摘要
背景:在社会老龄化背景下,推进医养结合是解决农村老龄化问题的重要手段,具有时代紧迫感。目的:针对农村慢性病老人在基层医疗体系下医养供需失衡的困境进行解析和构想,创新构建农村老人居家医养服务体系。方法:通过对农村现有基层医疗体系在服务模式、供需矛盾、供给策略的现状进行研究,对河南省开封市杞县与焦作市沁阳县106位农村老人和15所村卫生室展开实地访谈,总结了农村医养结合的政策法规尚不健全、农村医养结合的设施建设不完善、农村老人医药需求表达——反馈机制缺乏等问题。基于福格行为模型洞察分析农村老人、外出务工子女的需求,通过服务设计方法深度挖掘农村健康居家医养服务的缺口和机会点。结论:提出线上子女端与线下村医服务端相结合的农村居家医养服务模式,满足农村慢性病老人药品购买与健康监测需求,促进农村医养体系和谐、健康发展。
Background: In the context of social aging, promoting the integration of medical and elderly care is an important means to solve the problem of rural aging, which has a sense of urgency of the times. Objective: To analyze and conceive the dilemma of the imbalance between supply and demand of medicine under the primary medical system of the elderly with chronic diseases in rural areas, and to innovate and construct a healthy medical care service system for the elderly in rural areas. Method: Through the study of the existing rural primary medical system in terms of service mode, supply and demand contradiction and supply strategy, field interviews were conducted with 106 rural elderly people and 15 village clinics in Qi County, Kaifeng City and Qinyang County, Jiaozuo City, Henan Province, and other problems were summarized, such as the imperfect policies and regulations of rural medical and nursing care, the imperfect construction of facilities for rural medical and nursing care, and the lack of feedback mechanism for ex-pressing the medical needs of the elderly in rural areas. Based on the insight of Fogg behavior model, the needs of rural elderly and children of migrant workers are analyzed, and the gaps and opportunities of rural healthy home medical care services are deeply explored through service design methods. Conclusion: This paper proposes a rural home medical care service model that combines online children’s end and offline village medical service end to meet the needs of drug purchase and health monitoring for the elderly with chronic diseases in rural areas, and promote the harmonious and healthy development of the rural medical and nursing care system.
