苏州市老年护理院运行模式研究

发布时间：2018-12-17 22:26

【摘要】：老年护理院作为应对人口老龄化及家庭结构转变的必然产物,对于满足老年人这一特殊群体亟需的专业医疗护理服务具有重大意义,也是完善卫生服务体系、促进卫生体制改革的重要举措。卫生部颁发的《护理院基本标准(2011版)》促进了我国护理院的规范化发展,但由于我国老年护理院发展还处于初期,使得老年护理院服务内容与功能定位、与相关医疗机构和养老机构间的有序衔接、机构管理主体、配套政策的制定等方面仍处于探索阶段。因此,在人口老龄化日益严峻的形势下,如何更好的发展老年护理院,保障老年群体在迟暮之年能够得到应有的卫生照护,实现老有所医、老有所养、老有所乐,成为当今亟待解决的重要问题,也是近些年各界研究的热点及重点。苏州市自1982年起进入老龄化社会,在国家相关政策指导下,积极探讨老年护理院的发展模式,无论是老年护理院数量、规模及运行成效在江苏省,乃至全国都处于前列。本文通过实地考察、访谈、问卷发放及二手资料收集等方式,在公共产品理论、社会福利理论、生命历程理论的研究基础上,对苏州老年护理院的运行模式进行了概括:模式形成、制度供给、运行机制、模式特色;并对苏州老年护理院的模式运行现状及成效进行了分析与总结;在此基础上,分析苏州模式存在的问题与不足,提出:加强护理人才的储备与培育,提升专业素养;构建老年护理院协同治理机制,整合管理资源;完善老年护理院相关政策法规,引导与规范机构发展;加大政府投入及政策扶持,保障机构健康、有序发展;建立老年护理保险制度,实现健康老龄化社会目标等建议,从而使得苏州老年护理院运行模式更加完善,更好的保障老年群体的权利,促进社会和谐与公正。
[Abstract]:As an inevitable outcome of the aging population and family structure transformation, nursing homes for the elderly have great significance to meet the special needs of the elderly group of professional medical and nursing services, but also to improve the health service system. Important measures to promote health system reform. The basic Standards of Nursing homes (2011 Edition) issued by the Ministry of Health has promoted the standardization of nursing homes in China. However, the development of nursing homes for the elderly in our country is still in its infancy, which makes the service contents and functions of nursing homes for the elderly be located. The orderly connection with related medical institutions and pension institutions, the main body of institutional management and the formulation of supporting policies are still in the exploratory stage. Therefore, under the increasingly austere situation of aging population, how to better develop the nursing home for the elderly so as to ensure that the elderly group can get the proper health care in the late years, and realize that the elderly have medical care, a sense of security, and a sense of happiness. It has become an important problem to be solved, and it is also the focus of research in recent years. Suzhou has entered an aging society since 1982. Under the guidance of relevant national policies, the development model of nursing homes for the elderly has been actively discussed. The number, scale and operational effectiveness of nursing homes for the elderly are in the forefront in Jiangsu Province and even in the whole country. Based on the research of public goods theory, social welfare theory, life course theory and so on, through field investigation, interview, questionnaire distribution and second-hand data collection, this article is based on the research of public goods theory, social welfare theory, life course theory, etc. This paper summarizes the operation mode of Suzhou nursing home for the aged: the formation of the mode, the supply of the system, the operation mechanism and the characteristics of the mode; On the basis of this, the problems and shortcomings of Suzhou mode were analyzed, and the following points were put forward: to strengthen the reserve and cultivation of nursing personnel and to promote professional accomplishment; Construct the cooperative management mechanism of the elderly nursing home, integrate the management resources, perfect the related policies and regulations, guide and standardize the development of the organization, increase the government input and policy support, ensure the healthy and orderly development of the institution; Some suggestions such as establishing the old-age nursing insurance system and realizing the social goal of healthy aging can make the operation mode of Suzhou elderly nursing home more perfect, better protect the rights of the elderly group, and promote social harmony and justice.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D669.6

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