医养结合下家庭医生式服务介入居家养老探讨
摘要
介绍了家庭医生式服务介入居家养老相关概念,分析了目前我国家庭医生式服务介入居家养老面临着政策法规不健全及投入资金不足、居民了解不充分且信任度低、服务内容局限、服务人员短缺等困境,提出发展家庭医生式服务介入居家养老需要完善国家政策支持体系、丰富服务内容、高效宣传、提升医护人员的专业素质及积极性。
引文
[1]国家统计局.2015年国民经济和社会发展统计公报[EB/OL].[2016-02-29].http://www.stats.gov.cn/tjsj/zxfb/201602/t20160229-1323991.html.
[2]宫芳芳,孙喜琢,顾晓东,等.医养融合居家养老模式的探索与实践---以大连市中心医院居家养老服务中心为例[J].现代医院管理,2015,13(2):11-13.
[3]吴园秀,罗铁娇,罗文华.老年慢性病患者实施医养结合的实践与效果[J].现代医院,2014,14(3):149-151.
[4]高小芬,于卫华.医养结合模式下护理安全管理在老年病房中的应用[J].齐鲁护理杂志,2013,19(22):137-138.
[5]符美玲,陈登菊.从长期住院研究谈构建“医养结合”照护体系的必要性[J].中国医院,2013(11):21-23.
[6]王顶贤,夏琴荣,高燕勤,等.探索医养结合模式促进老人身心健康[J].中国民康医学,2011,23(19):2463-2464.
[7]卢亦鲁.“公建民营”开创医疗康复介护养老新模式[J].社会福利,2011(10):35-36.
[8]GRAVELLE H,MORRIS S,SUTTON M.Are family physicians good for you?Endogenous doctor supply and individual health[J].Health Research and Educational Trust,2008,43(4):1129-1135.
[9]张学标,王启,周立志,等.家庭医生服务团队在社区卫生服务体系中的作用[J].社区医学杂志,2011,9(6):40-41.
[10]JANUS ED,WAT NMS,LAM KSL.The prevalence of diabetes,association with cardiovascular risk factors and implications of diagnostic criteria(ADA 1997and WHO 1998)in A 1996community-based population study in Hong Kong Chinese[J].Diabetic Medicine,2000,17(10):741-745.
[11]CHAO SY,LIU HY,WU CY.The effects of group reminiscence therapy on depression,self esteem,and life satisfaction of elderly nursing home residents[J].Journal of Nursing Research,2006,14(1):36-45.
[12]国务院.“十二五”期间深化医药卫生体制改革规划暨实施方案[S/OL].[2017-12-29].http://www.china.com.cn/policy/txt/2012-03/22/content_24955955.htm.
[13]孙璐.居家养老的困境及化解的着力点---以扬州市的两个社区为例[J].城市问题,2012,31(8):91-96.
[14]林汉利,林爱华.社区家庭医生责任制服务满意度调查分析[J].医学与社会,2012,25(5):68-70.
[15]张玮.开展家庭医生制服务的可行性分析与对策研究[J].中国全科医学,2011,14(19):2136-2138.
[16]张雪.医疗服务融入居家养老模式中的探讨[J].农村经济与科技,2017,28(12):144;151.
[17]荆媛,景琳,丁富军.家庭医生团队签约服务对慢性病健康管理的效果评价[J].中国初级卫生保健,2013,27(11):70-71;74.
[18]魏勃,张博,李佳.社区卫生服务体系建设[J].中国煤炭工业医学杂志,2012,15(10):1642-1643.
[19]CAMPBELL AL,MORGAN KJ.Federalism and the politics of old-age care in germany and the united states[J].Comparative Political Studies,2005,38(8):887-914.
[20]LOPEZ,ELIZABETH ANNE.Elderly care in the U.S and healthcare economics;strategies to decrease costs and increase value in elder care[D].New York:Utica College,2015:1.
[21]DOHERTY ME.Hospice-organizational perspectives[J].Nurs Clin North Am,2009,44(2):233-238.
[22]Center to Advance Palliative Care.Marking the case for hospital-based palliative care.http://www.capc.org/building-a-hospital-basedpallitative-care-program/case[J].Accessed October,2011,3:943-949.
[23]KAO CY,CHENG SY,CHIU TY,et al.Dose the a wareness of terminal illness influence cancer patients'psycho-spiritual state,and their DNR sighting:a survey in Taiwan[J].Jpn J Clin Oncol,2013,43(9):910-916.
