由于人口老龄化和疾病慢性病化的影响,与发达国家一样我国也正面临着“社会性住院”现象的困扰。文章在分析“社会性住院”现象的自然属性和社会属性的基础上,研究指出我国老年慢性病患者已经成为一个新群体,“社会性住院”现象日益演进成一个重大社会风险。作者从健康社会学理论入手,在“心理最适当状态”“老年慢性病也应属于社会问题”两个方面拓展了健康社会学理论,并阐释了慢性病与社会政策(养老保障)之间的关联。继而,通过借鉴国际经验,作者分析了我国养老保障体系的缺位与归位,剖析了我国养老服务保障的发展理念,进一步论证了目前呼声较高的“医养结合”模式的非理性思维,最后从制度选择和服务供给主体两个关键方面来建构我国养老服务保障体系。 Due to the aging population and the chronic disease of the disease, our country is also facing the problem of “social inpatient” like the developed countries. Based on the analysis of the natural and social attributes of the “social inpatient” phenomenon, the article points out that the elderly with chronic diseases in our country have become a new group and the phenomenon of “social inpatient” has evolved into a major social risk. The author starts from the theory of health sociology and expands the theory of healthy sociology in two aspects of “the most appropriate psychological state” and “elderly chronic diseases should also belong to social problems”, and explains the relationship between chronic diseases and social policies (old-age security) The connection between. Then, by referring to international experience, the author analyzes the absence and the return of China’s pension insurance system, analyzes the development concept of pension insurance in our country, and further demonstrates the irrationality of the “doctor-patient combination” Thinking, finally from the system of choice and service providers in two key aspects to build China’s pension service system.