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

作　　者：陈凯悦 赵瑞 王佳韵 秦昊 陈政 李程跃[1,2] CHEN Kaiyue;ZHAO Rui;WANG Jiayun;QIN Hao;CHEN Zheng;LI Chengyue(Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;Department of Health Policy and Management,School of Public Health,Fudan University,Shanghai 200032,China;NHC Key Laboratory of Reproduction Regulation,Shanghai Institute for Biomedical and Pharmaceutical Technologies,Shanghai 200237,China;Department of Maternal,Child and Adolescent Health,School of Public Health,Fudan University,Shanghai 200032,China;Hangzhou Center for Disease Control and Prevention(Hangzhou Health Suspension Institution),Hangzhou 310021,Zhejiang,China;Shanghai Medical and Health Affairs Service Center,Shanghai 200072,China)

机构地区：[1]复旦大学卫生发展战略研究中心,上海200032 [2]复旦大学公共卫生学院卫生事业管理学教研室,上海200032 [3]上海市生物医药技术研究院,国家卫生健康委员会计划生育药具重点实验室,上海200237 [4]复旦大学公共卫生学院妇幼与儿少卫生教研室,上海200032 [5]杭州市疾病预防控制中心(杭州市卫生监督所),浙江杭州310021 [6]上海医健卫生事务服务中心,上海200072

出　　处：《健康发展与政策研究》2024年第6期449-456,共8页Health Development and Policy Research

基　　金：上海市卫生健康委员会卫生健康政策研究课题(2022HP25)。

摘　　要：目的明确上海市老年照护统一需求评估服务体系的现状与存在问题,提出改进的合理化建议和对策,为上海市老年照护统一需求评估服务体系优化提供参考。方法对上海市、区两级共30家评估机构开展机构调查;对上海市、区两级卫生健康委员会,医疗保障局,民政局等部门的管理者以及评估机构的负责人开展关键知情人访谈;基于世界卫生组织卫生系统分析框架,运用主题框架分析法梳理存在的问题。结果上海市老年照护统一需求评估服务体系的服务提供规模较大,评估人员数量较多,信息化平台建设、筹资机制运行、组织架构设置基本健全。存在服务体系顶层统筹有待加强,评估机构规模小,评估人员队伍不够稳定,评估费用偏低,信息平台运行不稳定,评估结果利用程度不高等问题。结论上海市老年照护统一需求评估服务体系未来发展应从明确定位与完善顶层设计,增强部门行业管理的统筹协调,促进行业的可持续发展,提升评估机构与人员的专业性,完善运行机制,加强政策标准宣读等方面进一步推动。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 

分 类 号：R19[医药卫生—卫生事业管理]