新疆维吾尔自治区四市医养结合调研分析  

Integrated Medical and Nursing Care Delivery Status in Four Pilot Cities in Xinjiang,China

作　　者：田锐[1] 杨林[2] 林全艺 龚爱华 王月[2] 姚华[2] TIAN Rui;YANG Lin;LIN Quan-yi;GONG Ai-hua;WANG Yue;YAO Hua(School of Public Health,Xinjiang Medical University,Urumqi 830000,China;The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China;Family Planning Development Division,Health and Family Planning Commission of Xinjiang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐市830000 [2]新疆医科大学第一附属医院,新疆乌鲁木齐市830000 [3]新疆维吾尔自治区卫生计生委家庭处,新疆乌鲁木齐市830000

出　　处：《中国全科医学》2018年第12期1451-1455,共5页Chinese General Practice

基　　金：2016年新疆维吾尔自治区社科课题(2016BGL106)--基于民生视角下新疆各民族老龄人口医养结合政策创制

摘　　要：目的通过对新疆四个试点城市医养结合发展现状进行调研,以实际运营中的问题为导向,为相关管理部门在推进医养结合工作进程、制定出台导向性政策方面提供实践依据。方法本研究采用实地调研、座谈及访谈法,于2017-05-03至2017-06-16对乌鲁木齐市、昌吉市、克拉玛依市及库尔勒市卫生与计划生育委员会(卫计委)、医养结合养老服务机构、失能和半失能老年人家庭进行现场调研。调研内容为四个城市的老龄人口基数、医养结合机构主要运营模式、发展现状及存在的主要问题。结果四个城市中总人口数、医疗卫生机构、卫生技术人员、编制床位数、60岁以上人口数前三位依次为乌鲁木齐市、昌吉市、库尔勒市,60岁以上人口占户籍人口比例前三位依次为乌鲁木齐市、克拉玛依市、昌吉市,养老机构床位数前三位依次为昌吉市、乌鲁木齐市、库尔勒市,每千老年人口养老床位数前三位依次为库尔勒市、昌吉市、克拉玛依市。乌鲁木齐市养老机构数108个,养老机构形式以社会福利院为主;昌吉市养老机构数443个,养老机构形式以农村互助院为主;克拉玛依市养老机构数82个,养老机构形式以社区日间照料中心为主;库尔勒市养老机构数242个,养老机构形式以农村互助院为主。调研结果显示,四个城市结合自身实际情况,不同程度开展了各类医养结合项目,但是还存在医养结合相关政策有待制定、试点有待推进、落实有待加强的问题;不同医养结合模式运营过程中仍存在一些难以解决的具体问题,如基层全科医师及专业老年医疗、护理人才短缺等问题。结论四个城市因人口老龄化现状不同、各管理部门协作、人才短缺等因素制约,医养结合工作的开展受到一定限制。各地政府应该充分发挥主导作用,合理配置资源;基层社区要依托社区卫生服务中心为老年人提供基�Objective To survey the integrated medical and nursing care delivery status and identify the challenges to effective delivery in 4 pilot cities in Xinjiang,providing a reference for policy-making departments to formulate targeted policies to promote the implementation of this mode of care.Methods Using the field investigation,group discussions and interviews,we conducted a survey between May 3,2017 and June 16,2017 for obtaining the data about the base number of the aged,main operation modes,status and challenges for institutions delivering integrated medical and nursing care in Urumqi,Changji,Karamay and Korla.The participants were the National Health and Family Planning Commission of Urumqi,Health and Family Planning Commission of Changji Hui Autonomous Prefecture,Karamay Health and Family Planning Commission,Korla Health and Family Planning Commission,institutions delivering integrated medical and nursing care,and families with a disabled or semi-disabled elderly person from these 4 cities.Results Urumqi,Changji,and Korla were the 3 cities owning the most population,medical institutions,medical professionals,staffed beds and elderly people aged 60 and above in descending order.Urumqi owned the highest percentage of registered population aged 60 years or over with hukou,followed by Karamay and Changji.Nursing facilities in Changji possessed the most beds,followed by Urumqi,and Korla.The number of beds owned by nursing facilities per 1 000 elderly people were the most in Korla,followed by Changji and Karamay.The number of nursing facilities in Urumqi,Changji,Karamay and Korla was 108,443,82,242,respectively,with the most common type of social welfare institution,rural mutual aid institution,community-based day care center,rural mutual aid institution,respectively.The survey results showed that these 4 cities have developed many types of programs for delivering integrated medical and nursing care based on their own conditions with varied achievements.However,challenges such as lack of general practitioners,profes

关 键 词：医养结合 数据收集 新疆 

分 类 号：R197[医药卫生—卫生事业管理]