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目的上海市是人口老龄化最高的城市之一,因此对老年护理保障情况分析和对策研究非常重要,本文就对上海市居民进行老年护理保障情况调研,并进行对策建议。方法医院门诊居民600人,医院住院居民600人,社区卫生服务中心居民600人,共计1800人,实际调查人数1620(90%)。研究方法主要有文献回顾法、访谈法、循证政策分析法、专家小组讨论法、问卷调查法等调研方法,兼顾质性研究和量化研究。结果居民认为上海市的老年医疗和护理服务提供情况,有33.8%认为目前上海市老年医疗和护理服务提供的还不够。居民对医疗保障覆盖老年护理院等养老机构的看法,大部分的就诊居民都希望医疗保障能够覆盖老年护理院等养老机构,如超过60岁的年龄组中,有89.3%支持该举措。结论①先进行评估及资源的配置;②推广居家养老建立老年护理保险制度;③实行价格歧视的方法;④市区可加大开办托老所。
Objective Shanghai is one of the cities with the highest population aging rate. Therefore, it is very important to analyze and countermeasure the aged care security situation. This article investigates the elderly care security in Shanghai and makes suggestions. Methods There were 600 outpatients in the hospital, 600 inpatients in the hospital and 600 residents in the community health service center, with a total number of 1,800. The actual number of inquiries was 1620 (90%). The main research methods are literature review method, interview method, evidence-based policy analysis method, expert group discussion method and questionnaire survey method, which takes into account the qualitative research and quantitative research. Results Residents think that the provision of geriatric health care and nursing services in Shanghai has 33.8% of the respondents who think that the current provision of geriatric healthcare and nursing services in Shanghai is not enough. Residents’ views on health care coverage of pension institutions such as aged care homes Most residents who seek medical treatment are expected to cover aged care homes and other pension institutions. For example, 89.3% of those over 60 years of age support this measure. Conclusion ① The first assessment and resource allocation; ② promote home-based care to set up the elderly care insurance system; ③ the implementation of price discrimination methods;