医养结合模式下社区上门医疗服务需求与供给现状分析
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摘要
目的:了解居家老人上门医疗服务需求及社区供给情况,分析问题并提出建议。方法:以北京市朝阳区60岁以上居家老人为需方调查对象,辖区46家社区卫生服务中心的医护人员为供方调查对象,开展问卷调查。结果:社区上门医疗服务的供给与居家老人的需求并不完全匹配,尤其在心理咨询、远程健康监测、家庭病床及巡诊服务方面,社区供给不能满足居家老人的需求。结论:社区上门医疗服务应以预防为主,以需求为导向,拓展实用的服务项目,合并较少使用的服务项目。
Objective To understand the needs of home medical services for the elderly and community supply,analyze problems and make recommendations. Methods The elderly people aged 60 and over in Chaoyang District of Beijing were selected as the demand side. The medical staff of 46 community health service centers in the district were surveyed as the supplier. Results The supply of community-based medical services did not exactly match the needs of the elderly at home.,especially in psychological counseling,remote health monitoring,family beds and visiting services. Community supply cannot meet the needs of the elderly at home. Conclusion Community-based medical services should be based on prevention,demand-oriented,to expand practical service projects and merge less-used service projects.
Objective To understand the needs of home medical services for the elderly and community supply,analyze problems and make recommendations. Methods The elderly people aged 60 and over in Chaoyang District of Beijing were selected as the demand side. The medical staff of 46 community health service centers in the district were surveyed as the supplier. Results The supply of community-based medical services did not exactly match the needs of the elderly at home.,especially in psychological counseling,remote health monitoring,family beds and visiting services. Community supply cannot meet the needs of the elderly at home. Conclusion Community-based medical services should be based on prevention,demand-oriented,to expand practical service projects and merge less-used service projects.
引文
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[2]彭子璇,陈旭.基于整合视角的医养结合发展路径研究[J].卫生经济研究,2018(12):17-20,24.
[3] DI POLLINA L,GUESSOUS I,PETOUD V,et al.Integrated care at home reduces unnecessary hospitalizations of communitydwelling frail older adults:a prospective controlled trial[J].BMC Geriatr,2017,17(1):53.
[4]赵春艳,刘英杰,邵爽,等.北京市全科医生对上门医疗服务评价的质性研究[J].中国全科医学,2018,21(28):3453-3458.
[5]吴炳义,李娟丽,王媛媛.老人对社区上门医疗服务的需求分析[J].中国卫生事业管理,2018,35(2):89-93.
[6]孟浩婷,胡凌娟,崔圆月.居家养老模式下老人对社区卫生服务利用现状及评价[J].中国医药导报,2017,14(30):63-69.
[7]陈柯柯,余昌妹,金露,等.温州市空巢老人社区卫生服务需求和供给调查[J].医学与社会,2011,24(6):23-25,29.
[8]陈洪珠,仇燕青,陈瑛,等.医养结合模式下社区卫生服务中心服容探讨——基于上海市嘉定区医养结合服务内容供需方调研[J].中国全科医学,2017,20(24):2948-2954.
[9]都全荣,石玉国.社区卫生服务与居家养老结合措施的探索[J].中国卫生事业管理,2011,28(S1):18-19.
[10]郭晶,张玲芝,袁亚琴,等.医养结合居家医护服务体系的构建与管理[J].中华护理杂志,2018,53(7):773-777.
[11]张可可,朱鸣雷,刘晓红,等.北京部分社区老人共病及老年综合征调查分析[J].中国实用内科杂志,2016,36(5):419-421.
[12]狄娜,郑嘉堂,王鹏飞,等.北京市老人慢性病及共病分析[J].中国全科医学,2018,21(3):265-268.
[13]陈筑,董秀丽.探讨老人慢病健康管理方式[J].健康之路,2016,15(7):110.
[14]王一珉.中医适宜技术在社区“居家养老”中应用效果初探[J].中国卫生产业,2016,13(27):190-192.
[15]龙女.我国社区心理健康服务现状与发展对策[J].长江大学学报(社会科学版),2013,36(8):58-59.
[16]钟彩英,吴翠平,黄树琴,等.深圳市社区失能老人现状及其家庭病床服务需求调查[J].黑龙江医学,2016,40(5):457-459.
[17]郑敏芳,王馨,韩林涛,等.社区老人对居家医疗服务需求的调查研究[J].中国全科医学,2013,16(31):3012-3014.
[18]郑玉洪.成都市居家养老服务供给问题研究[D].西南交通大学,2017.
[19]胡升星,白旭,饶夫阳,等.北京市朝阳区老人居家养老医疗服务需求及影响因素[J].医学与社会,2018,31(7):77-80,86.