中加2所长期护理院管理运行机制比较研究

Analysis of the Operational Mechanism difference between two nursing homes in China and Canada

目的:比较中国和加拿大长期护理的一般情况、资金来源与支出、服务内容和老人准入条件、经济来源以及护士薪酬,分析2种护理模式的异同,探索可能借鉴的意义。方法:参观加拿大李国贤护理安老院和广西重阳老年公寓,咨询、收集资料,对比分析。结果:2所长期护理院在收入老人、服务内容、整体护理运作上有相似的地方,而在福利性、空间私密性、老人与固定职工比、老人的准入条件、缴费的模式等方面都有明显不同。结论:加拿大长期护理福利平等,养老制度规范,但中国还不可能全面实行福利性养老,必须结合国情不断完善长期护理院机制、规则,实现养老护理保障,同时福利差额补助护士从事养老护理行业,促进养老事业和谐有序发展。

Objective： To compare the general information, fund resources, service contents, patients’ entry requirements and staff salary of two long-term nursing homes in China and Canada, and analyze the difference between these two patterns. Method： The authors collected data by visiting Li Guoxian nursing home in Canada and Guangxi Chongyang senior apartment. Results： After comparing the two patterns between China and Canada, we found that they were similar in their service objective, contents, and general operation system. But in the aspect of the welfare, privacy, patients staff ratio, patients’ entry requirements and payment schemes, there were obvious differences between these two programs. Conclusion： Nursing homes in Canada express equal and standard senior-care. But in China, we need to continuously improve long-term care system and regulation, encourage nurses engaged in this career, and promote harmonious development of long-term care.