厦门社区卫生服务设施适老化改造策略研究

发布时间：2018-03-01 19:31

本文关键词： 厦门社区卫生服务中心社区卫生服务站适老化改造策略　出处：《华侨大学》2017年硕士论文　论文类型：学位论文

【摘要】：我国快速老龄化进程推进、疾病谱逐渐转变、城市综合医院无法满足老年人实现长期治疗和康复的医疗需求,基于以上背景的考虑,社区卫生服务设施的发展和我国老年人的晚年幸福生活息息相关。经过对厦门地区社区卫生服务设施的调研,发现厦门社区卫生服务设施还不足以满足老年人的医疗需求,所以发展社区医疗服务迫在眉睫。将社区内的闲置可利用设施改造成社区卫生服务设施,比新建社区卫生服务设施的周期短投入少,可以效率更高的解决老年人的医疗需求问题。本文主要做了以下几方面工作。(1)阅读文献。通过阅读国内外社区养老相关方面的文献、政策,了解到国内外社区医疗空间建设的研究现状,并初步认识了国内外的研究和发展情况。(2)实态调研与分析。首先调研老年人的基本需求,对社区卫生服务站和社区卫生服务中心的老年使用者占比进行统计,并将老年人对两级社区卫生服务设施的临床科室用房、预防保健用房、医技用房的功能需求、使用频率和使用方式等数据进行量化汇总。然后通过调研两类社区卫生服务设施的现状,与国家建设标准进行比对,了解厦门社区卫生服务设施的地域性需求,并得出现有社区卫生服务站与社区卫生服务中心所存在的选址、规模、服务半径、功能配置、空间流线和无障碍等多方面的问题。同时,对街道社区中各类型的可改造空间进行分析,为后续改造设计策略做出准备工作。(3)社区卫生服务站的改造策略。基于老年人的医疗需求和现有社区卫生服务站所存在的问题,分别针对街道社区中的公共配套用房、闲置底层商铺空间、住宅配套设施三种不同的可改造设施提出详细的改造原则和改造策略,并通过具体的国内外实例分析改造设计的可操作性。(4)社区卫生服务中心的改造策略。基于老年人的医疗需求和现有社区卫生服务中心所存在的问题,分别针对街道社区中的旧厂房旧仓库、公共配套用房、售楼部和会所三种不同的可改造设施提出详细的改造原则和改造策略,并通过具体的国内外实例分析改造设计的可操作性。
[Abstract]:China's rapid aging process, disease spectrum gradually changed, urban comprehensive hospitals can not meet the elderly to achieve long-term treatment and rehabilitation of the medical needs, based on the above considerations of the background. The development of community health service facilities is closely related to the happy life of the elderly in our country. Through the investigation of the community health service facilities in Xiamen, it is found that the community health service facilities in Xiamen are not sufficient to meet the medical needs of the elderly. So it is urgent to develop community health services. Converting unused and usable facilities in the community into community health services is less expensive than building new community health services. Can solve the elderly medical needs more efficiently. This paper mainly do the following aspects of work. Read the literature. By reading the domestic and foreign community pension related literature, policies, To understand the current research situation of community medical space construction at home and abroad, and to preliminarily understand the research and development situation at home and abroad. First of all, to investigate the basic needs of the elderly, The proportion of elderly users in community health service stations and community health service centers was counted, and the functional demands of the elderly for clinical departments, preventive health care rooms and medical technical rooms of the two level community health service facilities were analyzed. Then through investigating the current situation of the two kinds of community health service facilities and comparing them with the national construction standards, we can understand the regional demand of Xiamen community health service facilities. The problems such as location, scale, service radius, function configuration, spatial streamline and accessibility of existing community health service stations and community health service centers are also obtained. At the same time, This paper analyzes the reconstructive space of various types of community in street community, and makes the preparation for the design strategy of the subsequent transformation. 3) the reform strategy of the community health service station. Based on the medical needs of the elderly and the problems existing in the existing community health service station, According to three different kinds of reconstructive facilities in street community, such as public supporting room, idle shop space and residential supporting facilities, the paper puts forward detailed transformation principles and strategies. And through specific examples at home and abroad to analyze the operational design of the revamping strategy of the community health service center. Based on the medical needs of the elderly and the existing problems of community health service centers, According to the old factory building and the old warehouse, the public supporting room, the sales department and the clubhouse in the street community, the paper puts forward the detailed principles and strategies for the revamping of the old factory building and the old warehouse, the sales department and the clubhouse respectively. And through specific examples at home and abroad to analyze the feasibility of the transformation design.
【学位授予单位】：华侨大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：TU984.12

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