健康发展与政策研究2024，Vol.27Issue(6)：449-456,8.DOI:10.12458/HDPR.202404026
上海市老年照护统一需求评估服务体系的现状、问题与对策建议
Current situation,challenges and countermeasures of the unified needs assessment service system for elderly care in Shanghai
摘要
Abstract
Objective To clarify the current situation and existing problems of the unified needs assessment service system for elderly care in Shanghai,to propose feasible recommendations for improvement,and to provide a reference for optimizing the system.Methods An institutional survey was conducted on assessment institutions at both the municipal and district levels in Shanghai,alongside key informant interviews with managers of Shanghai and district-level health commissions,medical insurance bureaus,civil affairs departments,and the heads of assessment institutions.The existing problems were analyzed using the WHO health system framework and thematic framework analysis.Results The unified needs assessment service system for elderly care in Shanghai has a large scale of service provision,a substantial number of assessors,and a generally well-established information platform,fund mechanism,and organizational structure.There are still some challenges such as the need to strengthen the top-level coordination,the small scale of assessment institutions,instability of the assessor workforce,low assessment costs,unreliable operation of the information platform,and underutilization of assessment results.Conclusion The future development of the unified demand assessment service system for elderly care in Shanghai should further strengthen the following aspects:clarifying the positioning and improving the top-level design,enhancing the overall departmental and industrial coordination,promoting the sustainable development of the industry,improving the professionalism of assessment institutions and personnel,refining operational mechanism,and increasing awareness of policy standards.关键词
上海/老年照护统一需求评估/体系现状/存在问题/对策建议Key words
Shanghai/unified needs assessment for elderly care/current situation of the system/existing problems/recommendations分类
医药卫生引用本文复制引用
陈凯悦,赵瑞,王佳韵,秦昊,陈政,李程跃..上海市老年照护统一需求评估服务体系的现状、问题与对策建议[J].健康发展与政策研究,2024,27(6):449-456,8.基金项目
上海市卫生健康委员会卫生健康政策研究课题(2022HP25) （2022HP25）
