陕西省医养结合养老机构发展现状及困境研究

发布时间：2018-01-27 02:07

本文关键词： 医养结合长期护理养老机构　出处：《西北大学》2017年硕士论文　论文类型：学位论文

【摘要】：随着陕西省人口老龄化趋势日益严峻,由医疗服务体系与养老服务体系各自为政产生的老年群体护理难、养老风险大等问题逐渐凸显。转变养老服务发展理念,整合医疗资源与养老资源,推进医养结合养老服务发展成为全国各地正在探索的热点议题。目前我省医养结合养老服务正处于初步发展阶段,尚无具体实施意见,医养结合养老机构面临着不同发展困境。本文运用质性研究中最大信息饱和法,调查陕西各地共15家医养结合养老机构,收集政府相关人员、机构管理者与工作人员以及入住老人三类群体的一手访谈资料。基于对医养结合养老服务以及医养结合养老机构的明确界定,本文开展了关于医养结合养老机构发展现状与困境的一系列研究。首先,通过梳理调研经验,将我省医养结合养老机构发展模式分为以以养老机构为主体开展医养结合养老服务;以医疗机构为主体开展医养结合养老服务以及养老机构与医疗机构合作开展医养结合养老服务三种,同时选取五个代表性案例进行比较分析。其次,调查发现我省医养结合养老机构在理念认识、运营机制、人才结构、政策环境以及发展趋势这五方面存在问题,并从政府、机构、社会三个方面分析问题产生原因。最后,针对目前困境,笔者借鉴国内外医养结合养老服务相关经验,提出以下对策:理念上正确认识医养结合;政府建立健全政策体系、推进相关配套制度研究;机构各种模式创新发展、培养医养结合复合型人才,希望为我省医养结合养老机构发展建设提供经验参考。
[Abstract]:With the aging trend of the population in Shaanxi Province becoming increasingly severe, the elderly group nursing problems caused by the medical service system and the old-age service system have become difficult, and the pension risks have become more and more serious. The concept of the development of the old-age service has been changed. The integration of medical resources and old-age resources to promote the development of health care combined with old-age care services has become a hot topic in all parts of the country. At present our province is in the initial stage of development. There is no specific implementation opinion, medical and nursing combined pension institutions are facing different development difficulties. This paper uses the maximum information saturation method in qualitative research to investigate a total of 15 medical and nursing combined pension institutions in various parts of Shaanxi. Collect relevant government personnel, institutional managers and staff, as well as the three groups of the elderly first-hand interviews. Based on the medical care combined with old-age care services and medical care combined with pension institutions clearly defined. This paper has carried out a series of studies on the current situation and difficulties of the development of medical and nursing combined pension institutions. First of all, through combing the research experience. This paper divides the development mode of medical and nursing combined old-age care institutions into old-age care institutions as the main body to carry out the health care combined with old-age care services; Medical institutions as the main body to develop the combination of medical care and old-age care services and pension institutions and medical institutions to cooperate in the development of health care combined with old-age care services three, while selecting five representative cases for comparative analysis. Secondly. The investigation found that there are five problems in the concept understanding, operation mechanism, talent structure, policy environment and development trend of the medical and nursing combined pension institutions in our province, and from the government, institutions. Finally, in view of the current predicament, the author draws lessons from the experience of the medical and nursing combination of old-age service at home and abroad, and puts forward the following countermeasures: conceptually, correctly understand the combination of medical care and support; The government should establish and perfect the policy system and promote the research of relevant supporting systems; It is hoped that the innovation and development of various models of institutions and the training of compound talents in combination of medical care and support can provide an empirical reference for the development and construction of medical and nursing combined pension institutions in our province.
【学位授予单位】：西北大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;D669.6

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