老年照护医养结合实证研究
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1.南京医科大学医政学院;2.南京市晨光医院

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江苏省科技发展计划软科学研究项目(BR2007041,BR2012052)


Empirical Research of the Combination of Medical Care and Pension for elderly
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1.School of Health Policy Management,Nanjing Medical University,Nanjing;2.Chenguang Hospital in Nanjing

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    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、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。

    Abstract:

    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 be done through deep takings and answering questionnaires among staff including doctors, nurses and nursing assistants, who are come from rehabilitation care center of Chenguang Hospital. Moreover, a descriptive analysis and T test of software spss20.0 are applied to cope with database. Results 95.0% of the elderly considered the rehabilitation care center to be very satisfactory or satisfactory, especially the doctor’s professional skills and service. This kind of medical model should be promoted in the foundation of fixed staff. Conclusion Developing the 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.

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  • 收稿日期:2015-05-13
  • 最后修改日期:2015-08-01
  • 录用日期:2015-08-23
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