人口老龄化背景下县域乡村慢病医养资源整合的困境与对策研究——以广西南宁地区为例

Study on the Dilemmas and Countermeasures of Resource Integration for Chronic Disease Medical and Elderly Care in County-Rural Areas under the Context of Population Aging—A Case Study of Nanning Area, Guangxi

摘要: 随着我国人口老龄化进程持续加快，乡村地区老龄化特征日益凸显，老龄化与慢性病高发的双重叠加效应成为基层健康治理的核心挑战，县域乡村慢病医养资源整合成为破解老龄化背景下医疗养老供需矛盾、保障农村老年群体健康权益的关键。本文以广西南宁地区为研究对象，在梳理县域乡村、慢病医养、资源整合等核心概念的基础上，基于协同治理、资源依赖及健康管理理论，结合南宁地区县域乡村人口老龄化特征、慢病流行现状与医养资源供给实际，分析老龄化背景下资源整合在配置均衡性、协同机制、服务能力及支撑保障方面存在的突出问题，最终提出优化资源配置、构建多元协同机制、提升服务质量、完善保障体系的对策建议，为推动南宁地区及同类县域乡村积极应对人口老龄化、实现慢病医养服务高质量发展提供理论参考与实践借鉴。

Abstract: With the accelerated process of population aging in China, the characteristics of aging in rural areas have become increasingly prominent, and the dual superposition effect of aging and high incidence of chronic diseases has become a core challenge for grassroots health governance. The integration of medical and elderly care resources for chronic diseases in county-rural areas has become the key to solving the contradiction between the supply and demand of medical and elderly care against the background of aging and safeguarding the health rights and interests of the rural elderly group. Taking Nanning area of Guangxi as the research object, on the basis of sorting out the core concepts such as county-rural areas, chronic disease medical and elderly care, and resource integration, this paper, based on the theories of collaborative governance, resource dependence and health management, combines the characteristics of population aging, the prevalence of chronic diseases and the actual supply of medical and elderly care resources in county-rural areas of Nanning area, analyzes the prominent problems existing in resource integration in terms of allocation balance, collaborative mechanism, service capacity and support guarantee under the background of population aging. Finally, it puts forward countermeasures and suggestions including optimizing resource allocation, establishing a multi-stakeholder collaborative mechanism, improving service quality and perfecting the guarantee system, so as to provide theoretical reference and practical reference for promoting Nanning area and similar county-rural areas to actively respond to population aging and realize the high-quality development of chronic disease medical and elderly care services.