健康发展与政策研究2024，Vol.27Issue(2)：85-90,103,7.DOI:10.12458/HDPR.202405009
国家长期护理失能等级评估标准与上海市老年照护统一需求评估标准一致性研究
Research on the consistency between the national assessment standards for disability grade in long-term care and the unified assessment standards for elderly care needs in Shanghai
摘要
Abstract
Objective To compare the consistency between the National Standards for Disability Grade Assessment in Long-term Care and the Unified Needs Assessment Form for Elderly Care in Shanghai(hereinafter referred to as national standards and Shanghai standards),and propose suggestions for bridging the two standards.Methods Indicators and assessment grades from the two standards had been compared.A total of 179,141 pieces of data from the Shanghai standards from January to May 2023 were included,and consequently,these data were re-evaluated according to the two standards.Using InterQuartile Range,the consistency of Activities of Daily Living(ADL),cognitive ability,perceptual ability,together with communication ability were compared and presented in ratio line charts and bubble charts.Further,the disability situations obtained by calculating the same data in the two standards were analyzed.Results The results showed that the Shanghai standards covered all indicator dimensions of the national standards.The quartiles of the two sets of standards in the ADL dimension were 53.5(35.0,62.5)and 55.0(35.0,65.0),respectively.The quartiles in the perception and communication ability dimensions were 75.0(75.0,100.0)and 83.3(66.7,91.7),respectively.The data distribution of the 2 dimensions in terms of the proportion in each score range is close,and the trends of proportion are basically in line with each other.However,the quartiles of the two standards in the cognitive ability dimension were 48.0(31.0,63.0)and 38.8(17.5,61.3),and the data showed differences between the two standards.For example,the disability situations calculated by Shanghai standards were mild and moderate in majority,while the disability situations calculated by national standards were relatively moderate and severe.Conclusion The two standards are consistent in general with high consistency in terms of ADL and perceptual and communication skills dimensions,and differences in cognitive abilities dimensions still exist.关键词
长期护理保险/长期护理失能等级评估标准/老年照护统一需求评估/一致性研究Key words
long-term care insurance/disability grade in long-term care/the unified assessment standards for elderly care needs/the consistency study分类
医药卫生引用本文复制引用
万铃珊,张蕴伟,薛佳,曹宜璠,丁汉升..国家长期护理失能等级评估标准与上海市老年照护统一需求评估标准一致性研究[J].健康发展与政策研究,2024,27(2):85-90,103,7.基金项目
国家自然科学基金(72074152) （72074152）
