我国老年医疗卫生服务保障研究:基于医疗卫生服务需求

Health Service Security of the Aged in China: Based on Health Service Demand

目的:分析我国老年人口医疗卫生服务需求及相应的保障状况,提出发展策略。方法:利用国家第四次卫生服务调查数据,描述性分析老年人医疗卫生服务需求变化及保障情况。结果:老年人针对性医疗保障制度或优惠性政策缺乏,其基本需高于普通人群,疾病经济负担较重,所需大量社会支持的服务项目尚未纳入保障体系建设,医疗保障体系建设落后于其他社会保障体系。结论:应结合其保障需求特点,以居家养老为优先,社区养老为体系,针对性扩大保障内容,提升保障水平。

Objective： To analyze the health service demands the service. Methods： The data of fourth National Health Service and the security status, and then to propose the strategies to improve survey were analyzed with description analysis method. Results： The health security system has not been set upfor the aged, so the disease burden was higher in the aged than other people, and also the social support service item has not adopted in the security item. The development of medical security of the aged was lag of other social security. Conclusion： The health security of the aged should be paid attention to and the involved items and support level should be enlarged. In the construction of the security system, the home support should be taken as the priority, and the community support as the future support.