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医养融合安宁疗护模式的构成要素、经验及推广意义

The constituent elements,experiences,and popularization significance of the palliative care model of integrated elderly care and medical services
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摘要 在老龄化日益加剧的趋势下,医养融合是优化养老服务供给促进老年人优逝善终的重要举措。运用合作生产理论和经典扎根理论,通过Nvivo20.0进行质性分析来自南宁市某医院医养融合模式下养老安宁疗护的38个病例和医院安宁疗护的25个病例。研究发现,医养融合模式强调医疗与养老服务的深度融合,通过整合资源、提高服务效率,以实现老年人的全方位健康照护的基本经验。这些经验的推广对构建多主体合作生产体系、强化人才培养、健全绩效分配机制,进一步推动国家安宁疗护试点工作发展有着积极的意义。 Under the trend of increasing aging,integrated elderly care and medical services is an important measure to optimize the supply of elderly care services and promote the good death of the elderly.Using the cooperative production theory and the classical grounded theory,a qualitative analysis was conducted on 38 cases of elderly palliative care and 25 cases of hospital-based palliative care under the integrated elderly care and medical services model from a hospital in Nanning City using Nvivo 20.0 software.This paper found that the integrated elderly care and medical services mode emphasized the deep integration of medical and elderly care services by integrating resources and improving service efficiency,to achieve the basic experience of comprehensive health care for the elderly.The promotion of these experiences has a positive significance for building a multi-agent cooperative production system,strengthening personnel training,perfecting the performance distribution mechanism,and further promoting the development of the national palliative care pilot.
作者 黄泽欢 辛孟东 戚栎丹 赵龙 王闽豫 覃露 陆珍华 黎赵 何月华 曾希 HUANG Zehuan;XIN Mengdong;QI lidan;ZHAO Long;WANG Minyu;QIN Lu;LU Zhenhua;LI Zhao;HE Yue;ZENG Xi(School of Humanities,Arts and Design,Guangxi University of Science and Technology,Liuzhou 545006,China;School of Public Health and Management,Youjiang Medical University for Nationalities,Baise 533000,China;Department of Hospice Care,Nanning City Welfare Hospital of Traditional Chinese Medicine,Nanning 530028,China;School of Chinese Traditional Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350108,China;School of Public Affairs,Xiamen University,Xiamen 361005,China;Palliative Care Center,the People’s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530016,China)
出处 《中国医学伦理学》 北大核心 2025年第7期914-923,共10页 Chinese Medical Ethics
基金 广州泰和医学人文研究教育基金“民族医学介入农村临终关怀多元模式及文化适宜性研究”(23000-3050070) 广西硕士研究生创新项目“民族地区农村安宁疗护的困境与破解路径研究——以广西为例”(YCSW2024506) 2024年广西民盟区委参政议政合作课题“机构安宁疗护服务发展的现实困境与优化路径研究”。
关键词 医养融合 安宁疗护 质性分析 国家安宁疗护试点 integrated elderly care and medical service palliative care qualitative analysis national hospice care pilot
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