Volume 19 Issue 7
Jul.  2021
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(7): 1224-1227,1247
WANG Jie-sheng, XU Xiao-fang, LI Hong-chun, JIN Dong. Investigation and research on the current situation of the combination of medical care and maintenance for the aged cared by home in Hangzhou[J]. Chinese Journal of General Practice, 2021, 19(7): 1224-1227,1247. doi: 10.16766/j.cnki.issn.1674-4152.002026
Citation: WANG Jie-sheng, XU Xiao-fang, LI Hong-chun, JIN Dong. Investigation and research on the current situation of the combination of medical care and maintenance for the aged cared by home in Hangzhou[J]. Chinese Journal of General Practice, 2021, 19(7): 1224-1227,1247. doi: 10.16766/j.cnki.issn.1674-4152.002026
shu

Investigation and research on the current situation of the combination of medical care and maintenance for the aged cared by home in Hangzhou

doi: 10.16766/j.cnki.issn.1674-4152.002026
  • 1.

    Department of Geriatrics, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang 310012, China

Funds:

 ZMZC201967

  • Received Date: 2020-03-17
    Available Online: 2022-02-16
    Abstract
  •   Objective  To investigate the current situation of medical care for the aged at home in Hangzhou and find out the mismatch between supply and demand, so as to put forward suggestions for carrying out targeted pension service and pension supply-side reform.  Methods  In order to understand the current situation of demand and supply of medical care combined with maintenance, a questionnaire survey and an actual interview survey were conducted among the elderly in five communities in Xihu District and Jianggan District of Hangzhou in 2019. According to the scoring results of the activity of daily living (ADL), the elderly population was divided into self-care group and disabled group.  Results  The disabled group was older than the self-care group (P < 0.05). There was no significant difference in the sex ratio between the two groups (P=0.273). Major of them were female. There was a significant difference between the two groups of caregivers (P < 0.05). The main caregivers of the elderly were partners. The proportion of disabled elderly living alone decreased while the proportion of depend on children and nannies increased. Except chronic disease management, establishment of electronic archives and health knowledge education, the proportion of elderly people receiving public health services for other projects was less than 50%. The proportion of disabled elderly people receiving on-site services, family sickbeds and medical assistance services was less than 50%, suggesting poor accessibility of basic medical care. The proportion of patients receiving pipeline care and pressure sore care service was less than 50%, which indicated the lack of special medical care for the elderly. Except for acute and chronic neck, shoulder, waist and leg pain, the proportion of receiving other rehabilitation services was less than 50%, suggesting a lack of professional rehabilitation.  Conclusion  Based on the investigation of the current situation of medical care for the aged at home in Hangzhou, it is found that there is a mismatch between supply and demand. It is suggested that the government encourage single persons to marry as much as possible to deal with the problem of life care for the aged in the future. It is also suggested that community service centers for the aged increase home service and short-term care services to enhance the living ability of the aged at home. It is suggested that community health service institutions improve the quality of public health services for the elderly, improve the accessibility of basic medical care, train specialized nurses for the elderly, and build professional rehabilitation departments.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    乔晓春. 养老产业为何兴旺不起来?[J]. 社会政策研究, 2019, 4(2): 7-21. https://www.cnki.com.cn/Article/CJFDTOTAL-SZYA201902004.htm
