Integration dilemmas and intervention countermeasures for older adults in integrated medical and elderly care institutions
10.12026/j.issn.1001-8565.2026.05.18
- VernacularTitle:医养结合机构老年人融入困境与介入策略
- Author:
Fanping ZENG
1
;
Likai LIU
1
Author Information
1. School of Health， Fujian Medical University， Fuzhou 350122， China
- Publication Type:Journal Article
- Keywords:
integrated medical and elderly care institution;
ecosystem theory;
seven-day integration service
- From:
Chinese Medical Ethics
2026;39(5):688-697
- CountryChina
- Language:Chinese
-
Abstract:
Taking the K integrated medical and elderly care institution in Fuzhou as a case， this study drew on ecosystem theory to analyze the structural characteristics of the elderly in family settings and elderly care institutions， revealed the integration dilemmas they encountered during the transition from family to the elderly care institutions， and explored the intervention countermeasures and practical outcomes of the “seven-day integration service” program led by social workers. The research found that after moving into the institution， the elderly commonly face challenges such as reduced spatial autonomy， standardized living rhythms， weakened emotional support networks， poor cross-system communication， unequal resource allocation， and disordered cultural identity. In the intervention practice， social workers conduct individualized need assessment and emotional support， collaborate with elder volunteers to carry out social guidance， promote cross-departmental resource integration and information linkage， create an equal and mutually supportive living atmosphere， and strengthen the elderly’s sense of subjectivity and social identity through narrative reconstruction and role reconstruction， thereby promoting the smooth transition and positive integration of their life from family to the institution. To a certain extent， this study contributes to expanding the understanding of the integration issues of the elderly in integrated medical and elderly care institutions and the intervention paths of social work， while also providing an experiential reference for the application of the ecosystem theory in local elderly social work practice.
