社区卫生服务中心参与医养结合服务现状研究

李熹; 王芳; 袁莎莎; 周巍; 刘双; 赵艳青; 刘中元

引用本文：李熹, 王芳, 袁莎莎, 周巍, 刘双, 赵艳青, 刘中元.社区卫生服务中心参与医养结合服务现状研究[J].中国卫生政策研究,2018,11(11):51-55

社区卫生服务中心参与医养结合服务现状研究

投稿时间：2017-09-05 修订日期：2018-09-17 PDF全文浏览 HTML全文浏览

李熹¹, 王芳¹, 袁莎莎¹, 周巍², 刘双^1,3, 赵艳青^1,3, 刘中元⁴

1. 中国医学科学院医学信息研究所/卫生体系与政策研究中心北京 100020;
2. 国家卫生健康委员会基层卫生健康司北京 100191;
3. 北京协和医学院北京 100020;
4. 北京市社区卫生服务管理中心北京 100053

摘要:目的：分析社区卫生服务中心通过不同方式参与医养结合服务的主要做法，为社区卫生服务中心参与医养结合服务提供建议。方法：采取目的抽样法，在东、中、西部各选取开展医养结合服务且具有代表性的上海市、武汉市、重庆市共6家社区卫生服务中心进行现场调查。运用主题框架分析法对资料进行分析。结果：调研地区社区卫生服务中心参与医养结合服务主要包括社区卫生服务中心参与居家养老、社区养老、养老机构养老以及社区卫生服务中心提供养老服务等。每个调研地区社区卫生服务中心参与不同种类医养结合服务的服务对象、主体、方式和内容均有所不同。目前社区卫生服务中心参与医养结合尚缺乏统一的行业标准，部门间仍需要进一步协同，社区卫生服务中心参与医养结合服务的程度有限。结论：顶层设计需要考虑到社区卫生服务中心辖区居民的需求以及机构服务能力，制定老年人统一照护需求评估标准，确定社区卫生服务中心提供服务的内容与对象，同时加强信息化建设，提高社区卫生服务中心的服务效率。

关键词:社区卫生服务中心医养结合现状

基金项目:中国医学科学院医学与健康科技创新工程项目（2016-I2M-3-018）；国家卫生和计划生育委员会基层卫生司委托项目

Research on the status quo of the community health service center participation in the integration of elderly care and medical services

LI Xi¹, WANG Fang¹, YUAN Sha-sha¹, ZHOU Wei², LIU Shuang^1,3, ZHAO Yan-qing^1,3, LIU Zhong-yuan⁴

1. Center for Health System and Policy Research, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. The Department of Primary Health, National Health Commission, Beijing 100191, China;
3. Peking Union Medical College, Beijing 100020, China;
4. Beijing Management Center for Community Health Service, Beijing 100053, China

Abstract:Objective:This paper analyzes the way community health centers participate in the integration of elderly care and medical services, in order to provide suggestions for further development. Methods:Purposive sampling is used in this study. Six community health service centers which have participated in the integration of elderly care and medical services typically in Shanghai, Wuhan and Chongqing were selected as the field survey sites. Thematic framework analysis is then used to collect and analyze the data. Results:Community health service centers integrate elderly care and medical services by participating in home-based elderly care, community-based elderly care, institution-based elderly care, and providing elderly care at the centers. Service objects, service providers, service modes and service contents are different in each city. There are no unified service standards of the community health service centers participating in elderly care, and community health service centers are not able to provide more service related to elderly care. Thus, coordination among departments needs to be further strengthened. Conclusions:Local governments should make top-level policy design by considering the need of residents as well as the service capacity of their community health service centers, and make unified standard for elderly care needs assessment. Community health centers should also strengthen their service capacity by using information technology to increase their efficiency.

Key words:Community health service center Integrated elderly care and medical services Present situation

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