我国居家社区医养结合服务现状研究——基于34家机构的定性访谈资料

Analysis of the current situation of community-dwelling integrated medical and elderly care services in China: Based on qualitative interview data from 34 institutions

目的:分析我国居家社区医养结合服务现状、特点和问题,为完善居家社区医养结合服务提供建议。方法:采用目的抽样法,在12个省/市选择包含10种类型的34家提供居家社区医养结合服务的机构进行现场调研,运用主题框架法对调研资料进行分析。结果:多元化、多形式、多层次的居家社区医养结合服务格局正在形成;整合型的居家社区医养结合服务有一定探索,须进一步总结推广;多部门协同机制尚未建立,相关标准规范和保障措施还不完善。结论和建议:应建立居家社区医养结合协同治理机制,完善服务标准体系和保障政策;充分发挥各级医疗机构主体作用,补齐医疗服务短板;探索适宜的居家社区医养结合服务机构运行模式。

Objective: To analyzed the current situation, features and problems of the community-dwelling based integrated medical and elderly care services in China, in order to provide suggestions for its further development. Methods: Purposive sampling method was used to select 34 institutions covering 10 categories of facilities providing community-dwelling based integrated medical and elderly care services in 12 provinces/cities for field survey. The thematic framework method was used to analyze the collected research data. Results: A diversified, multi-form, multi-level system of community-dwelling based integrated medical and elderly care services is being formed. Explorations have been made on integrated community-dwelling based integrated medical and elderly care services, which requires summary and further promotion. Multi-sectoral collaboration mechanisms are still lacked, and relevant standards, specifications and safeguard measures are also suboptimal. Conclusions and suggestions: A collaborative governance mechanism should be established to promote community-dwelling based integrated medical and elderly care, with a comprehensive service standard system and safeguard policy. The government should give full play to the main role of all levels of medical institutions and make up for the shortcomings of current medical services. Furthermore, appropriate operation models of community-dwelling based integrated medical and elderly care services need to be explored.