老年照护医养结合实证研究  

Empirical research of the combination of medical care and pension

作　　者：邓诺 蒋亮 卢建华[1] 

机构地区：[1]南京医科大学医政学院,江苏南京210029 [2]南京市晨光医院,江苏南京210006

出　　处：《南京医科大学学报（社会科学版）》2015年第4期274-278,共5页Journal of Nanjing Medical University（Social Sciences）

基　　金：江苏省科技发展计划软科学研究项目"民生幸福工程科技支撑问题探讨"(BR2012052)

摘　　要：目的:以南京市晨光医院康复护理中心为例,调查研究医生、护士、护工的基本情况、稳定性及入住者满意度,探索二级医院实施医养结合养老模式的可行性。方法:采用深入访谈法、随机抽样调查法,对南京市晨光医院康复护理中心的医护人员、护工及入住者进行问卷调查,对所得数据采用SPSS20.0进行描述性统计分析和t检验。结果:入住者多为高龄老人且患有多种疾病,对医养结合养老模式的总体满意度为95.0%,其中对收费、医生的服务及技术的满意度均高于总体满意度(P<0.05),医护人员稳定性较好,是医养结合模式得以有效推行的基础和保障;对伙食、护工的满意度低于总体满意度(P<0.05),护工的稳定性相对较差。结论:医养结合养老模式在二级医院开展具有可行性。政府应着重加强老年健康人才培养及护工队伍建设,确保医养结合养老模式的健康、稳定、快速发展。Objective: To explore the feasibility of the combination of medical care and pension in secondary-level hospitals based on cases of rehabilitation care center of Chenguang hospital in Nanjing.Methods: The survey was performed through deep takings and answering questionnaires among staff including doctors, nurses and nursing assistants from rehabilitation care center of Chenguang Hospital. Moreover, a descriptive analysis and t test of software SPSS20.0 were applied to cope with database. Results: 95.0% of the elderly patients who suffered from multiple diseases thought the rehabilitation care center to be very satisfactory or satisfactory, especially the charge, professional skills and service of doctors(compared to the overall satisfaction, P < 0.05). Satisfaction degrees for food and nursing were lower than the overall satisfaction(P <0.05). The stability of nursing was relatively lower. This kind of medical model should be promoted in the foundation of fixed staff. Conclusion: Developing treat-care institutions in secondary-level hospitals is feasible.The government should focus on talent team construction to ensure a healthy, stable and wonderful progress of the medical care-pension model.

关 键 词：医养结合 养老模式 实证研究 

分 类 号：R47[医药卫生—护理学]