不同举办主体社区卫生服务机构医养结合服务开展现状分析

Analysis of the Status of Integrated Medical and Elderly Care Delivered by Different Community Health Service Institutions with Different Sponsors

摘要: 目的：了解不同举办主体社区卫生服务机构医养结合服务开展现状，为建设医养结合型健康养老服务提供借鉴依据。方法：于2020年10月~2021年1月随机选取湖北省31家不同举办主体社区卫生服务机构，对其提供的医养结合服务内容与现状进行调查分析。结果：社区卫生服务机构医养结合服务开展率为34.5%，政府办与非政府办社区卫生服务机构在提供特色养老服务上具有统计学意义(P < 0.05)；70%的社区卫生服务机构认为开展医养结合服务存在政策不完善，保障力度不足及供给资金贫乏，投入不足的困难。结论：湖北省不同举办主体社区服务机构医养结合服务开展情况体现出不同特征，在提供内容及存在困难方面存在差异，建议进行分类引导，充分发挥政府办与非政府办社区卫生服务机构在医养结合服务中的特色作用。

Abstract: Objective: To understand the status of integrated medical and elderly care delivered by community health centers by different types of ownership, and to provide feasible suggestions for the construction of medical and nursing combined healthcare services. Methods: 31 community health service institutions in Hubei Province were randomly selected from October 2020 to January 2021 to investigate and analyze the content and current status of the integrated medical and elderly care. Results: The implementation rate of integrated medical and elderly care services in community health service institutions is 34.5%. There is a statistically significant difference (P < 0.05) between government-run and non-government-run community health service institutions in providing distinctive elderly care services. 70% of community health service institutions believe that there are difficulties in implementing integrated medical and elderly care services, such as imperfect policies, insufficient support, and lack of funding and investment. Conclusions: The implementation of integrated medical and elderly care in community service institutions with different sponsoring entities in Hubei Province has shown distinct characteristics, with differences in the content provided and the difficulties encountered. It is recommended to provide categorized guidance to fully leverage the unique roles of both government-run and non-government-run community health service institutions in the integrated medical and elderly care services.