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中加医养产业链合作——基于加拿大与美国医养产业的比较研究

文章摘要

加拿大与美国相较于我国更早一步进入了老龄化社会,通过几十年的养老实践各自构建了相对完善的体系。加拿大与美国相比,同文同种面临的困难类似,终末端的养老服务水平也非常接近,但是加拿大显然在同质服务的基础上具有最终的价格优势,且同时构建了被世界银行所赞誉的三大支柱养老金保障体系,并且其商业养老照护保险及其他养老金融服务风险可控,收益良好。因此在世界范围内,养老服务的质量最终由自付费决定的环境下,加拿大的养老产业显然更为健康优质,也更值得借鉴。我国养老行业伴随人口结构的变化,因此在刚起步的状态中存在很多需要补充与提高的关键节点,在完善之后也可以起到以点带面的作用,比如全科(家庭)医生的培养就可以称之为医养结合长征的最后一公里,而加拿大作为全世界全科(家庭)医生比例最高的国家有着最为完善的教育与临床实践体系,可以作为双方合作的突破点之一。总而言之,在双方良好双边环境的框架下,中加医养产业链的合作无论在政府层面还是商业企业间都具有全方位、长期性、深度广、更容易契合的特征。

Abstract

Compared with China,Canada and US earlier step into aging society for decades with complete senior care system and wealth experience of post-acute care. Canada,similar with US,is experiencing the same aging social issues with close senior care service level,but the reasonable service price is Canada’s enormous advantage. Through protracted and unremitting effort,Canada overall designed and implemented three pillars of pensions system with lower management costs and nonexistent funding short falls,which highly regard by the World Bank. And in the meantime,the private long-term care insurance and other pension financial services provide reliable earnings with controllable risks. Therefore,Canada’s long-term care industry is healthier and worthy being learned. China is aging more rapidly and the industry still at an initial stage,there are many areas need improved and enhanced,such as family physician training system for senior care service,which is so called ‘combination of health care and senior care’s last kilometers’. Canada’s family medicine residency and training program is one of the world best programs can be integrated into China’s senior care service system. In conclusion,under the better bilateral environment,China and Canada post-acute care industrial chain can be combined with all-directional,long-term,deep and easy to fit in characteristics.

作者简介
米睿:米睿,国际SOS全科医生、美国心脏协会国际培训中心主任导师,研究方向为医养结合与康复。