面向养老院的健康管理服务设计研究
发布时间：2019-01-16 07:10
【摘要】：我国老年人数量不断增多,老龄化程度不断加深,老年人养老已经成为社会关注的热点问题。而机构养老作为传统家庭养老的重要补充,已经成为越来越多老年人的选择。入住养老院的老年人在某种程度上都存在一定的健康问题,大部分老人均患有慢性病。因此,本课题从服务设计的角度出发,运用服务设计的理论与方法,对养老院的健康管理服务现状进行分析,归纳现有健康管理服务存在的问题,并针对性的提出设计策略,以优化健康管理服务流程,满足老人多层次的健康护理需求。首先,在对两家养老院的预调研的过程中,笔者总结了健康管理服务系统的利益相关人群,及不同护理级别老人所享受的健康管理服务,其次对健康管理服务系统相关人群,包括老人、医生、护士、老人子女和养老护理员的现状进行分析,了解制约养老院健康管理服务系统的客观因素。对健康管理过程中的入院档案建立与健康信息管理、健康监测与评估、健康指导与干预、突发紧急状况处理等接触点进行分析,了解健康管理的现状,通过对三家养老机构在健康监测、健康评估和健康干预的内容进行比对,最终得出了优化信息反馈和完善健康信息管理两个设计切入方向。其次,在后续的深入调研中设计访谈问题,并和养老院中的老人、医生、护士、养老护理员和老人子女等相关人员进行深入访谈,结合深入访谈、体验地图等方法对养老院现有的健康管理服务中的问题点进行挖掘,总结出健康管理服务系统中的具体需求点,使用卡片分类的方法对具体的需求点进行归纳,总结出现有的健康管理服务存在的四大问题:⒈服务种类单一⒉智能化应用率低⒊信息传递流程长,信息滞后⒋信息的完整度与连续性差。然后用户旅程方法对设计机会点进行总结,总结出设计可介入的问题点。进而,针对以上问题,提出了⒈改变服务模式,增加健康管理服务种类⒉补充养老院的服务功能⒊合理高度地技术介入4.易用的信息传递系统的设计策略,满足老人多层次的健康护理需求,保证健康管理服务提供的及时性,以及实现健康信息的集中管理与信息共享。最后,笔者提供的健康管理服务设计策略,使得老人、医生、护士和养老护理员均能从中获益。通过重塑服务形态,可以满足老人多层次的健康护理需求;并行的监测机制,不但可以提高自理老人的自我健康管理参与性,而且可以减轻医护人员、养老护理员的工作负担;异常信息反馈机制缩短了信息传递流程,保证服务提供的及时性。健康管理系统则保证信息的长久性、连续性和共享性,利用程序的自动化评估,实现老人健康危险的预警提醒。面向养老院的健康管理服务设计策略的提出,对养老院老人健康管理的研究者具有一定的启示与借鉴作用,并可促进更多研究者对养老院的健康服务系统进行深入研究和改善,为老人提供更多样、更全面的健康管理服务。
[Abstract]:The number of old people in our country is increasing, the age of aging is increasing, and the old-age pension has become a hot issue of social concern. As an important supplement to the old-age pension, institutional care has become the choice of more and more old people. The elderly in the nursing home have some health problems to some extent, and most of the old people have chronic diseases. Therefore, from the point of view of service design, this subject, using the theory and method of service design, analyzes the present situation of the health management service of the nursing home, sums up the problems existing in the existing health management service, and puts forward the design strategy to optimize the health management service flow. and the multi-level health care requirement of the old man is met. First, in the course of the pre-investigation of the two nursing homes, the author sums up the benefit-related population of the health management service system and the health management service enjoyed by the old people at different care levels, and then the relevant people of the health management service system, including the old man, the doctor and the nurse, The present situation of the children and the old-age nursing staff of the old people is analyzed, and the objective factors that restrict the health management service system of the nursing home are known. The health management, health information management, health monitoring and evaluation, health guidance and intervention, sudden emergency treatment and other contact points are analyzed to understand the current situation of the health management, and through the health monitoring of the three pension institutions, The content of health assessment and health intervention is compared, and finally the two design cut-in directions of the optimization information feedback and the improvement of the health information management are obtained. Secondly, in the follow-up and in-depth investigation, design the interview problem, and carry out in-depth interview with the old people, doctors, nurses, old-age care workers and the children of the old people in the nursing home, and combine with the in-depth interview, The problem point in the existing health management service of the nursing home is excavated by the method of experience map and the like, the specific demand point in the health management service system is summarized, the specific demand points are summarized by using the method of the card classification, and the four problems existing in the health management service are summarized: The information transfer process is long, and the complete degree and continuity of the information lag information are poor. The design opportunity points are then summarized by the user's journey method, and the problem points of the design can be summarized. In addition, aiming at the above problems, the author puts forward a new method of changing the service mode, increasing the service function of the health management service, and supplementing the service function of the nursing home. The design strategy of the easy-to-use information delivery system meets the multi-level health care needs of the old people, ensures the timeliness of the health management service, and realizes the centralized management and information sharing of the health information. Finally, the author provides the design strategy of the health management service, so that the old man, the doctor, the nurse and the old-age care worker can benefit from it. by reshaping the service form, the multi-level health care demand of the old man can be met; the parallel monitoring mechanism can not only improve the self-health management and participation of the self-care old man, but also can reduce the workload of the medical staff and the old-age care worker; The abnormal information feedback mechanism shortens the information transfer process and ensures the timeliness of service delivery. The health management system ensures the long-term, continuity and sharing of the information, and uses the automatic assessment of the program to realize the early warning and warning of the health risk of the old people. According to the design strategy of the health management service for the nursing home, the researcher has a certain enlightenment and reference for the health management of the old people in the nursing home, and can promote the further research and improvement of the health service system of the nursing home by the more researchers, and provide a more diversified way for the old man. More comprehensive health management services.
