Home Health Care Delivery Models in China：an Exploratory Comparative Study

doi:10.12114/j.issn.1007-9572.2021.00.229

Abstract

Abstract: Centre for Health Management and Policy Research，School of Public Health，Cheeloo College of Medicine，Shandong University/NHC Key Lab of Health BAI Meng and GE Haotong are co-first authors To address the challenges of aging，the exploration of home-based healthcare delivery models has been carried out in various parts of China. Through wide investigation and intensive interviews，we found three typical home-based healthcare delivery models that are in an exploratory stage：home-based sickbed services developed and delivered by the community health center using the contacting form of family doctor system promoted by the government，home-based medical services delivered by public hospitals improving their operation and management forms via integrating healthcare resources from the hospital and other providers，and individualized home-based healthcare provided by private hospitals according to the specific needs of various populations. We found the same challenges faced by these models after a comparatively analysis：incomplete laws related to home-based healthcare，lack of professional trainings for workers providing home-based healthcare，and non-coverage of most home-based healthcare services.

Key words: Home health care, Service models, Health services

摘要： 随着人口老龄化的到来，我国各地开始开展对于居家医疗服务模式的探索。本文通过广泛考察和访谈比较了3种探索中的居家医疗服务模式：社区卫生服务中心在政府推行的家庭医生签约制度基础上发展和完善的家庭病床服务，转型期的公立医院通过整合院内院外医疗资源开展的上门医疗服务，民营医疗机构根据市场上不同层次的服务人群和多样化的服务需求提供个性化的居家医疗服务，发现这3种模式面临着一些共同挑战，关于上门医疗服务行为的相关法律尚不完善，居家医疗服务人员需要专业化培训，很多上门医疗服务项目尚未被纳入我国医保范围内。

关键词: 居家医疗, 服务模式, 健康服务

BAI Meng,GE Haotong,YAO Nengliang, et al. Home Health Care Delivery Models in China：an Exploratory Comparative Study　[J]. Chinese General Practice, 2021, 24(19): 2379-2384. DOI: 10.12114/j.issn.1007-9572.2021.00.229.
柏萌,葛浩通,姚能亮等. 探索中的居家医疗服务模式比较研究[J]. 中国全科医学, 2021, 24(19): 2379-2384. DOI: 10.12114/j.issn.1007-9572.2021.00.229.

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