上海市老年医疗护理机构脑卒中康复现状调查

发布时间：2019-06-09 14:01

【摘要】：目的了解目前上海市老年医疗护理机构脑卒中康复资源现状,以期为脑卒中单病种护理质量控制提供指导。方法 2016年3月,整群抽取上海市老年护理管理质量控制中心督查范畴的老年护理院、社区卫生服务中心以及设置老年护理床位的区县综合医院等68所医疗机构为研究对象。采用问卷调查法调查其2015年收治脑卒中及卒中后遗症患者人数、平均住院天数、平均床日费用、医疗保险报销比例、各年龄段老年患者比例、康复开展状况等。结果上海市老年医疗护理机构康复护理设施配置完善程度不一,72.1%的机构单独设置康复科;康复护理人力以初级职称人员为主,占70.37%,各机构人员配置差异较大。脑卒中/卒中后遗症患者呈高龄化趋势,80岁以上患者占55.39%,且女性多于男性;医疗保险可报销比例为18%~100%;各机构平均床日费用及平均住院天数差别较大。结论目前上海市老年医疗护理机构康复资源较为薄弱,分布不均;需强化康复医护人员队伍建设,探索脑卒中单病种医疗付费和医疗保险模式;发展脑卒中家庭康复,提供延续性医疗护理服务。
[Abstract]:Objective to understand the present situation of stroke rehabilitation resources in elderly medical and nursing institutions in Shanghai, in order to provide guidance for the quality control of stroke single disease nursing. Methods in March 2016, 68 medical institutions, such as elderly nursing homes, community health service centers and district and county general hospitals with nursing beds for the elderly, were selected from 68 medical institutions, such as the elderly nursing management quality control center in Shanghai, the community health service center and the district and county general hospitals with nursing beds for the elderly. A questionnaire survey was conducted to investigate the number of stroke and stroke sequelae in 2015, the average hospitalization days, the average bed days, the proportion of medical insurance reimbursement, the proportion of elderly patients of all ages, and the status of rehabilitation, etc. Results the allocation of rehabilitation and nursing facilities in elderly medical and nursing institutions in Shanghai was different, 72.1% of the institutions set up rehabilitation departments separately, and the rehabilitation nursing manpower was mainly junior professional title personnel, accounting for 70.37%, and the staffing of each institution was quite different. Stroke / stroke sequelae showed an aging trend, with 55.39% of the patients over 80 years old, and more women than men, the reimbursable proportion of medical insurance was 18% 鈮，

本文编号：2495608