关键词: 整合照料, 医养结合, 本土性 , 路径

Abstract: Integrated care is a comprehensive elderly care service which combines medical care, nursing care, life care and other resources to achieve the goal of “local elderly care”. In the context of population aging and increasingly tight fiscal expenditures, Japan focuses on “community integrated care” and implements targeted integrated services addressing the different needs of urban and local elderly care. This paper takes Shinjuku District of Tokyo city and Nichinan town of Tottori as examples. It analyzes their integrated care mode, main characteristics and approaches. The study finds that in the future, China should follow certain integration conditions to promote the “combination of medical and nursing care”, including strengthening the integrated functional departments, improving the medical and nursing insurance system, insisting on the local conditions, developing multiagent and integrating resources, constructing the integration platform based on the community, enhancing the training and so on.

Key words: integrated care, combination of medical care and nursing, nativity, approach