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Comparison of the practice status based on domestic and oversea the elderly care needs assessment and its correlated enlightenment |
CHENG Lei |
Department of Fundamentals Nursing, School of Nursing, Guangzhou Medical University, Guangdong Province, Guangzhou 510182, China |
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Abstract The elderly care needs assessment is critical to decide the elderly care needs, care levels and provided services. The third agency has gradually been introduced to evaluate the elderly care needs in China. The diversified instruments and criterions are used to assess the physiological health, cognitive level, social support and illness factors for the elderly care needs in different provinces and cities, which provides the evidences to allot long-term nursing insurances and government subsidies. However, there are many limitations in the present assessment, such as one-side evaluation, substandard instruments, single evaluation and the implementation of elderly care without basing on evaluation effects. The internationally reliable instruments and their apply results are introduced in the study, aiming to prompt these instruments to be used in our country and fitted Chinese culture, develop the Chinese evaluation criterions in the elderly care needs assessment, perfect the evaluation protocol of the third agency, decide the certificate of evaluation staff, and accurately identify the elderly care needs. The elderly care needs are be classified and stratified on the basis of needs data, which the targeted elderly care protocol will be developed, the accurate elderly care resources will be provide, and the quality of life for the elderly will be improved.
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[1] 蔡中华,王一帆,董广巍.城市社区养老服务质量评价——基于粗糙集方法的数据挖掘[J].人口与经济,2016(4):82-90.
[2] 穆光宗.中国老龄政策思考[J].人口研究,2002,26(1):43-48.
[3] 童峰,刘金华.浅谈养老服务评估指标体系的建构[J].学术论坛,2015,38(12):127-130.
[4] 于雨倩.居家养老中老年人的能力评估及影响[J].名医,2017(3):86-87.
[5] 中华人民共和国民政部.关于征求行业标准《老年人能力评估》意见的公告[EB/OL].[2013-06-14].http: //www.mca.gov.cn/article/xw/tzgg/201306/20130615473269.shtml.
[6] 中华人民共和国民政部.民政部关于推进养老服务评估工作的指导意见[EB/OL].[2013-07-30].http://www.gov.cn/gongbao/content/2013/content_2515012.htm.
[7] 上海市人民政府发展研究中心.建设上海市老年照护统一需求评估体系研究[EB/OL].[2016-07-11]. http://www.fzzx.sh.gov.cn/LT/KDUCO7889.html.
[8] 广东省民政厅、关公东南各省财政厅、广东省卫生计生委.关于开展养老服务评估工作的实施意见[EB/OL].[2016-03-18].http://www.gd.gov.cn/govpub/bmguifan/201604/t201 60425_227899.htm.
[9] 广州市居家养老服务指导中心.广州市老年人照顾需求等级评定指引(试行)[EB/OL].[2017-05-23].http://www.yanglaocn.com/shtml/20170523/1495532985110757.html.
[10] 青岛政务网.关于长期医疗护理保险医疗护理服务实行标准化管理的通知[EB/OL].[2016-06-17].http://www.qingdao.gov.cn/n172/n24624151/n24626255/n24626269/n246 26283/160617105920833558.html.
[11] 刘玉玉,林金蕾,张倩,等.养老机构老年人能力评估与分级服务需求探究[J].护理研究,2018,32(7):1150-1153.
[12] 楼正渊,冯晓丽,徐璟,等.基于能力评估的养老机构入住老年人服务需求调查[J].中华老年病研究电子杂志,2016,3(4):17-22.
[13] 夏伟伟.我国失能老人长期照护体系的构建[D].杭州:浙江工商大学,2013.
[14] Help Age International. Global Age Watch Index 2015:Insight report[EB/OL].[2015-09-9].http://reports.helpage.org/global-agewatch-index-2015-insight-report.pdf
[15] 江海霞,郑翩翩,高嘉敏,等.老年长期照护需求评估工具国际比较及启示[J].人口与发展,2018,24(3):65-84.
[16] 孙欣然,孙金海.国内外养老照护评估现状及对我国养老照护分级的启发[J].中国全科医学,2017,20(30):3719-3724.
[17] 王硕,井坤娟,戎艳琴,等.美国养老机构老年人服务需求评估现状及对我国的启示[J].护理学杂志,2016,31(4):97-101.
[18] 朱宏伟,赖小星,霍晓鹏,等.interRAI 综合评估及干预对老年住院患者营养状况的影响[J].中华现代护理杂志,2017,23(1):29-33.
[19] 王国庆,赖小星.国际居民评估工具长期照护机构评估和干预对老年慢性病患者生活质量和自护能力的影响[J].解放军护理杂志,2017,34(12):27-30.
[20] Craig C,Chadborn N,Sands G,et al. Systematic review of EASY-care needs assessment for community-dwelling older people [J]. Age Ageing,2015,44(4):559-565.
[21] 朱凤梅,王震.长期照护供需失衡的政策分析[J].中国医疗保险,2016(9):34-37.
[22] 张莹.日本介护保险制度中老年长期护理分级标准研究[J].中国全科医学,2011,14(8A):2544-2545.
[23] Tsutsui T,Muramatsu N. Care-needs certification in the long-term care insurance system of Japan [J]. J Am Geriatr Soc,2005,53(3):522-527.
[24] 王燕君,朱远,张沁,等.国内外养老机构分级护理现状及我国的构建思路[J].中国全科医学,2017,20(34):4224-4228.
[25] 睢党臣,曹献雨.芬兰精准养老服务体系建设的经验及启示[J].经济纵横,2018(6):116-123.
[26] 魏晓雷,王丽,常利杰,等.基于IFOC模式的社区居家养老医疗服务的回顾性研究[J].中外医学研究,2018, 16(13):7-12.
[27] 郭骅,屈芳.智慧养老平台的辨析与构建[J].贵州社会科学,2017(12):125 -132. |
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