【学位授予单位】：江南大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6
[Abstract]:The number of old people in our country is increasing, the age of aging is increasing, and the old-age pension has become a hot issue of social concern. As an important supplement to the old-age pension, institutional care has become the choice of more and more old people. The elderly in the nursing home have some health problems to some extent, and most of the old people have chronic diseases. Therefore, from the point of view of service design, this subject, using the theory and method of service design, analyzes the present situation of the health management service of the nursing home, sums up the problems existing in the existing health management service, and puts forward the design strategy to optimize the health management service flow. and the multi-level health care requirement of the old man is met. First, in the course of the pre-investigation of the two nursing homes, the author sums up the benefit-related population of the health management service system and the health management service enjoyed by the old people at different care levels, and then the relevant people of the health management service system, including the old man, the doctor and the nurse, The present situation of the children and the old-age nursing staff of the old people is analyzed, and the objective factors that restrict the health management service system of the nursing home are known. The health management, health information management, health monitoring and evaluation, health guidance and intervention, sudden emergency treatment and other contact points are analyzed to understand the current situation of the health management, and through the health monitoring of the three pension institutions, The content of health assessment and health intervention is compared, and finally the two design cut-in directions of the optimization information feedback and the improvement of the health information management are obtained. Secondly, in the follow-up and in-depth investigation, design the interview problem, and carry out in-depth interview with the old people, doctors, nurses, old-age care workers and the children of the old people in the nursing home, and combine with the in-depth interview, The problem point in the existing health management service of the nursing home is excavated by the method of experience map and the like, the specific demand point in the health management service system is summarized, the specific demand points are summarized by using the method of the card classification, and the four problems existing in the health management service are summarized: The information transfer process is long, and the complete degree and continuity of the information lag information are poor. The design opportunity points are then summarized by the user's journey method, and the problem points of the design can be summarized. In addition, aiming at the above problems, the author puts forward a new method of changing the service mode, increasing the service function of the health management service, and supplementing the service function of the nursing home. The design strategy of the easy-to-use information delivery system meets the multi-level health care needs of the old people, ensures the timeliness of the health management service, and realizes the centralized management and information sharing of the health information. Finally, the author provides the design strategy of the health management service, so that the old man, the doctor, the nurse and the old-age care worker can benefit from it. by reshaping the service form, the multi-level health care demand of the old man can be met; the parallel monitoring mechanism can not only improve the self-health management and participation of the self-care old man, but also can reduce the workload of the medical staff and the old-age care worker; The abnormal information feedback mechanism shortens the information transfer process and ensures the timeliness of service delivery. The health management system ensures the long-term, continuity and sharing of the information, and uses the automatic assessment of the program to realize the early warning and warning of the health risk of the old people. According to the design strategy of the health management service for the nursing home, the researcher has a certain enlightenment and reference for the health management of the old people in the nursing home, and can promote the further research and improvement of the health service system of the nursing home by the more researchers, and provide a more diversified way for the old man. More comprehensive health management services.
【学位授予单位】：江南大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6
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