医养结合在老年人慢性病管理中的作用及经济学影响的初步研究  

Impact of the medical burden under chronic disease management for the elderly based on the"combination of medical care and pension"model:a preliminary study

作　　者：何海燕[1] 李琳[2] 罗涛[2] 任国胜[3] 喻秀丽[1] 霍丹 He Haiyan;Li Lin;Luo Tao;Ren Guosheng;Yu Xiuli;Huo Dan(Qinggang Senior Care Center,The First Affiliated Hospital of Chongqing Medical University,Chongqing 402761,China;Department of Geriatrics,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Endocrine and Breast Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院青杠老年护养中心,402761 [2]重庆医科大学附属第一医院老年科,400016 [3]重庆医科大学附属第一医院甲乳外科,400016

出　　处：《中华医学教育探索杂志》2021年第6期741-744,共4页Chinese Journal of Medical Education Research

基　　金：重庆市社会事业与民生保障科技创新专项项目(cstc2015shms-ztzx10004)。

摘　　要：目的研究应用"医养结合"养老服务模式是否能够有效控制老年人慢性病的病情发展,减轻疾病造成的直接经济负担。方法调查180名慢性病老人在应用该模式进行慢性病管理前、后的慢性病控制情况和直接经济负担情况,并进行统计学分析。本研究数据录入采用Epidata 2.0,数据分析采用SPSS 20.0,组间比较采用配对样本t检验。结果12个月的慢性病管理后,老人住院事件及住院费用均有所减少,其中住院次数平均减少0.24次,住院天数平均减少10.41天,住院费用平均减少11144元。因慢性病造成的直接经济负担大致减少8844.5元,占未应用该模式时老人平均住院费用的33.8%。结论在老年人慢性病管理中应用"医养结合"养老服务模式,可有效控制慢性病的病情发展,减轻疾病的严重程度,因疾病造成的直接经济负担也大大减小。Objective To study whether the"combination of medical care and pension"service model can effectively control the development of chronic disease in the elderly and reduce the direct economic burden caused by the disease.Methods A total of 180 elderly participants who received the"combination of medical care and pension"service model for chronic disease management in Chongqing,China were investigated and analyzed statistically.Epidata 2.0 was used for data entry,SPSS 20.0 was used for data analysis,and paired sample t test was used for comparison between groups.Results After 12 months of chronic disease management,hospitalization events and expenses of the elderly were reduced,among which the number of hospitalization was reduced by 0.24 timed on average,the length of hospitalization was reduced by 10.41 days on average,and the hospitalization expenses were reduced by 11144 yuan on average.The direct economic burden due to chronic diseases was reduced by approximately 8844.5 yuan,accounting for 33.8%of the average cost of hospitalization for the elderly without the application of the model.Conclusion The chronic disease of the elderly is well controlled by chronic disease management through the"combination of medical care and pension"service model.

关 键 词：医养结合 疾病负担 慢病管理 

分 类 号：D669.6[政治法律—政治学]