卫生服务整合视角下医养结合模式的案例研究——基于福建省漳州市某医院和养护院
|
摘要
分析案例开展医养结合服务的经验教训,探索医养结合服务开展的可能路径。基于卫生服务整合视角,从系统整合、组织整合、专业整合、服务整合4个层面梳理案例开展医养结合的措施及面临的问题。措施包括出台整体规划和建立多部门协调机制;所有权一致和位置毗邻;构建医养服务团队和开展人员激励;开展全面综合和连续协调的服务。提出基于老年人需求评估开展服务整合,通过专业和组织整合调配医养资源,系统整合全程规范管理的医养结合服务探索路径。
To analyze how the two organizations provide integrated care for the elderly,and to explore a possible path to develop the integrated care for the elderly.The framework for integrated care,which is composed of the elements of system integration,organizational integration,professional integration and clinical integration,was used to analyze their measures and problems.Measures include the introduction of overall planning and the establishment of a multi-sectoral coordination mechanism;coherence of ownership and adjacent location;the combination of service teams and staff incentives;and the development of comprehensive and continuous coordination of services.The service integration should be carried out based on the needs assessment of the elderly,the resources should be allocated through professional and organizational integration,and the care services for the elderly should be systematically integrated in a standardized way.
To analyze how the two organizations provide integrated care for the elderly,and to explore a possible path to develop the integrated care for the elderly.The framework for integrated care,which is composed of the elements of system integration,organizational integration,professional integration and clinical integration,was used to analyze their measures and problems.Measures include the introduction of overall planning and the establishment of a multi-sectoral coordination mechanism;coherence of ownership and adjacent location;the combination of service teams and staff incentives;and the development of comprehensive and continuous coordination of services.The service integration should be carried out based on the needs assessment of the elderly,the resources should be allocated through professional and organizational integration,and the care services for the elderly should be systematically integrated in a standardized way.
引文
[1]WHO.World report on ageing andhealth[EB/OL].[2015-09-30].http://www.who.int/ageing/publications/world-report-2015/en/.
[2]WHO.WHO global strategy on people-centred and integrated health services[EB/OL].[2015/09/08].http://www.who.int/servicedeliverysafety/areas/peoplecentred-care/global-strategy/en/.
[3]国务院办公厅.国务院办公厅转发卫生计生委等部门关于推进医疗卫生与养老服务相结合指导意见的通知[EB/OL].[2015/11/20].http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm.
[4]Valentijn PP,Schepman SM,Opheij W,et al.Understanding integrated care:a comprehensive conceptual framework based on the integrative functions of primary care[J].Int J Integr Care,2013,122(13):e10.
[5]陈至柔,郑英,代涛,等.一体化医疗卫生服务体系评价框架研究[J].中国卫生政策研究,2018,11(4):29-35.
[6]张化楠.山东省医养结合养老模式发展问题研究[D].泰安:山东农业大学,2017.
[7]崔玲玲,马颖,陆龙滨,等.我国“医养结合”服务存在问题的系统分析[J].中国卫生事业管理,2017,34(3):238-240.
[8]刘诗洋,刘梦,桂玥,等.北京市医养结合养老机构的发展问题与对策[J].中国全科医学,2016,19(33):4034-4038.
[9]刘稳,徐昕,李士雪.基于SWOT分析的“医养结合”养老服务模式研究[J].中国卫生事业管理,2015,32(11):815-817.
[10]陈娜,王长青.基于社会交换理论的医养结合服务共同体探索与实践[J].中国老年学杂志,2015,35(22):6596-6598.
[11]沈婉婉,鲍勇.上海市养老机构“医养结合”优化模式及对策研究[J].中华全科医学,2015,13(6):863-865.
[12]张晓杰.医养结合养老创新的逻辑、瓶颈与政策选择[J].西北人口,2016(1):105-111.
[13]周伟强.安徽两市社区居家老人健康照顾需求-供给-利用研究[D].合肥:安徽医科大学,2017.
