社区居家中医特色医养结合服务需求分析与测度  

Analysis and measurement of demand for community-and home-based integrated elderly care and medical services with characteristics of traditional Chinese medicine

作　　者：于洋 李含伟[1] YU Yang;LI Hanwei(School of Management,Shanghai University of Engineering Science,Shanghai 201620,China)

机构地区：[1]上海工程技术大学管理学院,上海201620

出　　处：《中国医学伦理学》2025年第3期310-320,共11页Chinese Medical Ethics

基　　金：国家社会科学基金项目“流动老年人社会支持与社会融合研究”(21BRK006)。

摘　　要：中医特色医养结合服务在改善老年人亚健康状态、慢性病调理和医疗康复方面具有独特优势,但目前针对老年人对社区居家中医特色医养结合服务的切实需要的研究比较匮乏。对社区居家中医特色医养结合服务需求进行分析与测度,通过扎根理论构建了由4个一级指标、11个二级指标、38个三级指标构成的社区居家中医特色医养结合服务需求评价指标体系,并采用网络层次分析法获得了各指标的权重。研究表明:中医服务项目需求呈现多样化特征,高专业性特色技术需求强烈;中医特色医养结合知识普及需求高涨,普及效果是重中之重;建立健全政监体系需求迫切,资源与管理是底层支持需求。结合需求分析结果提出了针对性建议:研发推广中医医养结合项目,强化人才培养与学科融合;优化中医医养结合知识普及过程;建立健全政监体系,优化资源配置与管理。Integrated elderly care and medical services with characteristics of traditional Chinese medicine(TCM)has unique advantages in improving the sub-health status of the elderly,managing chronic disease,and promoting medical rehabilitation.However,there is currently a lack of research on the actual needs of the elderly for community-and home-based integrated elderly care and medical services with characteristics of TCM.This paper analyzed and measured the demand for community-and home-based integrated elderly care and medical services with characteristics of TCM,constructed an evaluation index system through grounded theory for the community-and home-based integrated elderly care and medical services with characteristics of TCM,consisting of 4 first-level indicators,11 second-level indicators,and 38 third-level indicators.The analysis network process method was used to obtain the weight of each indicator.This study showed that the demand for service projects of TCM was diverse,with a strong demand for highly professional and specialized technologies;there was a growing demand for popularizing knowledge of integrated elderly care and medical services with characteristics of TCM,with the effectiveness of popularization being the top priority;there was an urgent need to establish and improve a political supervision system,with resources and management being the underlying support needs.Combined with the results of demand analysis,targeted recommendations were proposed,including developing and promoting the projects of integrated elderly care and medical services with TCM,strengthening talent training and discipline integration;optimizing the knowledge popularization process of integrated elderly care and medical services with TCM;as well as establishing and improving the political supervision system and optimizing resource allocation and management.

关 键 词：中医特色 医养结合 社区居家 

分 类 号：R197.1[医药卫生—卫生事业管理]