河北省张家口市万全区养老机构医疗服务情况调查

Investigation on the medical service of pension institutes in Wanquan district of Zhangjiakou city, Hebei province

目的了解河北省张家口市万全区养老机构的服务现状,分析养老机构在提供医疗服务过程中存在的问题,为提高卫生服务质量提供参考。方法从民政部门获得2018年万全区在册养老机构的资料,对各养老机构实地走访调查。结果全区现有养老机构13所,主要分布在经济发展状况较好的乡镇,而在远离市区靠近太行山区的5个乡镇没有建设养老机构;53.85%的养老机构建有医疗保健室,但多数养老机构的医疗保健室的医疗设备及专业人员配备不齐全,所有养老机构均未设置康复室、心理咨询室和临终关怀室;养老机构工作人员学历水平偏低,初中学历及以下约占75.44%,专业医护人员较少;养老机构老人入住人数较少,平均入住率为41.37%。结论万全区现有养老机构存在地理分布不合理,医疗、护理基础设施和服务不完善,入住率较低等问题,尤其是医疗服务功能需要进一步完善提高。

Objective To understand the current situation of health service provided by pension institutions in Wanquan district of Zhangjiakou City,Hebei Province,and hence contribute to formulating the informational foundation for improving pension institutions’performance.Methods Carried out field investigation on all pension institutions registered in Wanquan district based on the information provided by the Department of Civil Affairs in 2018.Results There were a total of 13 pension institutions for elderly people in Wanquan district.Most of the institutions were located in towns that were in better economic position.No pension institutions were found in five out nine towns in the county.These five towns are located near the Taihang Mountain and far from the urban area.Although 7 out of 13 pension institutions have health care rooms,all of the pension institutions are lacking in medical facilities and in professional medical personnel.No pension institution has rehabilitation room,psychological counseling room,or hospice room.The overall education level of the staffs in these pension institutions is low,with about 75.44%of staffs having only junior high school degree or below.In all the 13 institutions,only three professional medical staffs are found.Further,the average occupancy rate in the pension institutions of Wanquan is only 41.37%.Conclusion Unreasonable geographical distribution,deficiency in medical infrastructure,and low occupancy rate are the main problems found in the pension institutions in Wanquan district.In particular,the health services need to be further improved.