Research on Collaborative Service System of Medical, Nursing, and Pension for Elderly Chronic Diseases Under Holistic Governance — A Case Study of Shandong Section of the Yellow River Basin

Nana Wang, Fan Li, Shun Yuan, Qun Kong, Jingzheng Wang, Xiaoyan Shi, Xin Jin, Liqun Zhao

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¹ Qilu Institute of Technology, Jinan, Shandong 250200, China,

² Qilu Institute of Technology, Jinan, Shandong 250200, China,

³ Qilu Institute of Technology, Jinan, Shandong 250200, China,

⁴ Qilu Institute of Technology, Jinan, Shandong 250200, China,

⁵ Qilu Institute of Technology, Jinan, Shandong 250200, China,

⁶ Qilu Institute of Technology, Jinan, Shandong 250200, China,

⁷ Qilu Institute of Technology, Jinan, Shandong 250200, China,

⁸ Qilu Institute of Technology, Jinan, Shandong 250200, China,

ssr 2026 , 8(7), 200–207; https://doi.org/10.26689/ssr.v8i7.15782

Abstract

Against the dual strategic background of healthy aging and high-quality development of the Yellow River Basin, care for the elderly with chronic diseases has become a key field of regional people’s livelihood services. At present, the services for elderly chronic diseases in the Shandong section of the Yellow River are plagued by the separation of medical treatment, pension, and nursing, uneven resource allocation, and insufficient collaboration among stakeholders. The traditional single-service model can hardly meet the long-term care demands of the elderly with advanced age and chronic diseases. Supported by holistic governance, collaborative governance, and integrated nursing theories, this paper sorts out the current situation and practical dilemmas of medical-nursing-pension services for the elderly with chronic diseases in the Shandong section of the Yellow River and analyzes the underlying causes through field surveys, questionnaires, interviews, and case studies. An integrated service system is constructed from four dimensions: service subjects, service contents, service procedures, and supporting carriers, with differentiated implementation paths and a four-dimensional long-term guarantee mechanism designed. The research results can provide practical references for cities along the Yellow River to optimize elderly health services and advance the in-depth integration of medical, nursing, and pension services, and help implement the Healthy China strategy as well as the upgrading of regional elderly care services.

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