重庆城市社区整合照料式养老服务模式接受度调查研究

发布时间：2019-07-09 19:30

【摘要】：目的:了解重庆市老年人的养老现状及其对整合照料式养老服务模式的接受程度,为探索合适的养老模式提供参考.方法:对重庆市9个主城区内1 006名50岁及以上的社区居民进行养老相关情况的问卷调查,并对结果进行统计分析.结果:89.1%的调查对象目前的养老方式为"家庭养老";调查对象目前养老所存在的困难主要为医保报销比例较低(25.6%)、经济拮据(25.0%)、体弱多病、就医不便(19.5%);对调查对象的养老需求及意愿进行调查发现,54.4%的调查对象需要生活照顾,52.5%需要安全保障服务,51.4%需要一般医疗救助;73.4%的调查对象表示愿意尝试整合照料式养老,而不愿意尝试的调查对象主要担心整合照料式养老服务的收费会较传统模式养老服务更高(24.6%).二项分类Logistic回归表明,调查对象的每月总收入与其养老方式是调查对象是否愿意尝试整合照料式养老服务的影响因素.结论:重庆市50岁以上人群目前的养老模式较为传统,且该人群在医疗、日间照料等方面均存在一定需求,可在该人群中应用"医养康护"一体化整合照料式养老服务模式.此外,针对月收入不同的老年人群,政府应提高相应的报销比例,以提高老年人群对整合照料式养老服务模式的接受度.
[Abstract]:Objective: to understand the present situation of providing for the aged in Chongqing and its acceptance of the integrated care service model, so as to provide reference for exploring the appropriate pension model. Methods: a questionnaire survey was conducted among 1 006 community residents aged 50 and over in 9 main urban areas of Chongqing, and the results were statistically analyzed. Results: 89.1% of the respondents' pension mode was "family pension", and the main difficulties in nursing care were low proportion of medical insurance reimbursement (25.6%), financial constraints (25.0%), weakness and illness, and inconvenient medical treatment (19.5%), and the main difficulties in nursing care were as follows: low proportion of medical insurance reimbursement (25.6%), financial constraints (25.0%), inconvenient medical treatment (19.5%). It was found that 54.4% of the respondents needed life care, 52.5% needed security services and 51.4% needed general medical assistance. 73.4% of the respondents said they were willing to try to integrate care for the aged, while those who did not want to try were mainly worried that the fees of integrated care services would be higher than those of the traditional model (24.6%). The binomial Logistic regression showed that the total monthly income and the way of providing for the aged were the influencing factors of whether the subjects were willing to try to integrate the care type old-age service. Conclusion: the current pension model of people over 50 years old in Chongqing is more traditional, and there is a certain demand in medical treatment, day care and so on. The integrated care service model of "medical care and health care" can be applied in this population. In addition, for the elderly with different monthly incomes, the government should increase the corresponding reimbursement ratio in order to improve the acceptance of the integrated care pension service model.
【作者单位】：西南大学医院;
【基金】：重庆市社会科学规划项目(2015YBSH043) 西南大学人文社会科学研究重大培育项目(15XDSKD006) 重庆市科委社会事业与民生保障科技创新项目(cstc2016shmszx130016)
【分类号】：D669.6

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