Grading Care Model Study for the Elderly in Geriatric Nursing Facilities Based on Health Management Framework

doi:10.12114/j.issn.1007-9572.2019.04.018

Abstract

Abstract: In China，the irreversible trend of population aging and huge supply-demand gap in elderly care services，make it necessary to develop a scientific，normative and sustainable elderly care system for providing precise elderly care.Grading care for the elderly based on the objective assessment tool has become an important component of the elderly care system in developed countries.However，the elderly care service system in our country is imperfect.Therefore，it is of great significance to create a grading nursing system based on the assessment of the ability and health demands of elderly people to provide precise services for them based on their own conditions.This study，guided by the theoretical framework of health management，on the basis of analyzing the problems and impact factors of elderly care system in our country comprehensively，sets up a grading nursing theoretical framework and radicates an assessment tool for the grading of elderly care.In addition，this study establishes grading criterion and determines the corresponding service contents，and develops a grading elderly care model fitting for geriatric nursing facilities in China.Furthermore，the study builds a network platform for grading care for the elderly，which makes the ability assessment automatic，care grading intelligent and data management normative.Thus，the study can provide a reference for the reform of grading elderly care system，and sophisticated management of elderly care in geriatric nursing facilities，and can offer a scientific basis for the establishment of the third-party evaluation，government's accurate grant of pension subsidies，purchase of elderly services and rational allocation of human resource for long-term care for the elderly.

Key words: Health management, Aged, Geriatric nursing facilities, Grading care, Model, Editorial

摘要： 人口老龄化已成为我国不可逆转的趋势，但目前养老服务供需之间存在较大差距，做到精准养老，建立科学、规范、可持续的老年照护服务体系十分必要。基于客观评估工具对老年人进行分级照护是发达国家养老服务体系中的重要组成部分，我国分级照护养老体系尚未健全。由此提出“建立基于老年人能力评估与需求的分级照护体系，为不同老年人提供精准的养老服务”具有重要的意义。本文以健康管理理论为指导，全面分析我国老年人分级照护中存在的问题及影响因素，构建分级照护理论框架，确立老年人照护评估工具，建立分级照护等级划分标准和照护服务内容，创建适合我国养老机构的分级照护模型，建立老年人分级照护网络平台，使能力评估自动化、照护分级智能化、数据管理规范化。为我国养老分级照护制度改革、养老机构分级照护精细化管理提供参考，为科学建立第三方评估、政府精准发放养老补贴、老年人科学购买养老服务、合理配置老年人长期照护人力资源提供科学依据。

关键词: 健康管理, 老年人, 养老机构, 分级照护, 模型, 述评

XU Guihua. Grading Care Model Study for the Elderly in Geriatric Nursing Facilities Based on Health Management Framework[J]. Chinese General Practice, 2019, 22(4): 457-461. DOI: 10.12114/j.issn.1007-9572.2019.04.018.
徐桂华. 健康管理视域下养老机构老年人分级照护模型研究[J]. 中国全科医学, 2019, 22(4): 457-461. DOI: 10.12114/j.issn.1007-9572.2019.04.018.

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