中国医学伦理学2024，Vol.37Issue(3)：339-346,8.DOI:10.12026/j.issn.1001-8565.2024.03.14
"医院—社区"联动下安宁疗护的利益相关者研究
Stakeholder research on hospice care under the"hospital-community"coordination
摘要
Abstract
The"hospital-community"hospice care model involves multiple stakeholders,including demander,executor,leader,and fundraiser of medical and health services.The degree of benefit correlation,policy influence,and implementation willingness of various stakeholders were analyzed to provide reference for terminal cancer patients to obtain continuous,convenient,and high-quality hospice care.Health department and medical insurance department are the main driving forces for cross-institutional hospice care,but there are differences in their driving paths.The financial department is an important guarantor of policy implementation,and needs to ensure that its core interests are not lost.Community medical institutions are an important driving factor for policy implementation,but they require policy support and hospital drive.Medical staff in hospitals and communities,have weak willingness to implement policies,which can easily become obstacles to policy implementation in the absence of incentive and compensation mechanisms.Patients and their caregivers are important beneficiaries,but lack of publicity,education,and interactive communication can also lead to rejection and contradiction.Therefore,it is necessary to leverage the collaboration and coordination between policy enforcement departments,innovate the development model of hospitals,lead community medical institutions,and promote interactive communication and decision-making sharing of"doctor-doctor"and"doctor-patient".关键词
"医院—社区"联动/利益相关者/安宁疗护/晚期癌症Key words
"hospital-community"coordination/stakeholder/hospice care/terminal cancer分类
医药卫生引用本文复制引用
杨一龙,崔檬,赵欣欣,李娜,王玉梅.."医院—社区"联动下安宁疗护的利益相关者研究[J].中国医学伦理学,2024,37(3):339-346,8.基金项目
国家自然科学家基金青年项目"医养结合视域下老年晚期癌症患者'医院—社区'联动下的延续性姑息照护模式构建及评价:基于系统、机构、个体层面的实证研究"(72004232) （72004232）
浙江省医药卫生科技计划项目"慢性应激和家庭功能不良对失能失智老人照顾者抑郁焦虑症状的影响:基于非稳态负荷作用机制研究"(2024KY243) （2024KY243）
杭州师范大学科研启动经费项目(KYQD-2023-154) （KYQD-2023-154）
