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中国初级卫生保健:2019,33(12):1-3
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医养整合性体系服务模式框架的探索研究*
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中文摘要: 在我国医养结合现有矛盾的基础上探索适合我国的医养整合性体系框架。方法 通过文献研究系统整理目前医养整合体系基本要素。通过意向调查和焦点小组访谈形式了解样本地区对构建的医养结合服务模式框架的认可程度,并围绕对于内设老年护理院或医疗机构及与社区卫生服务中心签约合作的评价及存在问题等展开访谈。结果 建立长期照护服务体系,完善长期护理保险制度,健全有序的衔接老年服务关系是建立医养整合体系服务模式的关键。老年护理机构对这一模式认可率达76%,强化服务体系中各类供方机构的服务意愿和积极性是理想模式推行的重要支持条件。结论 长期照护、长期护理保险及有序衔接的医养服务体系建设是建立医养整合服务模式框架的关键,建设方向应聚焦于服务供方,包括供方人力的充足性、供方服务提供的意愿、积极性以及合法合规方面。
Abstract:OBJECTIVE To explore the framework of the integrated system of medical care suitable for China based on the combination of medical care and existing contradictions in China. METHODS The basic elements of the current medical integration system were organized by literature review. Intention survey and focus group interviews were conducted to understand the degree of recognition of the constructed medical care combined service model framework in the sample area, and focus on the evaluation and existing problems of signing cooperation with the built-in aged care homes/medical institutions and community health service centers. RESULTS Establishing a long-term care service system, perfecting the long-term care insurance system, and improving the orderly connection with the aged service relationship was the key to establish a service model for the medical integration system. The recognition rate of this model for aged care institutions was 76%. Strengthening the service willingness and enthusiasm of various supplier organizations in the service system was an important supporting condition for the implementation of the ideal model. CONCLUSION Long-term care, long-term care insurance and orderly connection of the medical service system were the keys to establish a framework for integrated medical service model. The construction direction should focus on the service provider, including the sufficiency of the supplier’s manpower and the supplier’ willingness, enthusiasm, and legal compliance.
文章编号:3201912001     中图分类号:R1-9    文献标志码:
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