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。
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.
作者
邓敏
倪享婷
刘盼
陈奕帆
姚斯怡
徐鑫
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)
出处
《中国卫生政策研究》
CSCD
北大核心
2020年第5期65-71,共7页
Chinese Journal of Health Policy
基金
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)。
关键词
医养结合
居家养老
产出
评价
Integrated health care and social services for seniors
Home-based care for older persons
Outcomes
Evaluation