[14]徐君.我国“医养结合”养老模式研究[D].济南:山东中医药大学,2017.
[15]郭晓敏.嵌入与融合:医养结合养老模式发展路径---以安徽省为例[J].中共云南省委党校学报,2017(6):145-148.
[16]何婷.人口老龄化背景下医养结合养老模式的研究[D].衡阳:南华大学,2016.
[17]吴侃,钱佳慧,罗会强,等.我国“医养结合”养老模式构建现状及存在问题探讨[J].现代预防医学,2016,43(10):1805-1807.
[18]李倩,袁忻忻,冷茂华.我国医养结合模式的发展现状研究[J].劳动保障世界,2016(23):10-11.
[19]刘清发,孙瑞玲.嵌入性视角下的医养结合养老模式初探[J].西北人口,2014(6):94-97.
[20]陈静姝.我国医养结合模式与实施路径探究[D].太原:山西大学,2017.
[21]纪娇,王高玲.协同理念下医养结合养老机构创新模式研究[J].中国社会医学杂志,2014,31(6):376-378.
[2]WHO.WHO global strategy on people-centred and integrated health services[EB/OL].[2015/09/08].http://www.who.int/servicedeliverysafety/areas/peoplecentred-care/global-strategy/en/.
[3]国务院办公厅.国务院办公厅转发卫生计生委等部门关于推进医疗卫生与养老服务相结合指导意见的通知[EB/OL].[2015/11/20].http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm.
[4]Valentijn PP,Schepman SM,Opheij W,et al.Understanding integrated care:a comprehensive conceptual framework based on the integrative functions of primary care[J].Int J Integr Care,2013,122(13):e10.
[5]陈至柔,郑英,代涛,等.一体化医疗卫生服务体系评价框架研究[J].中国卫生政策研究,2018,11(4):29-35.
[6]张化楠.山东省医养结合养老模式发展问题研究[D].泰安:山东农业大学,2017.
[7]崔玲玲,马颖,陆龙滨,等.我国“医养结合”服务存在问题的系统分析[J].中国卫生事业管理,2017,34(3):238-240.
[8]刘诗洋,刘梦,桂玥,等.北京市医养结合养老机构的发展问题与对策[J].中国全科医学,2016,19(33):4034-4038.
[9]刘稳,徐昕,李士雪.基于SWOT分析的“医养结合”养老服务模式研究[J].中国卫生事业管理,2015,32(11):815-817.
[10]陈娜,王长青.基于社会交换理论的医养结合服务共同体探索与实践[J].中国老年学杂志,2015,35(22):6596-6598.
[11]沈婉婉,鲍勇.上海市养老机构“医养结合”优化模式及对策研究[J].中华全科医学,2015,13(6):863-865.
[12]张晓杰.医养结合养老创新的逻辑、瓶颈与政策选择[J].西北人口,2016(1):105-111.
[13]周伟强.安徽两市社区居家老人健康照顾需求-供给-利用研究[D].合肥:安徽医科大学,2017.
[14]徐君.我国“医养结合”养老模式研究[D].济南:山东中医药大学,2017.
[15]郭晓敏.嵌入与融合:医养结合养老模式发展路径---以安徽省为例[J].中共云南省委党校学报,2017(6):145-148.
[16]何婷.人口老龄化背景下医养结合养老模式的研究[D].衡阳:南华大学,2016.
[17]吴侃,钱佳慧,罗会强,等.我国“医养结合”养老模式构建现状及存在问题探讨[J].现代预防医学,2016,43(10):1805-1807.
[18]李倩,袁忻忻,冷茂华.我国医养结合模式的发展现状研究[J].劳动保障世界,2016(23):10-11.
[19]刘清发,孙瑞玲.嵌入性视角下的医养结合养老模式初探[J].西北人口,2014(6):94-97.
[20]陈静姝.我国医养结合模式与实施路径探究[D].太原:山西大学,2017.
[21]纪娇,王高玲.协同理念下医养结合养老机构创新模式研究[J].中国社会医学杂志,2014,31(6):376-378.