    [2]
    景天魁. 创建和发展社区综合养老服务体系[J]. 苏州大学学报(哲学社会科学版), 2015, 36(1): 29-33. https://www.cnki.com.cn/Article/CJFDTOTAL-SZDX201501006.htm
    [3]
    陈申, 崔焱, 郑静, 等. 养老机构与居家失能老年人日常生活活动需求未满足状况的差异性研究[J]. 中华护理杂志, 2019, 54(3): 434-438. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201903025.htm
    [4]
    朱恒鹏. "医养结合"的痛点在"医"不在"养"[J]. 中国财政, 2017(24): 36-38. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCE201724015.htm
    [5]
    王震. "医养结合"与"医养分开"[J]. 中国医疗保险, 2017, 10(10): 28. https://www.cnki.com.cn/Article/CJFDTOTAL-YLBX201710011.htm
    [6]
    谢道溥, 费敏浩, 徐林山, 等. 杭州市医养护一体化服务破解老龄化难题[J]. 中国医疗保险, 2015, 8(11): 43-45. https://www.cnki.com.cn/Article/CJFDTOTAL-YLBX201511021.htm
    [7]
    张文娟, 魏蒙. 中国老年人的失能水平和时间估计——基于合并数据的分析[J]. 人口研究, 2015, 39(5): 3-14. https://www.cnki.com.cn/Article/CJFDTOTAL-RKYZ201505001.htm
    [8]
    李莉, 裴瑞娟, 孙涛, 等. 社区卫生服务机构参与居家养老服务的供给侧改革探讨[J]. 中国卫生政策研究, 2016, 9(11): 52-56. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ201611009.htm
    [9]
    戴锦, 陈亚光, 高学义, 等. 以基层医疗机构为主导的社区医养结合模式研究[J]. 卫生经济研究, 2019, 36(7): 52-55, 66. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJJ201907017.htm
    [10]
    周乐明, 吴开明, 许小兰, 等. 人口老龄化背景下重庆市社区开展医养结合的成效及探讨[J]. 现代医药卫生, 2018, 34(9): 1281-1284. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS201809002.htm
    [11]
    LV Y B, ZHU P F, YIN Z X, et al. A U-shaped association between blood pressure and cognitive impairment in Chinese elderly[J]. J Am Med Dir Assoc, 2017, 18(2): e7-e13. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294228/pdf/nihms840989.pdf
    [12]
    HOFFMAN G J, HAYS R D, WALLACE S P, et al. Receipt of caregiving and fall risk in US community-dwelling older adults[J]. Med Care, 2017, 55(4): 371-378. http://www.onacademic.com/detail/journal_1000039907236110_a264.html
    [13]
    CHEN C Y, GAN P, HOW C H. Approach to frailty in the elderly in primary care and the community[J]. Singapore Med J, 2018, 59(5): 240-245. http://www.onacademic.com/detail/journal_1000040475047910_2d07.html
    [14]
    SAITO J, HASEDA M, AMEMIYA A, et al. Community-based care for healthy ageing: Lessons from Japan[J]. Bull World Health Organ, 2019, 97(8): 570-574. http://www.researchgate.net/publication/334668716_Community-based_care_for_healthy_ageing_lessons_from_Japan/download
    [15]
    DE CONINCK L, BEKKERING G E, BOUCKAERTL, et al. Home- and community-based occupational therapy improves functioning in frail older people: A systematic review[J]. J Am Geriatr Soc, 2017, 65(8): 1863-1869. http://www.onacademic.com/detail/journal_1000039872223110_ee80.html
    [16]
    陈凌玉, 张玲芝, 郭晶. 杭州市某区老年人医养结合服务供需现状及影响因素分析[J]. 中华医院管理杂志, 2018, 34(6): 445-449.
    [17]
    李熹, 王芳, 袁莎莎, 等. 社区卫生服务中心参与医养结合服务现状研究[J]. 中国卫生政策研究, 2018, 11(11): 51-55. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWZ201811010.htm
    [18]
    徐筱婧媛, 王丽, 王美荣, 等. 北京市失能老人上门医疗服务评估指标体系的构建[J]. 中华全科医学, 2020, 18(1): 1-4, 14. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202001001.htm
    [19]
    陈颖, 马丽霞, 裴慧丽, 等. 不同失能程度老年人居家养老照护服务项目需求调查[J]. 中国实用神经疾病杂志, 2016, 19(1): 38-40. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ201601019.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (179) PDF downloads(8) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return