challenges faced by informed consent， conflicts of interest between medical and elderly care services， and blurred boundaries between family care and social care， this paper proposed corresponding strategies， such as improving the construction of personalized care mechanisms， optimizing multi-level protection systems for informed consent， establishing a unified interest coordination mechanism and resource sharing platform， and strengthening the synergy between family support and social care. These strategies aimed to promote the healthy development of the integrated medical and elderly care model， ensure the protection of the basic rights and interests and well-being of the elderly to the greatest extent， and ultimately achieve a fairer and more sustainable aging social governance system.
