Accelerate with the aging process of population，"Combination of Medical Nursing" mode has received high attention and vigorous development。Three basic modes have appeared at present，That is, the pension institution provides medical care service model、Public hospitals set up an elderly ward mode、Private medical maintenance combined institutional mode。Where，Strong practicality of the first mode，The professionalism of the second mode，Flexibility of the third mode、Strong diversity，But these three modes lack a unified and effective service standard、Evaluation content、Data format、Safety specifications，Make medical treatment、Pension resources cannot be deeply integrated。The fourth mode discussed in this article，That is the urban community medical care combination mode，You can integrate the first three modes，The elderly owned by each own、Medical、Nursing、Rehabilitation and other advantageous resources shared out，Provide high -quality services to the elderly at home。But there is still a certain deficiency in this model，For example, the relevant government departments are not cooperated with enough、Insufficient integration of medical maintenance resources、Resource supply and demand are not closely connected、The health data standards for the elderly in different institutions are different、Medical insurance cards cannot be settled in universal settlement。

I think，Copy the above problems，Modern digital technology (such as cloud computing、Big Data、The new generation of Internet、IoT、Artificial intelligence, etc.)，Build a comprehensive bet365 live casino games medical care platform，R & D intelligent monitoring system、Health Monitoring Chip、Intelligent device (such as intelligent self -built platform、Service Robot、Wearable monitoring equipment、Smart terminal, etc.)，Merit cloud management of elderly users，and through big data mining technology，Construction of health databases and archives for the elderly，Easy to scientific analysis、Smart Decision，Reduce care burden，Improve the efficiency of resource utilization，Promoting smart decisions、Wisdom action to last a new level，Jointly promote policy goals from "healthy aging" and "active aging"，Turn to "Successful aging", "Digital aging", "productive aging"，Provide policy selection for the construction of a friendly digital society for the construction of an elderly friend，The specific innovation path is as follows。

First，Optimize top -level design and institutional arrangements，Promoting the service level of the community medical care combination。It is recommended to legislate on the "combination of medical care" from the national level，Clarify the nature of the prospective public product of the "combination of medical care" for pension services，For the government、Family、Enterprise、Pension Service Agency、Community、Other departments, the responsibilities that other departments should bear in terms of "medical and nursing" pension services in urban communities、Right、Li, etc. to clearly define，According to the attributes of public products，division of labor cooperation provides guarantee for the development of urban community medical care services。Data collection of the elderly、Treatment、Application format formulation standardization specifications，Collect health data for the elderly、Network storage system、Smart terminal (quality detection standard)bet365 live casino games ，and various application software (including medical and nursing combination system、Resource supply and demand system、Safety early warning system, etc.) and other series of standards are unified，Formulate standardized documents。At the same time，It is recommended that local government departments give play to the lead、main role，Give full play to the advantages of different subjects in the society，Establish a diversified service system and a diversified funding mechanism，Absorption of domestic and foreign enterprises sponsorship、Social group funding、Personal funding，and joint venture、Cooperative operation，Reduce public fiscal pressure。It can be bidded by public welfare，Services for social groups (social organizations) from local government departments，Sign the service contract，and high -tech enterprises、Technical service provider cooperation，PPP、bt、ABO and other modes，Provide a richer medical care service for the elderly in the community。

2，Relying on digital technology to promote the integration of medical maintenance，Promote the deep integration of medical and nutrition resources。In scientific and technological innovation、In the context of the construction of smart cities，Relying on digital technology，Integrated civil affairs、Health and Health Committee、Social Security、Medical Insurance and other related parties，Based on medical care and rehabilitation family (entering the community) as the basis，To meet the basic medical maintenance needs of the elderly、Promoting the happiness of the elderly as the goal，Create digitalization、Smart "Medical Conservation Integration" new mode。Scientific evaluation of demand，Interaction in the supply and demand service system、Various elements of interaction influence are coupled，Promoting medical care bet365 Play online games service collaboration、Sustainable development，Building a integrity、Collaborative、Dynamic、sustainability、Expansible supply and demand coupling system，Breaking the division pattern of the original line resources，Coupling medical maintenance resources into an organic whole，Realize the aggregation effect of "1+1 & gt; 2"。During the operation of the system，Constantly enter new resources、Generate new data、Exchange new information、Output new results、Share new development。To avoid the occurrence，Coordinate the relevant departments to build a public information platform，Create a win -win "medical care" pension service ecosystem，Breaking the phenomenon of "Data Island", "Block Section" and "Data Section"，Realize medical resources、Government policy、Information sharing in nursing talents、Optimized configuration，Promote the synergy governance of various departments、Lien Development。Through this series of collaboration、Coordination and sharing，Provide a personalized on -demand service for the elderly、Customized service，Improve the quality and level of medical pension public service。

