我国西部地区医养结合机构开展医疗卫生服务的问题分析

Analysis on the problems of medical and health services provided by medical institutions in western China

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归属学者：

贺知菲

归属院系：

政治与公共管理学院

作者：

付航 ; 贺知菲 ;吴韬 ;李国红 ;罗昊宇

摘要：

目的分析我国西部地区医养结合机构在开展医疗卫生服务过程中存在的问题。方法对248家医养结合机构负责人进行问卷调查,运用贝雷尔森(Bernard Burleson)内容分析法对214家机构在开展医疗卫生服务中遇到的问题进行定量和定性分析。结果当前医养结合机构在开展医疗服务过程中存在人员、医保、资金、标准、设备、设施、需方和医疗服务层次8类主要问题,22项具体问题。人员问题主要体现在医护人员缺乏、岗位吸引力低、技术水平低、人才评价体系缺乏;医保问题主要体现在对医保的限制性较大、长护险不完善、未考虑康复治疗的特殊性;资金问题主要体现在筹资渠道有限、运营成本高、资金回笼困难;标准问题主要体现在缺乏行业规范标准和老年人入院评估标准。结论医养结合机构应加强专业人才队伍建设与培养,进一步完善医疗保险制度,强化对医养结合机构的资金支持,探索建立医养结合机构规范标准。

出版日期：

2020-10-14

学科：

公共卫生与预防医学

提交日期：

2020-11-13

引用参考：

付航;贺知菲;吴韬;李国红;罗昊宇. 我国西部地区医养结合机构开展医疗卫生服务的问题分析[J]. 重庆医学,2020(19):3230-3233.

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  • dc.title
  • 我国西部地区医养结合机构开展医疗卫生服务的问题分析
  • dc.contributor.author
  • 付航;贺知菲;吴韬;李国红;罗昊宇
  • dc.contributor.author
  • FU Hang;HE Zhifei;WU Tao;LI Guohong;LUO Haoyu;Development of Research Institute, Shanghai Jiaotong University Chinese Hospital;School of Medicine, Shanghai Jiao Tong University;School of Politics and Public Administration, Southwest University of Political Science and Law;Medical Management Service Guidance Center, National Health Commission
  • dc.contributor.affiliation
  • 上海交通大学中国医院发展研究院;上海交通大学医学院;西南政法大学政治与公共管理学院;国家卫生健康委医疗管理服务指导中心
  • dc.contributor.corresponding
  • 罗昊宇
  • dc.publisher
  • 重庆医学
  • dc.publisher
  • Chongqing Medicine
  • dc.identifier.year
  • 2020
  • dc.identifier.issue
  • 19
  • dc.identifier.volume
  • v.49
  • dc.identifier.page
  • 3230-3233
  • dc.date.issued
  • 2020-10-14
  • dc.subject
  • 西部地区;医养结合机构;医疗卫生服务;问题
  • dc.subject
  • western region;medical and elderly care institutions;medical and health services;problems
  • dc.description.abstract
  • 目的分析我国西部地区医养结合机构在开展医疗卫生服务过程中存在的问题。方法对248家医养结合机构负责人进行问卷调查,运用贝雷尔森(Bernard Burleson)内容分析法对214家机构在开展医疗卫生服务中遇到的问题进行定量和定性分析。结果当前医养结合机构在开展医疗服务过程中存在人员、医保、资金、标准、设备、设施、需方和医疗服务层次8类主要问题,22项具体问题。人员问题主要体现在医护人员缺乏、岗位吸引力低、技术水平低、人才评价体系缺乏;医保问题主要体现在对医保的限制性较大、长护险不完善、未考虑康复治疗的特殊性;资金问题主要体现在筹资渠道有限、运营成本高、资金回笼困难;标准问题主要体现在缺乏行业规范标准和老年人入院评估标准。结论医养结合机构应加强专业人才队伍建设与培养,进一步完善医疗保险制度,强化对医养结合机构的资金支持,探索建立医养结合机构规范标准。
  • dc.description.abstract
  • Objective Analyze the problems existing in the medical and health services in the medical and elderly care institutions in western China.Methods A questionnaire survey was conducted among the heads of 248 medical and elderly care institutions,and the Bernard Burleson content analysis method was used to quantitatively and qualitatively analyze the problems encountered in the medical and health services of 214 institutions.Results At present,there are 8 types of main problems and 22 specific problems in the current medical care institutions in the process of carrying out medical services:personnel,medical insurance,funds,standards,equipment,facilities,demand-side and medical service levels.The personnel problem is mainly reflected in the lack of medical staff,low job attractiveness,low technical level,and lack of talent evaluation system.Medical insurance problems are mainly reflected in the relatively restrictive medical insurance,the imperfect long-term care insurance,and the lack of consideration of the particularity of rehabilitation treatment.Funding problems are mainly reflected in the limited financing channels,high operating costs,and difficulty in returning funds.The standard problem is mainly reflected in the lack of industry norms and standards and the evaluation standards for elderly admission.Conclusion Medical-care integrated institutions should strengthen the construction and training of professional talents,further improve the medical insurance system,strengthen financial support for medical-care integrated institutions,and explore the establishment of standardized standards for medical-care integrated institutions.
  • dc.description.sponsorshipPCode
  • 2019HP31
  • dc.description.sponsorship
  • 上海市卫生健康委员会卫生政策研究课题项目(2019HP31)
  • dc.identifier.CN
  • 50-1097/R
  • dc.identifier.issn
  • 1671-8348
  • dc.identifier.if
  • 0.966
  • dc.subject.discipline
  • R197.1
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