中国全科医学2017，Vol.20Issue(24)：2948-2954,7.DOI:10.3969/j.issn.1007-9572.2017.24.003
医养结合模式下社区卫生服务中心服务内容探讨——基于上海市嘉定区医养结合服务内容供需方调研
Discussion on the Service Contents of Community Health Service Center under the Mode of Medical and Nursing Integration——Based on the Investigation of Supply and Demand of Medical and Nursing Integration in Jiading District of Shanghai
摘要
Abstract
Objective To acquaint with the medical service demands of the elderly who lived in the pension institutions in the region and the service ability of the medical and nursing integration team,in order to determine the service content,provide the basis for medical and nursing integration service development,and provide reference for the determination of "medical and nursing integration" service content.Methods From November to December in 2016,with the elderly of three pension institutions in Jiading District of Shanghai as demander research objects and the "medical and nursing integration" teams of 11 community health service institutions of Jiading District Yingyuan Hospital of Shanghai Jiading District as the supplier research objects, the supplier-demander research of the "medical and nursing integration" service content was carried out.The questionnaire mainly included the basic information of supplier and demander,the needs of the demander/service capacity of the provider of 7 kinds of items of "medical andn ursing integration" service.The demand levels of the demander(highest,higher,and general) and the service capability of supplier(higher,general and lower) were analyzed.Results The Cronbach′s α coefficient of demander questionnaire was 0.980,and the Cronbach′s α coefficient of the supplier questionnaire was 0.966. The overall demand degree for seven kinds of medical and nursing integration service of the elderly who lived in the pension institutions was 73.23%-96.80%. Among them,the highest overall demands were health examination(96.80%) and health promotion management(94.98%) secondly,and the lower three was chronic disease management(73.23%). The demand degree for single service item was 54.20%-98.70%. Among them,the lower three items were card establishment(54.20%),follow up(55.10%) and visit and rehabilitation instruction(55.10%) for tumor patients in chronic disease management. The total service capability of the medical and nursing integration service team was 50.00%-89.24%. Among them,the highest total service capabilities were nursing service(89.24%) and the other service(88.09%) secondly,and the lower two were rehabilitation service(50.00%) and clinical diagnosis-treatment service(70.85%). The service capability of single service item was 42.62%-100.00%. Among them,the lower three items were temporary round of sudden situation(severe) in clinical diagnosis-treatment service(42.62%),debridement and bandaging of trauma(large) in nursing service(44.44%) and B type ultrasonography in health examination(47.54%). In the seven kinds of the medical and nursing integration services,the single service items with highest demand and higher service capability were health promotion management(4/6,66.67%),health examination(7/13,53.84%),other service(5/8,62.50%). The single service item with higher or highest demand and higher service capability was nursing service(11/16,68.75%). The single service item with highest demand and general or lower service capability was clinical diagnosis-treatment(6/12,50.00%). The single service item with higher or general demand and general or higher service capability was chronic disease management(13/14,92.86%). The single service item with higher demand and lower service capability was rehabilitation service(21/21,100.00%). Conclusion Limited by provision of the service capability,health promotion management,nursing service,chronic disease management and health service should be given priority to the elderly.The community health service center should strengthen the service ability of rehabilitation service and clinical diagnosis-treatment service,and ultimately gradually develop health management throughout the whole life cycle of the elderly.关键词
社区卫生服务/医养结合/养老机构/医疗服务内容Key words
Community health services/Medical-nursing combined care mode/Pension institution/Medical service content分类
医药卫生引用本文复制引用
陈洪珠,仇燕青,陈瑛,顾丽亚,刘冰,王小燕..医养结合模式下社区卫生服务中心服务内容探讨——基于上海市嘉定区医养结合服务内容供需方调研[J].中国全科医学,2017,20(24):2948-2954,7.基金项目
上海市卫生和计划生育委员会面上资助项目(201540338) （201540338）
上海市嘉定区科学技术委员会资助项目(2015015) （2015015）
