沈阳市医养结合机构利用现状及影响因素分析  

Analysis on the current situation and problems encountered at medical-aging-care integration institutions in Shenyang city

作　　者：王昕[1] 刘嘉 胡心竹 孙树[2] Wang Xin;Liu Jia;Hu Xinzhu;Sun Shu(College of the Humanities and Social Sciences,China Medical University,Shenyang 110122,China;The First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学人文社科学院,沈阳110122 [2]中国医科大学附属第一医院创伤中心/烧伤科,沈阳110001

出　　处：《中华医院管理杂志》2020年第10期862-865,共4页Chinese Journal of Hospital Administration

基　　金：沈阳市哲学社会科学规划课题重点项目(18014);辽宁省经济社会发展研究课题(2020lslktwzz-072)

摘　　要：目的了解沈阳市医养结合机构运行现状及存在问题,进一步提升医养结合服务能力。方法采集沈阳市卫生健康行政部门和民政部门提供的2019年共273家提供养老服务机构的核定床位数、利用床位数、入住人次数等信息,以及人口结构相关数据。对28家不同类别医养结合机构的主要负责人进行现场访谈,了解机构基本状况和面临的困难。对数据进行中位数、四分位数等描述性分析。结果沈阳市人口重度老龄化,65岁以上老年人口占总人口的15.77%。截至2019年年底,沈阳市共设养老床位约4.5万张,其中医养结合机构床位约4.3万张,利用床位2万余张,床位利用率仅为46.5%。结论建议充分利用现有资源,培养医养结合护理专业队伍,建立实施长期照护保险制度,开展安宁疗护。Objective To probe into the current situation and problems encountered of medical-aging-care integrations in Shenyang for further improving the ability of medical-nursing integration services.Methods The data were derived from the Health Bureau and the Civil Affairs Bureau on the number of verified beds,number of beds in use,that of occupants of 273 medical-aging-care integration institutions as well as demographic data and statistical descriptions in 2019.Heads of 28 these instutions of different types were interviewed to learn their basic conditions and problems.Perform statistical descriptions of data such as median and quartile.Results The population of Shenyang was that of severe aging,with the population over 65 years old accounting for 15.77%of the total.As of the end of 2019,Shenyang had in place 45000 elderly care beds,of which about 43000 were provided by medical and elderly care institutions,and more than 20000 beds were in use,with the bed utilzation rate being only 46.5%,Conclusions It is recommended to make full use of existing resources,cultivate a team of medical-nursing integration professionals,establish and implement a long-term care insurance system,and provide palliative care.

关 键 词：卫生服务管理 医养结合 服务利用 长期照护保险制度 沈阳市 

分 类 号：R197.32[医药卫生—卫生事业管理]