Intermediate Care in Medical and Care Integration:Concept,Exsiting Problems and Professional Development Path
As the important segment of integrated continuous service model recommended by World Health Organization(WHO),the intermediate care points to the restoration of health and independent living.Its service process links hospitals(institutions)and families to include the medical and social care,with the typical characteristics of medical and care integration,which is also a major field of older adults service in the future.From the review of existing literature,the domestic and foreign research on intermediate care is mainly concentrated in the medical field.Based on the perspective of rehabilitation nursing service,this paper explores the professional development path of China's intermediate care system arguring that the intermediate care can fill"vacuum"of care during the elderly's return from hospitals to communities and families and play a role in preventing the disability and disability of the elderly,which is an important initiative to implement the strategy of actively responding to population aging.The paper proceeds from the practical need and problem analysis of intermediate care in China,summarizing the intermediate care models of the developed countries and regions,which are divided into institution-based type,community-based type and home-based type.The institution-based type includes institution-embedded services such as nurse-led units and geriatric day-hospitals,as well as independent institutions such as rehabilitation residential homes and nursing homes.Therefore,the paper suggests that we should learn from their advanced experience in the following aspects:the organizational systems,financing and payment mechanisms,service content,service staff and quality monitoring.Finally,the paper discusses the development path of our country's intermediate care system,which includes strengthening the top-level design of intermediate care in the social security system for older adults,improving the multi-department collaborative management system,establishing and perfecting the comprehensive assessment system for older adults,setting up the professional institute of rehabilitation nursing service,formulating the service standards and specifications,cultivating and forming the professional interdisciplinary team,and integrating medical insurance with other payments in terms of financing methods.
intermediate carerehabilitation nursing serviceelderly care servicemedical and care integrationprofessionalization
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