| 引用本文：邓敏, 倪享婷, 刘盼, 陈奕帆, 姚斯怡, 徐鑫.医养结合的资源、服务与产出的关系实证研究：从居家老年人的视角[J].中国卫生政策研究,2020,13(5):65-71 |
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| 医养结合的资源、服务与产出的关系实证研究：从居家老年人的视角 |
| 投稿时间：2020-02-29 修订日期：2020-04-15 PDF全文浏览 HTML全文浏览 |
| 邓敏, 倪享婷, 刘盼, 陈奕帆, 姚斯怡, 徐鑫 |
| 南京中医药大学卫生经济管理学院 江苏南京 210023 |
| 摘要:目的：本研究从使用者视角对医养结合的资源、服务与阶段性产出进行关系检验，评价样本城市的医养结合工作效果。方法：基于系统理论搭建医养结合资源、服务与产出的关系路径，利用江苏省某市的分层抽样数据进行路径拟合，开展多个模型的对比分析。结果：服务内容与医养服务、医养服务与医养产出之间存在显著正相关关系，服务方式与医养服务之间、医养资源与医养产出之间则不存在显著相关关系。结论："服务方式升级"和"人力资源及其整合"在应对人口高龄化问题方面将具有积极的意义。 |
| 关键词:医养结合 居家养老 产出 评价 |
| 基金项目:国家自然科学基金资助项目（71804076）；江苏高校护理学优势学科建设工程资助项目（2019YSHL071） |
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| An empirical study on the relationship between resources, services and outputs of integrated health care and social services for seniors: From the perspective of in-home elderly |
| DENG Min, NI Xiang-ting, LIU Pan, CHEN Yi-fan, YAO Si-yi, XU Xin |
| School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing Jiangsu 210023, China |
| Abstract:Objective:From the perspective of service users, this study evaluated the Integrated Health Care and Social Services for Seniors (IHSS) by studying the relationship between resources, services, and intermediate outcomes with the data of a sample city which is picked from the pilot list in China. Methods:The relationship path was characterized based on System Theory, the structural equation model was used to fit the data of the polit city based on the stratified sampling, and a comparative analysis of multiple models was carried out. Results:There is a significant positive correlation between content and services of IHSS, as well as services and output of IHSS. There is no significant correlation between services method and services of IHSS, and resources also doesn't related to output of IHSS. Conclusion:"Upgrade the service mode" and "Human resources and its integration" are play important role in improving the outcome of integration of health care and social services for elderly who lived in their own house. The above conclusions can provide a reference for the further work. |
| Key words:Integrated health care and social services for seniors Home-based care for older persons Outcomes Evaluation |
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