[1]茹愉焙 胡琳琳.整合型老年健康服务:理论内涵和实现路径[J].中国卫生质量管理,2024,31(08):001-6.[doi:10.13912/j.cnki.chqm.2024.31.8.01]
 RU Yubei,HU Linlin..Integrated Health Services for Older People: Theoretical Connotation and Implementation Path[J].Chinese Health Quality Management,2024,31(08):001-6.[doi:10.13912/j.cnki.chqm.2024.31.8.01]
点击复制

整合型老年健康服务:理论内涵和实现路径()
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年08期
页码:
001-6
栏目:
特别关注
出版日期:
2024-08-15

文章信息/Info

Title:
Integrated Health Services for Older People: Theoretical Connotation and Implementation Path
作者:
茹愉焙 胡琳琳
中国医学科学院 北京协和医学院卫生健康管理政策学院
Author(s):
RU YubeiHU Linlin.
School of Health Policy and Management,Chinese Academy of Medical Sciences & Peking Union Medical College
关键词:
整合型老年健康服务老年整合照护老龄化理论内涵实现路径
Keywords:
Integrated Health Services for Older PeopleIntegrated Care for the Elderly Ageing Theoretical ConnotationImplementation Path
分类号:
R197.1
DOI:
10.13912/j.cnki.chqm.2024.31.8.01
文献标志码:
A
摘要:
整合型老年健康服务是积极应对人口老龄化、实现健康老龄化的必由之路。通过梳理整合型老年健康服务的内涵和外延,剖析我国在老年健康服务发展过程中面临的挑战,提出未来老年整合照护服务发展的关键路径:完善整合型老年健康服务组织领导机制,补齐服务体系短板,推进筹资及支付方式改革,促进老年整合照护规范和标准建设,加强老年整合照护人才队伍建设等。
Abstract:
Providing integrated health services for the aged is the inevitable choice to actively cope with population aging and realize healthy aging. By combing the connotation and extension of integrated health services for the elderly, analyzing the challenges faced in the construction process of caring for older people in China, the key path for the future development of integrated services for the elderly was put forward: improving the leadership mechanism of integrated health service organizations, making up for the shortcomings of the service system, boosting the reform of financing and payment methods, promoting the construction of norms and standards for integrated care for the elderly, and strengthening the construction of talents for integrated care for the elderly.

参考文献/References:

[1]国家统计局.中华人民共和国2023年国民经济和社会发展统计公报[EB/OL].(2024-02-29)[2024-06-23].https://www.stats.gov.cn/sj/zxfb/202402/t 20240228_1947915.html.[2]World Health Organization.World report on ageing and health[Z].2015.[3]国家卫生健康委,教育部,科技部,等.关于印发“十四五”健康老龄化规划的通知:国卫老龄发〔2022〕4号[EB/OL].(2022-03-01)[2024-06-23].http://www.nhc.gov.cn/lljks/pqt/202203/c51403dce9f2 4f5882abe13962732919.shtml.[4]中国老龄科学研究中心.中国老龄产业发展报告(2021-2022)[M].北京:社会科学文献出版社,2023:30.[5]LUO Y,SU B,ZHENG X.Trends and challenges for population and health during population aging-China,2015-2050[J].China CDC Wkly,2021,3(28):593-598. [6]梁誉,林闽钢.论老年照护服务供给的整合模式[J].中共福建省委党校学报,2017(7):88-95.[7]胡宏伟,王晓俊,张 倩.长者长期护理服务体系:整合照护的香港经验[J].社会保障研究,2024(1):87-99.[8]World Health Organization.Integrated care for older people (ICOPE) implementation framework: guidance for systems and services[Z].2019.[9]THOMAS P,MEADS G,MOUSTAFA A,et al.Combined horizontal and vertical integration of care: a goal of practice-based commissioning[J].Quality in Primary Care,2008,16(6):425-432.[10]PLOCHG T,KLAZINGA NS.Community-based integrated care: myth or must[J].International Journal for Quality in Health Care,2002,14(2):91-101.[11]VALENTIJN PP,SCHEPMAN SM,OPHEIJ W,et al.Understanding integrated care:a comprehensive conceptual framework based on the integrative functions of primary care[J].International Journal of Integrated Care,2013,13:e010.[12]WU JJ,XUE EX,HUANG SY,et al.Facilitators and barriers of integrated care for older adults with multimorbidity: a descriptive qualitative study[J].Clinical Interventions in Aging,2023,29(18):1973-1983.[13]MASSO M,OWEN A.Linkage, coordination and integration: evidence from rural palliative care[J].Australian Journal of Rural Health,2009,17(5): 263-267.[14]杨 吉,方晓烈.关于加强公共卫生体系建设的实践与思考:以平湖市为例[J].江南论坛,2021(8):40-42.[15]民政部,国家卫生和计划生育委员会.关于做好医养结合服务机构许可工作的通知:民发〔2016〕52号[EB/OL].(2016-04-08)[2024-06-23].https://www.gov.cn/zhengce/2016-05/22/content_50 75667.htm.[16]国家卫生和计划生育委员会.关于养老机构内部设置医疗机构取消行政审批实行备案管理的通知:国卫办医发〔2017〕38号[EB/OL].(2017-11-15)[2024-06-23].http://www.nhc.gov.cn/yzygj/s3577/201711/ebcef4630a134efab8ec80e56ec95f1a.shtml.[17]国家卫生健康委办公厅,民政部办公厅,市场监管总局办公厅,等.关于做好医养结合机构审批登记工作的通知:国卫办老龄发〔2019〕17号[EB/OL].(2019-06-01)[2024-06-23].http://www.gov.cn/xinwen/2019-06/01/content_5396596.htm.[18]国家卫生健康委,民政部, 国家中医药管理局.关于印发医养结合机构服务指南(试行)的通知:国卫办老龄发〔2019〕24号[EB/OL].(2019-12-23)[2024-06-23].http://www.gov.cn/zhengce/zhengcek u/2020-01/01/content_5465777.htm.[19]国家卫生健康委办公厅, 民政部办公厅, 国家中医药管理局办公室.关于印发医养结合机构管理指南(试行)的通知:国卫办老龄发〔2020〕15号[EB/OL].(2020-09-27)[2024-06-23].http://wsjkw.sc.gov.cn/scwsjkw/sclljk/2020/9/27/eb25f330 c937424f960878bb8f55fd7a.shtml.[20]廖生武,朱宏,谭碧慧.社区老年慢性病人群“互联网+医养结合”健康管理服务的困境及对策[J].中国全科医学,2019,22(7):770-776.[21]尹成芬,董碧蓉.如何实现医养结合战略[J].中国临床保健杂志,2023,26(3):294-297.[22]刘文豪,顾柳华,徐小雅,等.基于成熟度模型的医联体“三方共管”模式实践与思考[J].中国医院,2023,27(10):100-104.[23]汉业旭,张柠,姚峥,等.北京某三甲医院开展医联体建设实践与思考[J].中国医院,2023,27(10):94-96.[24]王东博,李建,卢九星,等.我国医联体发展现状及对策探讨[J].中国医院,2019,23(1):47-48.[25]王震.推动医养结合的政策分析[J].中国医疗保险,2016(3):27-30.[26]YAN WANG NINIE,LIU XH, KONG XR,et al.Implementation and impact of the World Health Organization integrated care for older people (ICOPE) program in China: a randomised controlled trial[J].Age Ageing,2024,53(1):249.[27]支梦佳.连续性记录与评估工具(CARE)的引进及应用研究[D].北京:北京协和医学院,2020.[28]苏洋,李欣,邓程霖,等.老年综合评估工具的研究进展[J].中国老年学杂志,2019,39(5):1270-1273.[29]罗园,安然,陈希,等.养老机构老年综合评估工具的范围综述[J].中国护理管理,2023,23(4):626-631.[30]胡琳琳,王懿范.医养结合:老年整合照护的理论与实践[M].北京:中国协和医科大学出版社,2022:35.[31]陈诚诚.长期照护与医疗卫生体系整合——分立的研究综述[J].山东行政学院学报,2021(6):40-46.[32]刘涛,解正林,陈仲钰.德国的医疗与护理关系及其对中国医养结合的启示[J].中国公共政策评论,2020,17(2):42-53.[33]刘勇,吴宏洛.略论长期照护保险与医疗保险的有效衔接[J].西安建筑科技大学学报(社会科学版),2018,37(6):48-53.[34]肖树芹,景丽伟,吴瑛.老年健康照护管理师培训及效果评价[J].护理研究,2022,36(19):3545-3548.[35]陆琦,曾金艳,张毓,等.大健康背景下整合照护人才培养模式实践研究:以无锡卫生高等职业技术学校老年保健与管理专业为例[J].卫生职业教育,2020,38(13):8-10.[36]何孝崇,皮星,谭华伟,等.慢性病老人社区整合照护保障体系的国际经验及启示[J].卫生软科学,2024,38(2):91-94.[37]黄健元,杨琪,王欢.我国养老服务体系发展:从医养结合到整合照护[J].中州学刊,2020(11):86-91.[38]田雨同,张 艳,许 冰,等.国外老年智慧整合照护模式的研究进展[J].护理学报,2022,29(24):27-32.[39]张瑞利,徐佩.基于国际经验借鉴的整合性长期照护服务体系研究[J].市场周刊(理论研究),2016(10):139-140,187.[40]王 莹,刘慧君,马晨娟.国际视野下老年整合照护服务模式的比较与借鉴[J].人口与经济,2023(6):71-86.[41]郑研辉,郝晓宁.发展我国老年人社区整合照护服务的思考[J].现代预防医学,2020,47(19):3457-3460.[42]National Pace Association.What is PACE care? [EB/OL].(2019-03-04)[2024-06-23].https://www.npaonline.org/what-is-pace-care.[43]MARGARET M.PRISMA: program of research to integrate the services for the maintenance of autonomy. A system-level integration model in Quebec[J].International Journal of Integrated Care,2015,15:e018.[44]YIP O,HUBER E,STENZ S,et al.A contextual analysis and logic model for integrated care for frail older adults living at home: the INSPIRE project[J].International Journal of Integrated Care,2021,21(2):9.[45]DE BRUIN SR, STOOP A, BILLINGS J,et al.The SUSTAIN project: a European study on improving integrated care for older people living at home[J].International Journal of Integrated Care,2018,18(1):6.[46]LOOMAN W,STRUCKMANN V,KOPPEN J,et al.Drivers of successful implementation of integrated care for multi-morbidity: mechanisms identified in 17 case studies from 8 European countries[J].Social Science & Medicine,2021,277:113728.[47]郭祥倩.建成具有中国特色的卫生健康标准体系[N].中国家庭报,2022-02-21(08).[48]裴晨阳,胡琳琳,刘远立.我国老年健康服务政策的发展演变与未来建议[J].中国卫生政策研究,2020,13(11):77-82.[49]张 涛,罗昊宇.法国医养结合服务实践与思考[J].中国卫生质量管理,2018,25(4):128-130,133.

更新日期/Last Update: 2024-08-15