医养结合居家医护服务体系的构建与管理
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摘要
目的建立居家医护服务体系,实现居家健康养老。方法建立居家医护服务培训中心,对杭州市江干区的医务人员进行居家医疗、护理知识及技能的培训;建立居家医护服务管理中心,制订相关制度、职责、作业流程、服务项目、考核评价标准等,派遣社区医务人员为老年人提供居家护理、居家康复、用药咨询、居家营养服务;与原有智慧养老服务平台对接,互为补充,逐步完善医养结合服务体系。结果 2015年1月—2017年8月,管理中心共接收服务申请1 433例,建档1 344例,提供各类型居家医护服务10 408例次,其中居家护理1 059例次,上门检验189例次,居家康复198例次,居家营养和居家用药咨询2例次,患者总满意度达90%以上。结论居家医护服务体系的建立,一定程度上减轻了居民多次往返医院进行延续护理、康复锻炼的负担,使老年人在家便可获得优质的医疗、护理和养老服务,服务满意度较高。
Objective To construct home care service system and to realize elderly care at home. Methods We established a training center for home care service,providing training focusing on medical treatment at home,nursing knowledge and skills among health care providers from one district in Hangzhou. We established a management center for home care service,and formulated relevant regulations,responsibilities,operation procedure,service items and evaluation standards. Community health care providers were sent to provide home care service for the elderly,including rehabilitation,medication consultation,and nutrition service. We also cooperated with the existing aged service platform in the city to get complementary and comprehensive development. Results Since January 2015,the management center received 1 433 application cases and implemented 1 344 cases,provided services to 10 408 cases,including home care 1 059 cases,door-to-door test 189 cases,home rehabilitation 198 cases,home nutrition and pharmacy 2 cases. Patient satisfaction was higher than 90%. Conclusion The home care service system can reduce the burden of medical care for the elderly and provide high quality medical service to the elderly at home with high satisfaction from the elderly.
Objective To construct home care service system and to realize elderly care at home. Methods We established a training center for home care service,providing training focusing on medical treatment at home,nursing knowledge and skills among health care providers from one district in Hangzhou. We established a management center for home care service,and formulated relevant regulations,responsibilities,operation procedure,service items and evaluation standards. Community health care providers were sent to provide home care service for the elderly,including rehabilitation,medication consultation,and nutrition service. We also cooperated with the existing aged service platform in the city to get complementary and comprehensive development. Results Since January 2015,the management center received 1 433 application cases and implemented 1 344 cases,provided services to 10 408 cases,including home care 1 059 cases,door-to-door test 189 cases,home rehabilitation 198 cases,home nutrition and pharmacy 2 cases. Patient satisfaction was higher than 90%. Conclusion The home care service system can reduce the burden of medical care for the elderly and provide high quality medical service to the elderly at home with high satisfaction from the elderly.
引文
[1]杭州市老龄工作委员会办公室.杭州市2016年老龄事业统计公报[EB/OL].(2017-03-20)[2017-08-20].http://www.hangzhou.gov.cn/art/2017/4/19/art_1256303_6702423.html.
[2]浙江省人民政府.关于加快发展养老服务业的实施意见[EB/OL].(2014-05-12)[2017-08-20].http://www.mca.gov.cn/article/zwgk/dfxx/201405/20140500635548.shtml.
[3]杭州日报.今天,医生来我家[EB/OL].(2014-04-09)[2017-08-08].http://news.163.com/15/0409/06/AMO8E8JP00014AEF.html.
[4]国务院.关于推进医疗卫生与养老服务相结合的指导意见[EB/OL].(2015-11-20)[2017-08-08].http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm.
[5]刘金玲,沈勤,季聪华.杭州市家庭型居家医护服务内容的研究[J].中华护理杂志,2017,52(3):359-364.
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[7]许丽霞,何炳荣,郭福琴,等.居家医护服务在凯旋社区医院的实践[J].全科医学临床与教育,2015,13(5):542-543.
