长期照护保险失能评估工具的研究进展
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  • 英文篇名:Research progress of disability assessment tools for long-term care insurance
  • 作者:赵元萍 ; 黄春芳 ; 刘守国 ; 叶梦秋 ; 励建安 ; 谢红
  • 英文作者:ZHAO Yuanping;HUANG Chunfang;LIU Shouguo;YE Mengqiu;LI Jian'an;XIE Hong;School of Nursing, Peking University;
  • 关键词:评估工具 ; 失能 ; 长期照护保险
  • 英文关键词:assessment tools;;disability;;long-term care insurance
  • 中文刊名:GLHL
  • 英文刊名:Chinese Nursing Management
  • 机构:北京大学护理学院;泰康养老保险股份有限公司健康保险发展中心照护保险部;南京医科大学第一附属医院康复医学中心;
  • 出版日期:2019-01-15
  • 出版单位:中国护理管理
  • 年:2019
  • 期:v.19
  • 基金:中国社会保障学会医疗保障专业委员会研究项目(课题);; 泰康养老保险股份有限公司赞助(Y2017003);; 北京市社会科学基金项目(15SHA006)
  • 语种:中文;
  • 页:GLHL201901036
  • 页数:7
  • CN:01
  • ISSN:11-4979/R
  • 分类号:122-128
摘要
本文综述国内外现有长期照护保险制度下失能评估工具的背景、内容及应用现状,发现现有工具不能满足失能评估的基本要求、构成形式容易造成条目间交叉和重叠、不匹配我国目前的照护服务标准和保险给付标准,所以需要构建基于我国长期照护保险制度的失能评估工具。
        This article analyzed and compared of the assessment tools under the current long-term care insurance system at home and abroad from the background, content and application. There are three weak points: firstly, the existing tools do not conform to the definition of disability; secondly, the form of the existing tool is likely to cause cross-over and overlap between items; thirdly, the existing tools do not match the current long-term care and insurance payment standards in China. Due to the above reasons, it is essential to build a disability assessment tool based on Chinese long-term care insurance system.
引文
[1]民政部.2016年社会服务发展统计公报.(2017-08-03).http://www.mca.gov.cn/article/sj/tjgb/201708/20170800005382.shtml.Ministry of Civil Affairs of the People's Republic of China.Social service development statistical bulletin in 2016.(2017-08-03).http://www.mca.gov.cn/article/sj/tjgb/201708/20170800005382.shtml.
    [2]民政部.第四次中国城乡老年人生活状况抽样调查成果.(2016-10-09).http://www.mca.gov.cn/article/xw/mzyw/201610/20161015001974.shtml.Ministry of Civil Affairs of the People's Republic of China.Results of the fourth sample survey on the living conditions of the elderly in urban and rural China.(2016-10-09).http://www.mca.gov.cn/article/xw/mzyw/201610/20161015001974.shtml.
    [3]张文娟,魏蒙.中国老年人的失能水平到底有多高?-多个数据来源的比较.人口研究,2015,39(3):34-47.Zhang WJ,Wei M.Disability level of the Chinese elderly:comparison from multiple data sources.Population Research,2015,39(3):34-47.
    [4]潘金洪,帅友良,孙唐水,等.中国老年人口失能率及失能规模分析-基于第六次全国人口普查数据.南京人口管理干部学院学报,2012,28(4):3-6,32.Pan JH,Shuai YL,Sun TS,et al.Analysis of disability rate and disability scale of Chinese elderly population:based on data from the Sixth National Census.Journal of Nanjing College for Population Programme Management,2012,28(4):3-6,32.
    [5]World Health Organization.International Classification of Functioning,disability and health:ICF.Geneva:World Health Organization,2001.
    [6]中华人民共和国人力资源社会保障部.人力资源社会保障部办公厅关于开展长期护理保险制度试点的指导意见.(2016-06-27).http://www.mohrss.gov.cn/gkml/zcfg/gfxwj/201607/t20160705_242951.html.Ministry of Human Resources and Social Security of People's Republic of China.Guiding opinions on pilot long-term nursing insurance system.(2016-06-27).http://www.mohrss.gov.cn/gkml/zcfg/gfxwj/201607/t20160705_242951.html.
    [7]王梓,何帆.三代评估工具的发展概述.(2015-08-24).http://www.interraichina.org/science/info/10.Wang Z,He F.Overview of the development of the three generation assessment tools.(2015-08-24).http://www.interraichina.org/science/info/10.
