社区居家老年人对养老方式与居家医疗服务态度和评价的质性研究  

Attitude and perception towards ways of aged-care and home medical services among community-dwelling elderly:a qualitative study

作　　者：金雪 张建欣 姚弥 周国鹏[1,2] 迟春花[1,2] Jin Xue;Zhang Jianxin;Yao Mi;Zhou Guopeng;Chi Chunhua(Department of General Practice,Peking University First Hospital,Beijing 100034,China;Health Management Center,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院全科医学科,北京100034 [2]北京大学第一医院健康管理中心,北京100034

出　　处：《中华全科医师杂志》2023年第11期1153-1158,共6页Chinese Journal of General Practitioners

基　　金：北大百度课题(2019BD018)。

摘　　要：目的了解社区居家老年人对养老方式及基层医疗卫生机构提供居家医疗服务的态度和评价。方法2021年8—12月,采用目的抽样法在北京市西城区、密云区分别选取5家基层医疗卫生机构,每家社区选取4名年龄≥65岁居家老年人参与焦点小组访谈,访谈主题围绕居家养老和居家医疗服务。对录音资料进行文本转录、编码、资料分析,应用主题框架分析法,借助NVivo 12软件对访谈内容进行编码、提取、归纳总结,提炼主题。结果本研究共纳入40名居家老年人,其中男20例,女20例;年龄65~83(70.95±4.62)岁。对访谈资料进行分析后共提炼出3个主题:居家老年人对养老方式的选择受多因素影响;社区医疗服务在居家养老中作用有限;社区居家医疗服务内容有待拓展。结论居家老年人对社区提供居家医疗服务有需求,但对居家养老作用有限,借助远程医疗,增加社区内服务协调,可为老年人提供便捷的居家医疗服务。Objective To understand the attitude and perception of the community-dwelling elderly on the provision of ways of aged-care and home care services by primary health care institutions.Methods The focus group interviews were conducted from July to December 2021 among 40 home-bound older adults aged≥65 years,selected by purposive sampling method from 5 community health service centers in Beijing Xicheng District and Miyun District,and 4 eligible participants from each community.The topics of the interview were home care and home medical services.The recorded data were transcribed,coded,and analyzed.The themes of interview contents were extracted,summarized and refined with NVivo12 software.Results Among 40 participants,20 were males and 20 were females with an average age of(70.95±4.62)years(65 to 83).Three themes were extracted from the interviews:the mode of provision for aged care is influenced by various factors;the role of community medical services for home-based care of the elderly is limited;the contents of community home medical services need to be expanded.Conclusions The home-bound elderly have a need for home medical services provided by the community,which are limited at present.The implementation of telemedicine and increasing service coordination in the community will be conducive to convenient home medical services for the home-bound elderly.

关 键 词：老年人 定性研究 社区卫生服务 居家医疗服务 

分 类 号：R197.1[医药卫生—卫生事业管理]