third，Establish an electronic medical record and health file for the elderly，escort the health pension for the elderly。Combined with cloud computing、Big Data、Cloud storage and other technologies，Research and Development "Healthy Cloud Platform" management software，Track and monitor the daily life and chronic diseases of the elderly; and install it in the community nursing home，Use the Internet of Things、Sensor、Wearable device、Intelligent perception、Video collection and other technologies，Diet for the elderly、Take medicine、Sports strength、Chronic disease index and other data to collect、Digging and analysis，With the Bet365 app download help of barcodes、QR code、RF recognition (RFID) and other produce the elderly "medical maintenance card"，and upload the data to the "Healthy Cloud Platform" synchronously，Set electronic medical records and health files for the elderly; once the numerical value appears abnormal，The system will automatically remind doctors to propose a health intervention plan，and push the data to the elderly direct relative mobile phone，Realize "Medicine ——— Family (Affiliated)" interaction。"Healthy Cloud Platform" and City、The relevant working platform of the district is connected，Implement "Community First Diagnosis、Two -way referral、Slowly divide、Interaction of up and down "hierarchical diagnosis and treatment mode，Provide the most basic free public health service、Basic medical insurance，and some personalized、Symphony of paid service。Classified and classified diagnosis，Let the rehabilitation elderly return to the community、Healthy elderly people go back to the family，Poor self -care ability、Elderly people who need to care，The optimal allocation of medical maintenance resources。

Fourth，Explore new pension care insurance mode，The final level of the fusion of medical maintenance data。Difficulties in the combination of medical care and nursing urban community，is a lack of a fulcrum that can open up the three。It is recommended to establish a variety of medical and nursing -nursing payment systems at the level of local governments，Payment of home medical care medical insurance，Expansion to participating in urban and rural residents medical insurance staff，Cover more elderly people。Explore the establishment of a long -term care insurance system for the elderly，Enterprise employer、Personal、Government departments sharing funds for funding，Establish a regulatory mechanism to integrate bet365 Play online games community resources as soon as possible，Build a comprehensive、Multi -level health and long -term care system。Exploring a new model of medical care insurance based on the needs of the elderly，Combined with citizen medical insurance card (social security card)，Optimized and upgraded "Medical Maintenance One Cartoon"，Construction contact community residents、The big data information platform of the insurance company and the Health and Health Commission (Medical Insurance Bureau) (Link to the general doctor to sign the contract、Two -way referral、Elderly Financial Services、Nursing insurance and other lines)。Elderly people are as needed，Relying on "Medical Maintenance One Card" to purchase medical maintenance insurance，Promoting medical resources、Public Health Resources、Nursing insurance、Resources such as the elderly financial services enter the community pension、Medical and Nursing Institutions，The final level of the fusion of medical maintenance data。

Fifth，Constructing a data security protection system，Guarantee the health privacy and safety rights of the elderly。Modern digital technology is a "double -edged sword"，On the one hand，You can provide high -quality for the elderly、Multi -layered、Diversity、Personalized service，Evaluate the elderly，According to the self -care ability of the elderly、On the other hand、Economic Ability、Low -paid service、Children's condition、Marriage status, etc. Establish a database for the elderly,，Through "artificial intelligence+supply and demand coupling system"，Provide them with free services、Low -paid service、Toll Service、Volunteer Service, etc.。On the other hand，Also alert to the vulnerability of digital technology，Prevent the elderly from database storage leak、Program deviation、bet365 live casino games Hacker stealing data, etc.。For this，Related subjects should jointly build a data security protection system，Introduce a series of safety norms measures，Formulate practical technical safety standards，Unified user authorization management、Login Management、Access Management，Ensure the storage safety of the elderly database、Application security and privacy security。At the same time，Strengthen the supervision of the urban community medical and nutrition system，To promote the health and nursing health of urban communities、Sustainable development。

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(Author Unit: School of Economics Management of Huzhou Teachers College; School of Social Development and Public Policy of Fudan University)