基于SWOT分析的医养结合服务模式卫生监管研究
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摘要
目的评估当前医养结合服务模式开展状况并提出针对策略。方法从卫生监管的角度,分析上海市浦东新区医养结合服务模式内在优势和劣势、外在机遇和风险进行态势分析(strengths weaknesses opportunities threats,SWOT)。结果医养结合模式优势在于可及性和系统性,劣势在于人员不足和服务内容不专,机会在于老龄化形势和政策支持,挑战在于成长周期长和部门协作复杂。结论当前应契合老龄化形势,构建医养结合养老服务体系;优化模式建设,注重系统衔接;利用政策优势,加强人才培养;明确服务内容,加强部门协作。
OBJECTIVE Evaluate the status of the current combination of medical and pension model and propose strategies.METHODS From the perspective of health supervision,analyze the intrinsic strengths and weaknesses,external opportunities and risks of the combination of medical and pension model in Shanghai Pudong New Area(SWOT analysis). RESULTS The advantage of the combination of medical care and support is accessibility and systemicity. The disadvantage was that the staff shortage and service content was not specialized. The opportunity lied in the ageing situation and policy support. The challenge lied in the long growth cycle and the complexity of departmental collaboration. CONCLUSION At present, it was necessary to fit the aging situation, establish a system of combination of medical and Pension Model,optimize the construction of the model,pay attention to the convergence of the system,use the advantages of the policy,strengthen the training of personnel,clarify the service content and strengthen the cooperation of departments.
OBJECTIVE Evaluate the status of the current combination of medical and pension model and propose strategies.METHODS From the perspective of health supervision,analyze the intrinsic strengths and weaknesses,external opportunities and risks of the combination of medical and pension model in Shanghai Pudong New Area(SWOT analysis). RESULTS The advantage of the combination of medical care and support is accessibility and systemicity. The disadvantage was that the staff shortage and service content was not specialized. The opportunity lied in the ageing situation and policy support. The challenge lied in the long growth cycle and the complexity of departmental collaboration. CONCLUSION At present, it was necessary to fit the aging situation, establish a system of combination of medical and Pension Model,optimize the construction of the model,pay attention to the convergence of the system,use the advantages of the policy,strengthen the training of personnel,clarify the service content and strengthen the cooperation of departments.
引文
[1]郜凯华,钱军程,张拓红.中国老年人医疗服务需要和利用——基于1998—2008年的国家卫生服务调查数据[J].中国卫生政策研究,2014,7(6):47-52.
[2]黄文静.社会学视角下老年人的医疗和照顾需要研究[J].中国全科医学,2017,20(7):842-851.
[3]高圆圆,谢波,孙子林,等.医院-社区-患者-志愿者一体化慢病管理新模式的构建研究[J].中国全科医学,2013,16(28):2624-2626.
[4]马杰,唐靖一,殷志刚,等.构建医养结合照护人员培养体系探讨[J].中医药管理杂志,2018,26(7):1-4.
[5]赵治英,张露丹,张鸿,等. 2011—2015年上海市浦东新区养老机构消毒效果监测分析[J].实用预防医学,2018,25(3):305-307,312.
[6]赵晓芳.老龄健康视角下“医养结合”政策文本分析[J].社会福利(理论版),2018(1):14-20.
[7]曾玉婷,赵丽.论“医养结合”养老服务模式老年人人身权益保障[J].中国卫生法制,2018,26(2):17-20,36.
[8]王浦劬,雷雨若,吕普生.超越多重博弈的医养结合机制建构论析——我国医养结合型养老模式的困境与出路[J].国家行政学院学报,2018(2):40-51,135.
[9]陈坤,李士雪.医养结合养老服务模式可行性、难点及对策研究[J].贵州社会科学,2018(4):65-70.
[2]黄文静.社会学视角下老年人的医疗和照顾需要研究[J].中国全科医学,2017,20(7):842-851.
[3]高圆圆,谢波,孙子林,等.医院-社区-患者-志愿者一体化慢病管理新模式的构建研究[J].中国全科医学,2013,16(28):2624-2626.
[4]马杰,唐靖一,殷志刚,等.构建医养结合照护人员培养体系探讨[J].中医药管理杂志,2018,26(7):1-4.
[5]赵治英,张露丹,张鸿,等. 2011—2015年上海市浦东新区养老机构消毒效果监测分析[J].实用预防医学,2018,25(3):305-307,312.
[6]赵晓芳.老龄健康视角下“医养结合”政策文本分析[J].社会福利(理论版),2018(1):14-20.
[7]曾玉婷,赵丽.论“医养结合”养老服务模式老年人人身权益保障[J].中国卫生法制,2018,26(2):17-20,36.
[8]王浦劬,雷雨若,吕普生.超越多重博弈的医养结合机制建构论析——我国医养结合型养老模式的困境与出路[J].国家行政学院学报,2018(2):40-51,135.
[9]陈坤,李士雪.医养结合养老服务模式可行性、难点及对策研究[J].贵州社会科学,2018(4):65-70.