[24]丁华野.世界卫生组织肿瘤分类及诊断标准[M].北京:人民卫生出版社,2006:286.
[25]AZAMI-AGHDASH S,JABBARI H,BAKHSHINA F,et al.Attitudes and Knowledge of Iranian Nurses about Hospice care[J].Indian J Palliat Care,2015,21(2):209-213.
[2]宫芳芳,孙喜琢,顾晓东,等.医养融合居家养老模式的探索与实践---以大连市中心医院居家养老服务中心为例[J].现代医院管理,2015,13(2):11-13.
[3]吴园秀,罗铁娇,罗文华.老年慢性病患者实施医养结合的实践与效果[J].现代医院,2014,14(3):149-151.
[4]高小芬,于卫华.医养结合模式下护理安全管理在老年病房中的应用[J].齐鲁护理杂志,2013,19(22):137-138.
[5]符美玲,陈登菊.从长期住院研究谈构建“医养结合”照护体系的必要性[J].中国医院,2013(11):21-23.
[6]王顶贤,夏琴荣,高燕勤,等.探索医养结合模式促进老人身心健康[J].中国民康医学,2011,23(19):2463-2464.
[7]卢亦鲁.“公建民营”开创医疗康复介护养老新模式[J].社会福利,2011(10):35-36.
[8]GRAVELLE H,MORRIS S,SUTTON M.Are family physicians good for you?Endogenous doctor supply and individual health[J].Health Research and Educational Trust,2008,43(4):1129-1135.
[9]张学标,王启,周立志,等.家庭医生服务团队在社区卫生服务体系中的作用[J].社区医学杂志,2011,9(6):40-41.
[10]JANUS ED,WAT NMS,LAM KSL.The prevalence of diabetes,association with cardiovascular risk factors and implications of diagnostic criteria(ADA 1997and WHO 1998)in A 1996community-based population study in Hong Kong Chinese[J].Diabetic Medicine,2000,17(10):741-745.
[11]CHAO SY,LIU HY,WU CY.The effects of group reminiscence therapy on depression,self esteem,and life satisfaction of elderly nursing home residents[J].Journal of Nursing Research,2006,14(1):36-45.
[12]国务院.“十二五”期间深化医药卫生体制改革规划暨实施方案[S/OL].[2017-12-29].http://www.china.com.cn/policy/txt/2012-03/22/content_24955955.htm.
[13]孙璐.居家养老的困境及化解的着力点---以扬州市的两个社区为例[J].城市问题,2012,31(8):91-96.
[14]林汉利,林爱华.社区家庭医生责任制服务满意度调查分析[J].医学与社会,2012,25(5):68-70.
[15]张玮.开展家庭医生制服务的可行性分析与对策研究[J].中国全科医学,2011,14(19):2136-2138.
[16]张雪.医疗服务融入居家养老模式中的探讨[J].农村经济与科技,2017,28(12):144;151.
[17]荆媛,景琳,丁富军.家庭医生团队签约服务对慢性病健康管理的效果评价[J].中国初级卫生保健,2013,27(11):70-71;74.
[18]魏勃,张博,李佳.社区卫生服务体系建设[J].中国煤炭工业医学杂志,2012,15(10):1642-1643.
[19]CAMPBELL AL,MORGAN KJ.Federalism and the politics of old-age care in germany and the united states[J].Comparative Political Studies,2005,38(8):887-914.
[20]LOPEZ,ELIZABETH ANNE.Elderly care in the U.S and healthcare economics;strategies to decrease costs and increase value in elder care[D].New York:Utica College,2015:1.
[21]DOHERTY ME.Hospice-organizational perspectives[J].Nurs Clin North Am,2009,44(2):233-238.
[22]Center to Advance Palliative Care.Marking the case for hospital-based palliative care.http://www.capc.org/building-a-hospital-basedpallitative-care-program/case[J].Accessed October,2011,3:943-949.
[23]KAO CY,CHENG SY,CHIU TY,et al.Dose the a wareness of terminal illness influence cancer patients'psycho-spiritual state,and their DNR sighting:a survey in Taiwan[J].Jpn J Clin Oncol,2013,43(9):910-916.
[24]丁华野.世界卫生组织肿瘤分类及诊断标准[M].北京:人民卫生出版社,2006:286.
[25]AZAMI-AGHDASH S,JABBARI H,BAKHSHINA F,et al.Attitudes and Knowledge of Iranian Nurses about Hospice care[J].Indian J Palliat Care,2015,21(2):209-213.