常州市原戚墅堰区医养结合养老服务研究
发布时间：2018-10-22 12:09
【摘要】：“医养结合”是集医疗、护理、康复、保健、临终关怀和养老等多种功能于一体的医养结合、全程托护式的新型养老护理模式。又是一种有病就治病,没病就疗养,将医疗和养老有效结合的新型养老服务模式。此种模式不仅仅包括了传统意义上的生活照料养老服务,即日常的文化娱乐,常规生活照料,精神慰藉等服务。而且更加注重老年人的医疗保健,康复训练,疾病诊治,以及临终关怀等专业医护服务。这种医疗和养护相结合的模式,对于老年群体中的弱势群体,即失能及半失能老人尤为重要,能有效提高失能及半失能老年人的生活质量。本论文通过从常州市原戚墅堰区民政、卫生、统计等部门调阅大量资料和数据,分析常州市原戚墅堰区老年人的人口比例及患病情况,同时对常州市原戚墅堰区社会福利中心、居家养老服务中心、爱心护理院等养老机构进行调查研究,提出医养结合养老服务的新研究方式,使其应用在老年人中的大部分失能、半失能等弱势群体,这不仅是对传统的养老服务的肯定,也是改变传统养老服务中只重“养”却不重“医”的养老服务现状。原戚墅堰区从一开始推行医养结合新型养老服务就得到社区居民的高度关切和欢迎,关键的一点是医养结合养老服务是以社区居民健康实际出发,以居民的健康需求为导向,坚持社区卫生的公益性、不以盈利为目的的服务功能。医养结合通过医疗资源和养老资源的有效整合,合理使用了社区资源,真正体现了社区卫生为居民提供有效、经济、方便、综合、连续的集医疗、预防、保健、康复、健康教育等服务的特点。医养结合服务,大有可持续发展前景。本文研究的主题是常州市原戚墅堰区医养结合养老服务。主要运用了福利多元化理论及需求理论作为本文的理论支撑,并研究了国内外养老服务现状。结合养老服务的相关理论,尤其是医养结合养老发展理论,对影响医养结合养老发展服务的各个因素进行分析和比较,研究不同因素对其的影响和贡献。通过对常州市原戚墅堰区医养结合养老服务发展现状、存在问题继续分析,在借鉴国内外其它地区医养结合养老服务发展经验基础上对常州市原戚墅堰区医养结合养老服务现状发展提出对策。并有针对性的从加入事业投入、医护人员培养、政府政策支持改革,扩大资金来源等方面来保障老年人对“医养结合”的有效需求,从而有效推进养老服务业的行业化发展,加大政府监督管理强度,加强养老服务业标准化管理、多管齐下,保证政府和社会对“医养结合”养老服务的有效供给和持续发展。
[Abstract]:The combination of medical care and nursing care is a new type of nursing mode which integrates medical, nursing, rehabilitation, health care, hospice care and old-age care. It is also a new mode of old-age service which combines medical treatment with old-age care effectively. This model not only includes the traditional sense of care for the aged, that is, daily cultural entertainment, routine life care, spiritual comfort and other services. And more attention to health care, rehabilitation training, disease diagnosis and treatment, and hospice care and other professional health care services. The combination of medical treatment and maintenance is particularly important for the vulnerable groups of the elderly, that is, the disabled and the semi-disabled, and can effectively improve the quality of life of the disabled and semi-disabled. Through reading a lot of data from the departments of civil affairs, health and statistics in Yuanqishuyan District of Changzhou City, this paper analyzes the population proportion and disease situation of the elderly in Yuanqishuyan District, Changzhou City. At the same time, the social welfare center of Yuanqishuyan District in Changzhou City is also studied. The family pension service center, caring nursing home and other old-age care institutions carried out investigation and research, and put forward a new research method of combining medical care with old-age care, so that it could be applied to the majority of the disabled, semi-disabled and other vulnerable groups among the elderly. This is not only the affirmation of the traditional old-age service, but also the change of the present situation of the old-age service which only emphasizes "raising" but not "medical" in the traditional old-age service. From the beginning of the original Qishuyan District, the community residents have been highly concerned about and welcomed the implementation of the new type of old-age care service. The key point is that the combination of medical care and support for the aged is based on the actual health of the community residents and is guided by the residents' health needs. Adhere to the public welfare of community health, not to profit for the purpose of service functions. Through the effective integration of medical resources and old-age resources, the combination of medical treatment and nursing has made rational use of community resources, which truly reflects that community health provides effective, economical, convenient, comprehensive and continuous medical treatment, prevention, health care and rehabilitation for the residents. The characteristics of health education and other services. The combination of medical and nursing services has great prospects for sustainable development. The theme of this study is the combination of medical care and old-age care services in Yuanqishuyan District, Changzhou City. This paper mainly uses the theory of welfare diversification and demand theory as the theoretical support, and studies the current situation of old-age service at home and abroad. Combined with the related theory of old-age service, especially the theory of medical and nursing combined with old-age development, this paper analyzes and compares the factors that affect the development of old-age care service, and studies the influence and contribution of different factors to it. By analyzing the current situation of medical and nursing combined old-age service development in Yuanqishuyan District, Changzhou City, the existing problems continue to be analyzed. Based on the experience of other regions at home and abroad, this paper puts forward some countermeasures for the development of medical and nursing combined old-age service in Yuanqishuyan District, Changzhou City. And aiming at ensuring the elderly's effective demand for "combination of medical care and support" from the aspects of joining in career investment, training of medical and nursing personnel, government policy supporting reform, expanding the source of funds, and so on, so as to effectively promote the development of the old-age service industry. Strengthen the intensity of government supervision and management, strengthen the standardized management of the old-age service industry, multi-pronged, ensure the effective supply and sustainable development of the "combination of medical care and support" services between the government and the society.
