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引用本文:刘稳, 胡敏, 陈文.国际长期护理服务综合评价制度研究[J].中国卫生政策研究,2022,15(3):29-36
国际长期护理服务综合评价制度研究
投稿时间:2021-12-23  修订日期:2022-03-21  PDF全文浏览  HTML全文浏览
刘稳, 胡敏, 陈文
复旦大学公共卫生学院 上海 200030
摘要:随着国际长期护理实践的深入,各发达国家已逐步建立较为完善的长期护理服务综合评价制度。本文基于国际主流的长期护理保险类型选取多个代表性国家开展研究,重点阐释了国外长期护理服务综合评价框架,分别从服务供方准入、服务过程与结果评价、评价结果反馈三个方面进行详细介绍。各国具体评价指标涵盖临床相关护理、以老年人为中心等多维度内容,体现世界卫生组织提出的高质量长期护理理念。本文对国际共性经验的提炼以及对普遍障碍性问题的探讨能够为我国完善长期护理综合评价制度提供借鉴。在当前长期护理服务实践的起步阶段,我国应从顶层设计出发完善综合评价制度框架,探索并开发多维度评价标准,同时应规范长期护理相关信息收集与评价结果反馈,充分利用主客观数据实现长期护理服务的持续改进。
关键词:长期护理  综合评价  评价指标
基金项目:教育部人文社会科学项目(18YJC630048);泰康溢彩公共卫生及流行病防治专项基金
Study on comprehensive evaluation of international long-term care services
LIU Wen, HU Min, CHEN Wen
School of Public Health, Fudan University, Shanghai 200030, China
Abstract:Developed countries have established a comprehensive evaluation system for long-term care services with the continuous development of international long-term care practice. This study selected representative countries to conduct research based on the international mainstream long-term care insurance types. The study focused on explaining the comprehensive evaluation framework of international long-term care services, and introduced them in detail from three aspects: the qualification of service providers, the evaluation of service process and service results, and the feedback of evaluation results. The specific evaluation indicators cover clinical-related care, elderly-centered and other multi-dimensional content, reflecting the concept of high-quality long-term care proposed by the World Health Organization. The discussion of international experience and obstacles in this study can provide a reference for our country to improve the evaluation system of long-term care services. In the initial stage of long-term care practice, China should improve the comprehensive evaluation framework at the national level and develop multi-dimensional evaluation standards. At the same time, the collection of long-term care-related information and the feedback on evaluation results should be standardized, and the subjective and objective data could be fully utilized to achieve continuous improvement of long-term care services.
Key words:Long-term care  Comprehensive evaluation  Evaluation indicator
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