Research on the policy analysis and system optimization pathways for community- and home-based medical and elderly care services in China
10.12026/j.issn.1001-8565.2026.01.17
- VernacularTitle:社区居家医养服务政策分析及系统优化路径研究
- Author:
Jiawen ZHANG
1
Author Information
1. School of Law， Xiamen University Tan Kah Kee College， Zhangzhou 363123， China
- Publication Type:Journal Article
- Keywords:
community- and home-based medical and elderly care service;
policy analysis;
optimization pathway;
resource allocation;
service quality
- From:
Chinese Medical Ethics
2026;39(1):121-128
- CountryChina
- Language:Chinese
-
Abstract:
Community- and home-based elderly care services， as an important service model designed to meet the living and medical needs of the elderly， hold significant importance in improving their quality of life and alleviating the pressure on the traditional healthcare systems through their policies and implementation effects. This paper analyzed the necessity of community- and home-based medical and elderly care services in China， identified primary issues in the implementation of current policies， and explored pathways for system optimization， to build a more efficient and fair service system. It found that the content of the community- and home-based integrated medical and elderly care services lacked breadth and depth， the service quality and effectiveness were poorly assessed， resource investment and allocation efficiency were uneven， and the supervision and policy support were insufficient. Therefore， it was suggested to construct a demand-driven policy framework， optimize resource allocation to shift towards balanced regional coverage， establish a diversified home-based integrated medical and elderly care service system based on demand， and create a sustainable supervision and evaluation mechanism for the implementation effect of integrated medical and elderly care， with a view to providing theoretical support and practical guidance for the reform and optimization of community- and home-based elderly care services policies in China.