    [8]基于i nt e rR A I评估系统的长期照护体系.(2016-12-22).https://wenku.baidu.com/view/4c820ee14793daef5ef7ba0d4a7302768e996f6a.html?rec_f lag=default&mark_pay_doc=2&mark_rec_page=1&mark_rec_position=4&clear_uda_param=1.Long-term care system based on interRAIevaluation system.(2016-12-22).https://wenku.baidu.com/view/4c820ee14793daef5ef7ba0d4a7302768e996f6a.html?rec_flag=default&mark_pay_doc=2&mark_rec_page=1&mark_rec_position=4&clear_uda_param=1.
    [9]Mahoney FI,Bar thel DW.Functional evaluation:the Barthel Index.MD State Med-J,1965,14(14):61-65.
    [10]Lawton MP,Brody EM.Assessment of older people:self-maintaining and instrumental activities of daily living.Gerontologist,1969,9(3):179-186.
    [11]王凯.德国长期照护保险制度概述及对我国的启示.科技经济市场,2015(7):92-94.Wang K.Summary of German long-term care insurance system and its enlightenment to China.Science and Technology Economy Market,2015(7):92-94.
    [12]徐梦婧,黄婵,陈琪,等.我国台湾长照服务2.0制度调研调查研究及对大陆社会化养老服务的启示.中国保健营养,2017,27(15):394-395.Xu MJ,Huang C,Chen Q,et al.Investigation and research on long-term care service 2.0 system in Taiwan China and its enlightenment to mainland social old-age service.China Health Care&Nutrition,2017,27(15):394-395.
    [13]南通市人民政府.市政府印发《关于建立基本照护保险制度的意见(试行)》的通知.(2015-10-20).http://www.nantong.gov.cn//ntsrmzf/szfwj/content/69c58649-080c-499c-8acaa86ddbc87ced.html.Nantong Municipal People's Government.Municipal government issued opinions on the establishment of the basic care insurance system(trial).(2015-10-20).http://www.nantong.gov.cn//ntsrmzf/szfwj/content/69c58649-080c-499c-8aca-a86ddbc87ced.html.
    [14]长春市人力资源和社会保障局.关于印发《长春市失能人员医疗照护保险实施办法(试行)》的通知.(2015-04-07).http://www.ccrs.gov.cn/news_detail_shbz/newsId=2682.html.Changchun Municipal Bureau of Human Resources and Social Security.Notice on issuing the implementation measures of medical care insurance for disabled persons in Changchun(trial).(2015-04-07).http://www.ccrs.gov.cn/news_detail_shbz/news Id=2682.html.
    [15]张艳,顾艳荭.老年人综合评估相关工具研究进展.中国全科医学,2017,20(17):2150-2154.Zhang Y,Gu YH.Research progress of the related tools of the comprehensive geriatric assessment.Chinese General Practice,2017,20(17):2150-2154.
    [16]Craig C,Chadborn N,Sands G,et al.Systematic review of EASY-care needs assessment for community-dwelling older people.Age Ageing,2015,44(4):559-565.
    [17]Brand?o MP,Martins L,Philp I,et al.Reliability and validity of the EASYCare-2010Standard to assess elderly people in Portuguese Primary Health Care.Aten Primaria,2017,49(10):576-585.
    [18]Stewart AL,Hays RD,Ware JE.The MOSshort-form general health survey.Reliability and validity in a patient population.Medical Care,1988,26(7):724-735.
    [19]杨金宇.长期照护与InterRAI照护评估系统.(2013-04-28).http://wenku.baidu.com/view/646cc27a27284b73f2425049.html.Yang JY.Long-term care and InterRAI care evaluation system.(2013-04-28).http://wenku.baidu.com/view/646cc27a27284b73f2425049.html.
    [20]Brink TL,Yesavage JA,Lum O,et al.Screening tests for geriatric depression.Clinical Gerontologist,1982,1(1):37-43.
    [21]Kirstie LH,Andrew M,Raymond F.Older people specific health status and quality of life:a structured review of self-assessed instruments.JEval Clin Pract,2005,11(4):315-327.
    [22]Talarska D,Kropińska S,Strugala M,et al.The most common factors hindering the independent functioning of the elderly at home by age and sex.Eur Rev Med Pharmacol Sci,2017,21(4):775-785.
    [23]Talarska D,Strugala M,Szewczyczak M,et al.Is independence of older adults safe considering the risk of falls?.BMC Geriatr,2017,17(1):66.
    [24]Australian Government Department of Health.Aged Care Funding Instrument(ACFI)reports.[2017-10-14].https://agedcare.health.gov.au/tools-and-resources/aged-care-fundinginstrument-acfi-reports.
