摘要
目的了解影响乌鲁木齐市老年人对医养结合养老模式需求的因素。方法随机抽取乌鲁木齐市300名老年人进行问卷调查。结果单因素分析表明退休月收入、生活自理能力、慢性病种类、对医养结合养老模式的了解程度以及家人的支持度与老年人医养结合需求率间差异均有统计学意义(P<0.05),二项Logistic回归分析表明生活自理能力、慢性病种类、对医养结合养老模式的了解程度以及家人的支持度因素有统计学意义。结论转变传统单一的养老观念;完善医养结合养老服务体系,满足各层次老年人需求;建立长期护理保险制度;健全养老服务人员培养机制。
Objective: To understand the influencing factors of the elderly's demand for the pension mode of medical-nursing combination in Urumqi. Methods: A questionnaire survey was conducted among 300 elderly people randomly selected in Urumqi. Results: Univariate analysis showed that there was significant difference between retirement monthly income,life self-care ability,type of chronic disease,the degree of understanding on the pension mode of medical-nursing combination,family support and the demand rate of the elderly for the pension mode of medical-nursing combination( P < 0. 05). Two Logistic regression analysis showed that life self-care ability,types of chronic diseases,the degree of understanding on the pension mode of medical-nursing combination,and family support factors were statistically significant. Conclusion: It should change the traditional concept of single pension mode,improve the medical-nursing combination service system to meet the needs of all levels of the elderly,establish a long-term care insurance system,and improve the training mechanism of the elderly.
引文
[1]黄奉毅,陈菲,陶红英,等.老年人“医养结合”服务需求的影响因素[J].中国老年学杂志,2017,37(1):189-191.
[2]吴侃,胡晓,杨展,等.成都市居民对“医养结合”养老需求分析[J].医学与哲学,2016,37(12A):52-54.
[3]陈俊峰,王硕.城市“医养结合”型养老存在的问题及其解决途径——以合肥市为例[J].城市问题,2016,34(6):92-97.
[4]王玉芬.探索医养结合模式的政策思考[J].开放导报,2016(3):75-80.
[5]黄佳豪,孟昉.“医养结合”养老模式的必要性、困境与对策[J].中国卫生政策研究,2014,7(6):63-68.
[6]赵大仁,张瑞华,何思长,等.医养结合相关问题的思考与建议[J].卫生经济研究,2016,32(9):44-46.
[7]米玛多吉,田晓洁,邵志民,等.上海市部分城区老年人医养需求调查与研究[J].中国卫生经济,2016,35(10):43-45.
[8]窦全勇.潍坊市医养结合养老模式的探索[J].卫生经济研究,2017,33(2):63-66.
[9]戴卫东.欧亚七国长期护理保险制度分析[J].武汉科技大学学报(社会科学版),2016,18(1):12-16.
[10]张玉强.失能老人医养结合服务的创新研究——以青岛长期医疗护理保险制度为例证[J].中国卫生事业管理,2017,34(3):165-168.
[11]李杰.青岛“医养结合”养老模式问题研究[J].中国人力资源开发,2014(18):74-79.