醫(yī)養(yǎng)體檢包建議相比于生病后通過醫(yī)療行為救治，提前對影響老年人健康的危險因素進行干預(yù)的健康管理更有助于老年人生命質(zhì)量的提升。研究發(fā)現(xiàn)，醫(yī)養(yǎng)結(jié)合能顯著提高老年人健康體檢、健康評估和健康干預(yù)服務(wù)的利用水平，并對健康檔案建立有顯著促進作用。

The medical and elderly care physical examination package suggests that health management that intervenes in risk factors affecting the health of the elderly in advance is more conducive to improving their quality of life compared to medical treatment after illness. Research has found that the integration of medical care and elderly care can significantly improve the utilization level of health checkups, health assessments, and health intervention services for the elderly, and have a significant promoting effect on the establishment of health records.

國家統(tǒng)計局最新數(shù)據(jù)顯示，2023年末，全國60歲及以上人口為29697萬人，占全國人口的21.1%，其中65歲及以上人口為21676萬人，占全國人口的15.4%。老年人是慢性病高發(fā)群體。據(jù)統(tǒng)計，我國78%以上的老年人至少患有一種慢性病，“長壽卻不健康”是當前老年群體的主要特征之一，這一現(xiàn)實情況已受到社會的廣泛關(guān)注。有研究表明，相比于生病后通過醫(yī)療行為救治，提前對影響老年人健康的危險因素進行干預(yù)的健康管理更有助于老年人生命質(zhì)量的提升。

According to the latest data from the National Bureau of Statistics, by the end of 2023, there will be 296.97 million people aged 60 and above, accounting for 21.1% of the national population, including 216.76 million people aged 65 and above, accounting for 15.4% of the national population. The elderly are a high-risk group for chronic diseases. According to statistics, over 78% of elderly people in China suffer from at least one chronic disease. "Longevity but unhealthy" is one of the main characteristics of the current elderly population, and this reality has received widespread attention from society. Studies have shown that health management that intervenes in risk factors affecting the health of elderly people in advance is more conducive to improving their quality of life compared to medical treatment after illness.

我國老年健康管理服務(wù)主要有兩種供給模式。一種是醫(yī)療衛(wèi)生服務(wù)模式下的健康管理，這種模式下的老年健康管理存在著服務(wù)內(nèi)容簡單、服務(wù)主體和服務(wù)方式單一、服務(wù)間隔時間長等問題。另一種是醫(yī)養(yǎng)結(jié)合模式下的健康管理，借助醫(yī)養(yǎng)結(jié)合的推廣，由醫(yī)養(yǎng)結(jié)合機構(gòu)在為老年人提供養(yǎng)老服務(wù)的同時提供健康管理服務(wù)，這種模式具有服務(wù)主體多元、服務(wù)方式多樣、服務(wù)內(nèi)容豐富等優(yōu)勢。上述兩種老年健康管理服務(wù)供給模式形成了互補及耦合關(guān)系，共同助力老年健康管理服務(wù)的高質(zhì)量發(fā)展。

There are two main supply models for elderly health management services in China. One is health management under the medical and health service model, which has problems such as simple service content, single service subject and service mode, and long service interval time in elderly health management. Another type is health management under the integrated medical and elderly care model. With the promotion of the integration of medical and elderly care, medical and elderly care institutions provide both elderly care services and health management services. This model has the advantages of diverse service providers, diverse service methods, and rich service content. The above two models of elderly health management service supply form a complementary and coupled relationship, jointly promoting the high-quality development of elderly health management services.

雖然醫(yī)養(yǎng)結(jié)合的實踐效果在老年人個體、區(qū)域?qū)用娉尸F(xiàn)出較強的異質(zhì)性，但是其對提升老年健康管理服務(wù)利用水平的總體促進作用還是顯著的。當前，我國醫(yī)養(yǎng)結(jié)合發(fā)展正處于推廣醫(yī)養(yǎng)結(jié)合試點工作典型經(jīng)驗的關(guān)鍵階段，應(yīng)充分發(fā)揮示范項目的引領(lǐng)作用，為尚未開展醫(yī)養(yǎng)結(jié)合試點的地區(qū)提供可操作性強的建議。

Although the practical effect of combining medical care with elderly care shows strong heterogeneity at the individual and regional levels, its overall promotion effect on improving the utilization level of elderly health management services is still significant. At present, the development of the integration of medical care and elderly care in China is at a critical stage of promoting the typical experience of the pilot work of the integration of medical care and elderly care. The leading role of demonstration projects should be fully utilized to provide feasible suggestions for regions that have not yet carried out pilot projects of the integration of medical care and elderly care.

重視試點政策在助推醫(yī)養(yǎng)結(jié)合全面發(fā)展方面的作用。要注重政策的引領(lǐng)作用，多管齊下優(yōu)化各地醫(yī)養(yǎng)結(jié)合發(fā)展環(huán)境，降低制度成本，提高相關(guān)行政審批效率，從供給端提高醫(yī)養(yǎng)結(jié)合的可及性，從需求端強化老年人對醫(yī)養(yǎng)結(jié)合的理念認同，激活有效需求。

Emphasize the role of pilot policies in promoting the comprehensive development of medical and elderly care integration. We should pay attention to the leading role of policies, optimize the development environment of medical and elderly care integration in various regions through multiple measures, reduce institutional costs, improve the efficiency of relevant administrative approvals, enhance the accessibility of medical and elderly care integration from the supply side, strengthen the concept recognition of medical and elderly care integration from the demand side, and activate effective demand.

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