On Understanding Urban and Rural healthcare services
Structural dilemmas and solutions paths for China
DOI:
https://doi.org/10.56226/108Keywords:
Health Policy, Health Systems, Healthcare ManagementAbstract
Introduction: China is facing a rapid and profound aging process, and the comprehensive demand of the older adults population for medical care, healthcare and living care will continue to rise. This trend not only has an impact on the family's old-age function, but also poses a serious challenge to the social security system and the allocation of medical resources. By exploring the difficulties faced by China's urban-rural integrated medical and care service system, this paper explores the impact of the dual structural dilemma of system and resources on the integrated development of medical and care.
Methods: Compared to standard systematic reviews, rapid literature reviews are a kind of evidence synthesis that can provide timely information for decision-making and evidence-based practice. This review uses Web of Science and CNKI (China National Knowledge Infrastructure) as the database source. The search keywords include "medical and healthcare integration", "structural dilemma", "institutional barriers", "resource misapplication" and "digital governance." The search scope is restricted to articles published between January 2024 and December 2024 in order to identify the most up-to-date literature.
Results: The development speed of the combination of urban and rural medical care is different. The dual structure of urban and rural areas leads to the uneven distribution of medical resources, and it is difficult for the rural older adults to obtain long-term healthcare and chronic disease management services that are the same as urban ones.
Conclusion: The key to solving the structural dilemma is to build an elastic governance framework with Chinese characteristics. The future institutional design needs to enhance adaptability, pay more attention to the complementary relationship between the informal care system and the formal system, and learn from the global experience of aging social governance.
Main Contribution to Evidence-Based Practice: This paper shows the dilemma of China's urban and rural medical and rural integrated service system, and mainly analyzes the structural contradictions caused by the system and resources. Therefore, it can provide a reference for the government's medical policy.
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