    [25]Jeon YH,Govett J,Low LF.Care planning practices for behavioural and psychological symptoms of dementia in residential aged care:a pilot of an education toolkit informed by the Aged Care Funding Instrument.Contemp Nurse,2013,44(2):156-169.
    [26]张莹.日本介护保险制度中老年长期护理分级标准研究.中国全科医学,2011,14(22):2544-2545.Zhang Y.Care-needs certification standards in the long-term care insurance system of Japan.Chinese General Practice,2011,14(22):2544-2545.
    [27]住居広士.要介護認定とは何か.東京:一橋出版株式会社,2004:23-36.Nai H.What is required for nursing care?.Tokyo:Hitotsubashi Publishing Co.,Ltd.,2004:23-36.
    [28]中国智能养老网.面对身心状态或失智程度的差异,机构和社区如何为每位老人提供适合的介护方式?建议借鉴日本失能老人介乎服务等级认定标准.(2017-09-07).http://www.cncahl.com/5b6e68125e3ae40b015e5af246d90003/newssdgcfind.shtml.Chinese intelligent old-age network.Facing the difference of mental and physical state,how can institutions and communities provide appropriate care for each elderly person?Suggestions are drawn on the criteria for determining the service level of disabled elderly in Japan.(2017-09-07).http://www.cncahl.com/5b6e68125e3ae40b015e5af246d90003/newssdgcfind.shtml.
    [29]Büscher A,Wingenfeld K,Schaeffer D.Determining eligibility for long-term care-lessons from Germany.Int J Integr Care,2011,11(2):e019.
    [30]Wingenfeld K,Büscher A,Gansweid B.Das neue begutachtungsassessment zur feststellung von p?egebedürftigkeit.(2011-08-08).http://www.uni-bielefeld.de/gesundhw/ag6/downloads/Abschlussbericht_IPW_MDKWL_25.03.08.pdf.
    [31]青岛政务网.关于印发《青岛市长期照护需求等级评估实施办法》的通知.(2018-03-06).ht t p://w w w.qingdao.gov.cn/n172/n24624151/n24626255/n24626269/n27207502/180316193928132037.html.Qingdao government network.Notice on issuing the implementation measures of Qingdao's long-term care needs grading assessment.(2018-03-06).http://www.qingdao.gov.cn/n172/n24624151/n24626255/n24626269/n27207502/180316193928132037.html.
    [32]中华人民共和国民政部社会福利和慈善事业促进司.关于征求行业标准《老年人能力评估》意见的公告.(2013-06-14).http://www.mca.gov.cn/article/xw/tzgg/201306/20130615473269.shtml.Department of Social Welfare and Charity Promotion of the Ministry of Civil Affairs of People's Republic of China.Announcement on soliciting opinions on the industry standard assessment of the capabilities of the elderly.(2013-06-14).http://www.mca.gov.cn/article/xw/tzgg/201306/20130615473269.shtml.
    [33]郭红艳,王黎,王志稳,等.老年人能力等级划分方式的研究.中国护理管理,2013,13(9):35-38.Guo HY,Wang L,Wang ZW,et al.Exploration research of older adults'ability level division.Chinese Nursing Management,2013,13(9):35-38.
    [34]青岛政务网.青岛市民政局关于印发《青岛市老年人照护需求评估规范》行业标准的通知.(2016-12-20).http://www.qingdao.gov.cn/n172/n24624151/n24625835/n24625849/n24625863/161220104024316343.html.Qingdao government network.Notice of Qingdao Civil Affairs Bureau on the issue of industry standards for the evaluation of care needs of the elderly in Qingdao.(2016-12-20).http://www.qingdao.gov.cn/n172/n24624151/n24625835/n24625849/n24625863/161220104024316343.html.
    [35]上海市民政局.上海市:试点老年照护需求评估完善老年服务梯度保障.社会福利,2015(9):7-8.Shanghai Civil Affairs Bureau.Shanghai:the needs assessment of the elderly care for the elderly to improve the old-age service gradient support.Social Welfare,2015(9):7-8.
    [36]上海市人民政府办公厅.上海市人民政府办公厅印发关于全面推进老年照护统一需求评估体系建设意见的通知.(2016-12-29).http://www.shanghai.gov.cn/nw2/nw2314/nw2319/nw12344/u26aw51019.html.Office of the people's Government of Shanghai.Circular issued by the General Off ice of Shanghai Municipal People's Government on the comprehensive promotion of the unified needs assessment system for elderly care.(2016-12-29).http://www.shanghai.gov.cn/nw2/nw2314/nw2319/nw12344/u26aw51019.html.
