引用本文:张勘,董伟.上海城市社区失能老人长期照料的现况分析和政策建议[J].中国卫生政策研究,2009,2(9):48-52 |
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上海城市社区失能老人长期照料的现况分析和政策建议 |
投稿时间:2009-08-10 修订日期:2009-08-20 PDF全文浏览 HTML全文浏览 |
张勘1, 董伟2 |
1.上海市卫生局;2.复旦大学公共卫生学院 |
摘要:城市社区失能老人长期照料是一个严重的社会和卫生问题。以上海市为例,从相关问题的现况分析入手,指出长期照料服务严重缺失,机构服务床位严重不足,城市失能老年人牵涉面广,长期照料问题的紧迫性凸现,长期照料服务体系建设是重大民生工程,失能老人问题是对社会道德底线的现实考验,进而提出了探索建立独立于医疗保险体系的长期照料服务体系、研究和发展老年护理保险等相关配套措施和政策、建立符合国情的以社区长期照料服务为核心的长期照料服务体系、打造满足不同养老模式和层次需求的养老和医疗服务链等政策建议。 |
关键词:城市;社区 长期照料 失能老人 政策建议 |
基金项目:上海市发展与改革委员会课题(编号:003200801) |
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The current situation and policy recommendations of long term care disabled elders in urban communities of Shanghai city |
ZHANG Kan1, DONG WEI2 |
1.Shanghai Municipal Health Bureau;2.School of Public Health,Fudan University |
Abstract:The long term care of disabled elders in urban communities is a serious social and health problem. By analyzing the current situation of related issues in Shanghai, the paper pointed out that the long term care of disabled elders in urban communities is an emergent challenge with a situation of laking suitable service and sufficient care beds,which involved many groups. The issue of disabled elders in urban communities is a fundamental civilian welfare program which constitutes a real test to our moral bottom line. Basing on the analysis, this paper proposed to explore the establishment of the long term community service system, which is independent on medical insurance system. The community based long term care was recommended as the core to serve the disabled elders, and all policies and measurement should be suitable for Chinas national conditions. This enables to meet the different patterns and levels of demand for old age pension and medical services chain. |
Key words:Communities, Long term care, Disabled elders, Policy recommendations |
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