【学位授予单位】：大连海事大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6
本文编号：2287117
[Abstract]:The combination of medical care and nursing care is a new type of nursing mode which integrates medical, nursing, rehabilitation, health care, hospice care and old-age care. It is also a new mode of old-age service which combines medical treatment with old-age care effectively. This model not only includes the traditional sense of care for the aged, that is, daily cultural entertainment, routine life care, spiritual comfort and other services. And more attention to health care, rehabilitation training, disease diagnosis and treatment, and hospice care and other professional health care services. The combination of medical treatment and maintenance is particularly important for the vulnerable groups of the elderly, that is, the disabled and the semi-disabled, and can effectively improve the quality of life of the disabled and semi-disabled. Through reading a lot of data from the departments of civil affairs, health and statistics in Yuanqishuyan District of Changzhou City, this paper analyzes the population proportion and disease situation of the elderly in Yuanqishuyan District, Changzhou City. At the same time, the social welfare center of Yuanqishuyan District in Changzhou City is also studied. The family pension service center, caring nursing home and other old-age care institutions carried out investigation and research, and put forward a new research method of combining medical care with old-age care, so that it could be applied to the majority of the disabled, semi-disabled and other vulnerable groups among the elderly. This is not only the affirmation of the traditional old-age service, but also the change of the present situation of the old-age service which only emphasizes "raising" but not "medical" in the traditional old-age service. From the beginning of the original Qishuyan District, the community residents have been highly concerned about and welcomed the implementation of the new type of old-age care service. The key point is that the combination of medical care and support for the aged is based on the actual health of the community residents and is guided by the residents' health needs. Adhere to the public welfare of community health, not to profit for the purpose of service functions. Through the effective integration of medical resources and old-age resources, the combination of medical treatment and nursing has made rational use of community resources, which truly reflects that community health provides effective, economical, convenient, comprehensive and continuous medical treatment, prevention, health care and rehabilitation for the residents. The characteristics of health education and other services. The combination of medical and nursing services has great prospects for sustainable development. The theme of this study is the combination of medical care and old-age care services in Yuanqishuyan District, Changzhou City. This paper mainly uses the theory of welfare diversification and demand theory as the theoretical support, and studies the current situation of old-age service at home and abroad. Combined with the related theory of old-age service, especially the theory of medical and nursing combined with old-age development, this paper analyzes and compares the factors that affect the development of old-age care service, and studies the influence and contribution of different factors to it. By analyzing the current situation of medical and nursing combined old-age service development in Yuanqishuyan District, Changzhou City, the existing problems continue to be analyzed. Based on the experience of other regions at home and abroad, this paper puts forward some countermeasures for the development of medical and nursing combined old-age service in Yuanqishuyan District, Changzhou City. And aiming at ensuring the elderly's effective demand for "combination of medical care and support" from the aspects of joining in career investment, training of medical and nursing personnel, government policy supporting reform, expanding the source of funds, and so on, so as to effectively promote the development of the old-age service industry. Strengthen the intensity of government supervision and management, strengthen the standardized management of the old-age service industry, multi-pronged, ensure the effective supply and sustainable development of the "combination of medical care and support" services between the government and the society.
【学位授予单位】：大连海事大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6
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