    [37]香港特别行政区政府社会福利署.安老服务统一评估机制.(2018-01-09).http://www.swd.gov.hk/sc/index/site_pubsvc/page_elderly/sub_standardis/.Social Welfare Department of the Government of the Hongkong Special Administrative Region.Standardized care need assessment for elderly services.(2018-01-09).http://www.swd.gov.hk/sc/index/site_pubsvc/page_elderly/sub_standardis/.
    [38]卫生福利部.长照政策专区.(2017-12-07).http://www.mohw.gov.tw/.Ministry of Health and Welfare.Long term care policy area.(2017-12-07).http://www.mohw.gov.tw/.
    [39]沈君彬.从“长照十年”到“长照保险”:台湾地区长期照顾制度的重构.甘肃行政学院学报,2015(5):50,82-100,128.Shen JB.From"Long-term Care Decade"to"Long-term Care Insurance":reconstruction of long-term care system in Taiwan.Journal of the Gansu institute of administration,2015(5):50,82-100,128.
    [40]罗萌.中国台湾地区长期照护制度及其启示.老龄科学研究,2017,5(3):52-60.Luo M.Long term care system in Taiwan region of China and its enlightenment.Scientific Research on Aging,2017,5(3):52-60.
    [41]王硕,井坤娟,戎艳琴,等.美国养老机构老年人服务需求评估现状及对我国的启示.护理学杂志,2016,31(4):97-101.Wang S,Jing KJ,Rong YQ,et al.Evaluation of elderly care needs of older residents living in residential care facilities in the USA and its enlightenment to China.Journal of Nursing Science,2016,31(4):97-101.
    [42]Centers for Medicare and Medicaid Service.MDS 3.0 for nursing homes and swing bed providers.(2015-06-03).https://www.cms.gov/Medicare/Quality-Initiatives-Patient-AssessmentI nst r u ments/Nu rsi ng HomeQ ualit yI n its/NHQIMDS30.html.
    [43]The interRAI Organization.Instruments[2018-08-10].http://www.interrai.org.
    [44]何帆,谢海雁,裴晓梅,等.国际化居民评估工具及其在长期照护中的应用.协和医学杂志,2016,7(2):132-135.He F,Xie HY,Pei XM,et al.International resident assessment tool and its application in long-term care.Medical Journal of Peking Union Medical College Hospital,2016,7(2):132-135.
    [45]Kim H,Jung YI,Sung M,et al.Reliability of the interRAI Long Term Care Facilities(LTCF)and interRAI Home Care(HC).Geriatr Gerontol Int,2015,15(2):220-228.
    [46]Wellens NI,Van Lancker A,Flamaing J,et al.Interrater reliability of the interRAI Acute Care(inter RAI AC).Arch Gerontol Geriatr,2012,55(1):165-172.
    [47]InterRAI中国居民评估工具.InterRAI介绍.[2018-08-10].http://www.interraichina.org.Inter RAI China.Introduction of InterRAI.[2018-08-10].http://www.interraichina.org.
    [48]郭武栋,宋文舸,赵琨,等.InterRAI患者健康状况评估:指导医患合理利用医疗资源的工具.中国卫生经济,2014(4):94-96.Guo WD,Song WG,Zhao K,et al.InterRAIpatient health status assessment:the tool to indicate the clinicians and patients to reasonably allocate health resources.Chinese Health Economics,2014(4):94-96.
    [49]刘宇,张素,陈鹏,等.InterRAI家庭照护评估工具在社区居家老年人综合评估与照护需求分析中的初步应用.中国护理管理,2016,16(11):1448-1452.Liu Y,Zhang S,Chen P,et al.Application of inter RAI HC to analyze health issues and related caring needs among Chinese communitydwelling elders.Chinese Nursing Management,2016,16(11):1448-1452.
    [50]朱宏伟,赖小星,霍晓鹏,等.InterRAI综合评估及干预对老年住院患者营养状况的影响.中华现代护理杂志,2017,23(1):29-33.Zhu HW,Lai XX,Huo XP,et al.InterRAIcomprehensive evaluation and intervention effect on nutritional status of elderly inpatients.Chin JMod Nurs,2017,23(1):29-33.
    [51]陈瑞云,戴付敏,Christine Behm,等.国际老年长期照护保险实施现状及启示.中国老年学杂志,2017,37(12):3104-3106.Chen RY,Dai FM,Behm C,et al.Implementation and enlightenment of international long-term care insurance for the elderly.Chinese Journal of Gerontology,2017,37(12):3104-3106.
    [52]曹艳春,王建云.老年长期照护研究综述.社会保障研究,2013(3):56-65.Cao YC,Wang JY.Review of long term care in the elderly.Social Security Studies,2013(3):56-65.

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