[8]杭州市人民政府.关于推进居家医护智慧医疗服务的实施意见[EB/OL].(2014-06-27)[2016-11-08].http://www.hangzhou.gov.cn/art/2014/6/27/art_807287_1401.html.
[9]杭州市人民政府.关于印发杭州市居家医护签约服务实施方案试行的通知[EB/OL].(2014-09-05)[2016-11-08].http://hznews.hang zhou.com.cn/xinzheng/swwj/content/2014-09/05/content_5433559.htm.
[10]杭州市物价局.关于调整部分社区卫生服务价格的通知[EB/OL].(2014-08-15)[2017-08-08].http://www.hzjg.gov.cn/zcgsfwjg/12778.htm.
[11]杭州市江干区人民政府.关于印发江干区推进分级诊疗工作和居家医护智慧医疗服务实施意见(试行)的通知[EB/OL].(2014-11-26)[2016-08-18].http://xxgk.jianggan.gov.cn/contents/4002/13643.html.
[12]何素彩.居家医护社区老年医疗服务质量评估研究[J].老龄科学研究,2015,3(11):63-72.
[13]杭州市卫计委.关于下发2017年杭州市居家医护签约服务考核方案的通知[EB/OL].(2017-03-01)[2017-08-08].http://www.hzwsjsw.gov.cn/ztytzcfg/41359.jhtml.
[14]杭州市江干区卫计局.2015年江干区居家医护签约服务绩效考核方案[EB/OL].(2015-06-29)[2016-08-18].http://www.jiang gan.gov.cn/col/col1302064/index.html.
[2]浙江省人民政府.关于加快发展养老服务业的实施意见[EB/OL].(2014-05-12)[2017-08-20].http://www.mca.gov.cn/article/zwgk/dfxx/201405/20140500635548.shtml.
[3]杭州日报.今天,医生来我家[EB/OL].(2014-04-09)[2017-08-08].http://news.163.com/15/0409/06/AMO8E8JP00014AEF.html.
[4]国务院.关于推进医疗卫生与养老服务相结合的指导意见[EB/OL].(2015-11-20)[2017-08-08].http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm.
[5]刘金玲,沈勤,季聪华.杭州市家庭型居家医护服务内容的研究[J].中华护理杂志,2017,52(3):359-364.
[6]滕建荣,周智林,周华,等,创建居家医护智慧医疗服务模式[J].中国医疗管理科学,2015,5(1):23-26.
[7]许丽霞,何炳荣,郭福琴,等.居家医护服务在凯旋社区医院的实践[J].全科医学临床与教育,2015,13(5):542-543.
[8]杭州市人民政府.关于推进居家医护智慧医疗服务的实施意见[EB/OL].(2014-06-27)[2016-11-08].http://www.hangzhou.gov.cn/art/2014/6/27/art_807287_1401.html.
[9]杭州市人民政府.关于印发杭州市居家医护签约服务实施方案试行的通知[EB/OL].(2014-09-05)[2016-11-08].http://hznews.hang zhou.com.cn/xinzheng/swwj/content/2014-09/05/content_5433559.htm.
[10]杭州市物价局.关于调整部分社区卫生服务价格的通知[EB/OL].(2014-08-15)[2017-08-08].http://www.hzjg.gov.cn/zcgsfwjg/12778.htm.
[11]杭州市江干区人民政府.关于印发江干区推进分级诊疗工作和居家医护智慧医疗服务实施意见(试行)的通知[EB/OL].(2014-11-26)[2016-08-18].http://xxgk.jianggan.gov.cn/contents/4002/13643.html.
[12]何素彩.居家医护社区老年医疗服务质量评估研究[J].老龄科学研究,2015,3(11):63-72.
[13]杭州市卫计委.关于下发2017年杭州市居家医护签约服务考核方案的通知[EB/OL].(2017-03-01)[2017-08-08].http://www.hzwsjsw.gov.cn/ztytzcfg/41359.jhtml.
[14]杭州市江干区卫计局.2015年江干区居家医护签约服务绩效考核方案[EB/OL].(2015-06-29)[2016-08-18].http://www.jiang gan.gov.cn/col/col1302064/index.html.