Construction， operational mechanism， and practical dilemmas of a community-integrated medical-nursing-rehabilitation-care service model for the elderly with chronic diseases
10.12026/j.issn.1001-8565.2026.05.17
- VernacularTitle:社区整合的慢性病老年人医养康护一体化服务模式构建、运行机制与现实困境
- Author:
Siyu WANG
1
;
Lian CHENG
1
;
Keju WANG
1
;
Wenna WANG
1
;
Zhong ZHANG
1
Author Information
1. School of Health Management， Harbin Medical University， Harbin 150076， China
- Publication Type:Journal Article
- Keywords:
community integration;
medical-nursing-rehabilitation-care;
traditional elderly care models
- From:
Chinese Medical Ethics
2026;39(5):678-687
- CountryChina
- Language:Chinese
-
Abstract:
With the deepening of population aging and the rising prevalence of chronic diseases among the elderly in China， the traditional elderly care models are facing challenges. This paper proposed a community-integrated medical-nursing-rehabilitation-care service model， characterized by “integration， flexibility， community orientation， and demand orientation.” This model optimizes and combines various service resources such as healthcare， elderly care， rehabilitation， and nursing at the community level， providing more comprehensive and targeted services for the elderly with chronic diseases in the community. However， a series of challenges existed in dimensions such as the service integration， benefit distribution， resources and funds， as well as policies and systems， hindering the sustainable development of the community-integrated medical-nursing-rehabilitation-care service model. Future efforts should focus on constructing a more standardized collaborative system， clarifying standards for resource investment and benefit distribution， as well as strengthening policy guidance， financial support， and talent team development.
