基于ICOPE框架对失能老年人照护体系的调查——以济南市为例
A Survey on the Care System for Physically Challenged Older People Based on the ICOPE Framework:Taking Ji'nan City as an Example
李新泰1
作者信息
- 1. 山东商业职业技术学院,山东济南 250103
- 折叠
摘要
我国社会老龄化发展进程中的失能群体规模庞大,其照护需求突出,已经成为社会关注的热点和难点.结合世界卫生组织提出的ICOPE框架,探究样本整合照护体系情况.以济南市为例,采用调查研究方法,遵循"三角互证"原则以保证调研的可信度,通过问卷、访谈、观察、文档等方式探析其深层逻辑关系.宏观层面,济南市正在构建围绕失能老年人的全社会照护体系;中观层面,居家—社区—机构养老相互补充;微观层面,照护服务碎片化供给亟待整合.以人为本的整合照护是失能老年人照护体系的发展方向.各级政府持续推动医养结合向社区居家延伸,社区护理站建设快速发展,优化基层卫生机构格局迫在眉睫.建议:整合既有照护资源,统筹解决护理人员数量不足和质量不佳等问题.
Abstract
As population ageing develops in China,there are numerous physically challenged older people,whose care demands are acute and have become a focal point of social concern.On the basis of the ICOPE framework proposed by the World Health Organization,this study explored the integrated care system of research objects.Taking Ji'nan City as an example,this paper adopted methods of investigation,followed the principle of"triangle mutual verification"to ensure the credibility of the survey,and explored the deep logical relationship through questionnaires,interviews,observations and documentations.At the macro-level,a care system of the whole society is being developed for physically challenged older people.At the meso-level,home-based,community-based,and institutional elderly care complements each other.At the micro-level,fragmentation of care services urgently needs to be integrated.Therefore,this study suggests that a people-oriented integrated care is the development direction.Governments at all levels are making an effort to expand this integration to community-home-based care;community nursing stations are growing rapidly;and the optimization of the structure of grassroots health institutions is urgent.It is suggested that existing care resources be integrated and problems related to the quantity and quality of nursing staff be resolved in a coordinated way.
关键词
整合照护/护理/养老/失能老年人Key words
integrated care/nursing/elderly care/physically challenged older people引用本文复制引用
出版年
2024
NETL
NSTL
万方数据