社区长期护理服务资源整合逻辑与实现条件--以上海市为例

Resources Integration Logic and Prerequisite of Community-based Long-term Care Service:A Case Study on Shanghai

社区长期护理服务资源整合有助于解决长期护理服务资源不足以及服务内容碎片化的问题。基于Valentijn等的资源整合理论并以上海市为例,从宏观、中观、微观层面以及跨层面的维度,研究了社区嵌入式长期护理模式资源整合的路径及其面临的困境。研究表明,实现社区长期护理服务全面与充分的整合需要多元供给主体间真实的合作机制、动态高效的个案管理、全面的环境支持以及共同的远期期望四个主要条件。为此,应从构建筹资机制、统一管理机构、增强社区信任、加大产业扶持等七个方面促进社区长期护理服务资源的全面充分整合。

The integration of community-based long-term care service resources is helpful to solving the problems of service shortage and fragmentation.Based on Valentijn’s resource integration theory,this paper studies the path and dilemma of resource integration of community embedded long-term care model from macro,meso,micro and cross level dimensions by taking Shanghai as an example.The research shows that the realization of comprehensive and full integration of long-term care service needs four main prerequisites:real cooperation mechanism among multiple providers,dynamic and efficient case management,comprehensive environmental support and common long-term expectations.Therefore,we should promote the comprehensive and full integration of community-based long-term care service resources from seven aspects,which include constructing the financing mechanism,unifying the management organization,enhancing the community trust,and increasing the industrial support.