上海某社区卫生服务中心老年护理病房供求现状调查

Survey on the provision and demand of elderly-care unit in a community health service centre of Shanghai

对上海某社区卫生服务中心老年护理病房供求双方进行问卷调查及小组访谈。内容包括供方的人力资源配置、运营模式、护工状况以及需求方状况等。结果显示，老年护理病房（150张床）运营模式以医疗为主，医疗费用占总结算费用的82．6％；住院患者日常生活活动能力（ADL）评分平均为25分，护理需求偏重；73％的护工为小学文化程度；供求双方存在护工依赖现象，出入院瓶颈问题凸显。因此需改进服务模式，动员社会护理力量，解决出入院瓶颈问题。

The provision and demand of elderly-care unit in a community health service center was surveyed by questionnaire and enquiry on focus group. The study items included human resource and service type, condition of caring workers and demander. Results showed that the main service type of elderly-care unit was medical service, which accounted for 82.6% of the total cost. The average activity of daily life score of patients was 25, and nursing was the main needs of patients. The quality and quantity of nursing staff was relatively low, which impedes the provision of the service, so social caring should be encouraged to overcome the obstacles.