老年慢性病患者签约“1+1+1”组合门诊和入住社区病房及养老院医养结合的现况研究进展

Research Progress on Current Status of Signing up “1+1+1” Combination Outpatient Service and Staying at Hospital ward and Nursing Home for Elderly Patients with Chronic Diseases

目的阐述我国老年慢性病患者签约"1+1+1"医疗机构组合门诊和入住社区病房及养老院医养结合模式的现况,聚焦我国老年慢病患者就医方式研究课题的热点问题。方法通过检索及查阅该领域近5年的国内外文献和专业书籍,对老年慢性病患者接受不同医疗服务方式的研究进展进行归纳总结。结果不同国家地区家庭医生签约服务为改善全民健康状况起到了积极作用;我国家庭医生签约服务模式不断完善;社区住院患者以一体多病的呼吸系统、心脑血管疾病和肿瘤老年患者为主;社区卫生服务中心与养老院签署医疗合作协议,为老年人群评估健康状况、制定和延续针对性诊疗方案等提供了就医便利。结论推动老年慢病患者"1+1+1"医疗机构组合签约就诊,完善医养结合的就医模式,合理利用社区卫生服务中心有限的病房资源,减轻疾病经济负担是该课题研究的几个热点问题。

Objective To analyze the current situation of signing up “1＋1＋1” combination outpatient service and staying at community ward and nursing home for elderly patients with chronic diseases, and focus on hot topics of the research. Methods Through searching and consulting the domestic and foreign literature and professional books in the past 5 years, the paper summarize the research progress on the effects of elderly patients with chronic diseases receiving different medi-cal services and ways. Results Family doctors in different countries and regions play positive role in the rational use of health resources and reducing medical costs and improving national health. Conclusion They are the main problems in this research field that helping the elderly patients to sign up “1＋1 ＋ 1” combination outpatient service ; exploring medical sup-port combined treatment ; using limited health resources reasonably ; reducing the economic burden of disease etc.