摘要
目的：研究社区老年人医养康一体化的服务需求与相关影响因素，进而制定科学、合理的社区养老模式。方法: 选取2018年5月~2019年3月期间在本社区居住的老年人作为此次研究的主要对象，共计128名。运用问卷调查的方式对老年人医养护一体化需求展开调查，调查内容主要包括：社区公共卫生服务、全科服务、健康教育、养老服务、康复服务、家庭病床、收费服务等。结果：社区老年人医养康一体化服务中对康复服务评分（16.82±2.71）分、家庭病床（16.03±1.46）分、社区公共卫生服务（22.32±2.24）分较高，对其具有较高的服务需求。受年龄、文化程度、自评身体状况以及合并类疾病的影响较高。结论:普遍老年人对医养护一体化具有较高的需求，受年龄、自身疾病等因素的影响对康复服务具有较高的需求，需要政府、社区等相关部门不断完善社区医养康服务体系，为社区老年人提供更加优质的服务。
关键词： 社区老年人；医养康服务；需求评估
Abstract
Objective: To study the service needs and related influencing factors of the integration of elderly care and health care in the community, and to develop a scientific and reasonable community care model for the elderly. Methods: A total of 128 elderly people who lived in this community from May 2018 to March 2019 were selected as the main subjects of this study. The questionnaire survey was used to investigate the integration of elderly medical care and maintenance needs. The survey contents mainly include: community public health services, general services, health education, elderly care services, rehabilitation services, family beds, and fee-based services. Results: The scores of rehabilitation services (16.82 ± 2.71), family beds (16.03 ± 1.46), and community public health services (22.32 ± 2.24) were higher in the integrated services of elderly medical care and health in the community, which had a higher score Service needs. Affected by age, education level, self-assessed physical condition and comorbidities. Conclusion : Generally speaking, the elderly have a higher demand for the integration of medical care and maintenance, and there is a higher demand for rehabilitation services affected by factors such as age and their own diseases. The government, the community and other relevant departments need to continuously improve the community medical care and health service system. Provide better services for the elderly in the community.
Key words： community elders; health care services; needs assessment
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