医养体检包建议相比于生病后通过医疗行为救治，提前对影响老年人健康的危险因素进行干预的健康管理更有助于老年人生命质量的提升。研究发现，医养结合能显著提高老年人健康体检、健康评估和健康干预服务的利用水平，并对健康档案建立有显著促进作用。

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.

国家统计局最新数据显示，2023年末，全国60岁及以上人口为29697万人，占全国人口的21.1%，其中65岁及以上人口为21676万人，占全国人口的15.4%。老年人是慢性病高发群体。据统计，我国78%以上的老年人至少患有一种慢性病，“长寿却不健康”是当前老年群体的主要特征之一，这一现实情况已受到社会的广泛关注。有研究表明，相比于生病后通过医疗行为救治，提前对影响老年人健康的危险因素进行干预的健康管理更有助于老年人生命质量的提升。

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.

我国老年健康管理服务主要有两种供给模式。一种是医疗卫生服务模式下的健康管理，这种模式下的老年健康管理存在着服务内容简单、服务主体和服务方式单一、服务间隔时间长等问题。另一种是医养结合模式下的健康管理，借助医养结合的推广，由医养结合机构在为老年人提供养老服务的同时提供健康管理服务，这种模式具有服务主体多元、服务方式多样、服务内容丰富等优势。上述两种老年健康管理服务供给模式形成了互补及耦合关系，共同助力老年健康管理服务的高质量发展。

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.

虽然医养结合的实践效果在老年人个体、区域层面呈现出较强的异质性，但是其对提升老年健康管理服务利用水平的总体促进作用还是显著的。当前，我国医养结合发展正处于推广医养结合试点工作典型经验的关键阶段，应充分发挥示范项目的引领作用，为尚未开展医养结合试点的地区提供可操作性强的建议。

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.

重视试点政策在助推医养结合全面发展方面的作用。要注重政策的引领作用，多管齐下优化各地医养结合发展环境，降低制度成本，提高相关行政审批效率，从供给端提高医养结合的可及性，从需求端强化老年人对医养结合的理念认同，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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