發(fā)布時間：2019-07-09 19:30

【摘要】：目的:了解重慶市老年人的養(yǎng)老現(xiàn)狀及其對整合照料式養(yǎng)老服務模式的接受程度,為探索合適的養(yǎng)老模式提供參考.方法:對重慶市9個主城區(qū)內1 006名50歲及以上的社區(qū)居民進行養(yǎng)老相關情況的問卷調查,并對結果進行統(tǒng)計分析.結果:89.1%的調查對象目前的養(yǎng)老方式為"家庭養(yǎng)老";調查對象目前養(yǎng)老所存在的困難主要為醫(yī)保報銷比例較低(25.6%)、經濟拮據(jù)(25.0%)、體弱多病、就醫(yī)不便(19.5%);對調查對象的養(yǎng)老需求及意愿進行調查發(fā)現(xiàn),54.4%的調查對象需要生活照顧,52.5%需要安全保障服務,51.4%需要一般醫(yī)療救助;73.4%的調查對象表示愿意嘗試整合照料式養(yǎng)老,而不愿意嘗試的調查對象主要擔心整合照料式養(yǎng)老服務的收費會較傳統(tǒng)模式養(yǎng)老服務更高(24.6%).二項分類Logistic回歸表明,調查對象的每月總收入與其養(yǎng)老方式是調查對象是否愿意嘗試整合照料式養(yǎng)老服務的影響因素.結論:重慶市50歲以上人群目前的養(yǎng)老模式較為傳統(tǒng),且該人群在醫(yī)療、日間照料等方面均存在一定需求,可在該人群中應用"醫(yī)養(yǎng)康護"一體化整合照料式養(yǎng)老服務模式.此外,針對月收入不同的老年人群,政府應提高相應的報銷比例,以提高老年人群對整合照料式養(yǎng)老服務模式的接受度.
[Abstract]:Objective: to understand the present situation of providing for the aged in Chongqing and its acceptance of the integrated care service model, so as to provide reference for exploring the appropriate pension model. Methods: a questionnaire survey was conducted among 1 006 community residents aged 50 and over in 9 main urban areas of Chongqing, and the results were statistically analyzed. Results: 89.1% of the respondents' pension mode was "family pension", and the main difficulties in nursing care were low proportion of medical insurance reimbursement (25.6%), financial constraints (25.0%), weakness and illness, and inconvenient medical treatment (19.5%), and the main difficulties in nursing care were as follows: low proportion of medical insurance reimbursement (25.6%), financial constraints (25.0%), inconvenient medical treatment (19.5%). It was found that 54.4% of the respondents needed life care, 52.5% needed security services and 51.4% needed general medical assistance. 73.4% of the respondents said they were willing to try to integrate care for the aged, while those who did not want to try were mainly worried that the fees of integrated care services would be higher than those of the traditional model (24.6%). The binomial Logistic regression showed that the total monthly income and the way of providing for the aged were the influencing factors of whether the subjects were willing to try to integrate the care type old-age service. Conclusion: the current pension model of people over 50 years old in Chongqing is more traditional, and there is a certain demand in medical treatment, day care and so on. The integrated care service model of "medical care and health care" can be applied in this population. In addition, for the elderly with different monthly incomes, the government should increase the corresponding reimbursement ratio in order to improve the acceptance of the integrated care pension service model.
【作者單位】： 西南大學醫(yī)院;
【基金】：重慶市社會科學規(guī)劃項目(2015YBSH043) 西南大學人文社會科學研究重大培育項目(15XDSKD006) 重慶市科委社會事業(yè)與民生保障科技創(chuàng)新項目(cstc2016shmszx130016)
【分類號】：D669.6

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