成都市医养结合型医疗机构的价格收费研究

Research on Charging Price in Medical Institutions Providing Elderly Care in Chengdu

目的:探究成都市医养结合型医疗机构服务的具体项目和收费方式,为成都市针对医养结合型医疗机构制定相应价格收费政策提供建议。方法:通过文献复习、焦点访谈、问卷调查等方法,对成都市医养结合型医疗机构的价格收费展开研究。结果:目前成都市医养结合型医疗机构提供的服务项目可概括为五类:照护、护理、康复、评估和临终关怀服务。服务项目的价格收费包括医疗和养老两个方面,大多数新增服务项目尚缺乏收费标准和收费依据。相关机构负责人最为重视将康复服务纳入收费项目。结论:政府应完善相关收费标准,从政策和制度上提高医养结合型服务的供给和服务质量,切实解决目前医养结合型医疗机构面临的价格收费问题,满足老年人对医养结合型养老服务的需求。

Objective： To survey the price and service information of the medical institutions which provided elderly care services in Chengdu, in order to provide suggestions on designing corresponding charging policy for medical institutions providing elderly care services. Methods： I,iterature review, in-depth interview, and questionnaire survey were respectively conducted on implementing re- search of charging prices for medical institutions providing elderly care services. Results： At present, there were five types of services provided by the institutions integrating medical anti elderly care： care services, nursing services, rehabilitation services, assessment ser- vices and hospice services. The charging for service items contained health care and services for the elderly, however, most new added service items still lacked charging regulation and evidence. The habitation services were ranked as the highest priority to be included in the charging list by the government. Conclusion： The local government should modify the related price regulation and promote the development of the integrating medical and elderly care.