Analysis of the current status of integrated medical and elderly care institutions'services in Xianning in the context of comprehensive health care
CHEN Yangyang
KONG Linglin
WANG Xinyuan
ZHAO Mengxia
LIAO Siying
WANG Dengya
WANG Xueyan
LIU Yuanyuan
HU Yizi
HU Muyan
Abstract：Objective To investigate the development status of integrated medical and elderly care services in Xian-ning,summarize its service mode and service content,analyze its development advantages and existing problems,and put forward targeted countermeasures.Methods The convenient sampling method was adopted to select 11 municipal exem-plary integrated medical and elderly care institutions in Xianning,with"one district,one city and four counties".The staff in the institutions(administrators,care staff,medical and paramedical personnel,senior care manager)and elderly resi-dents were selected as the research subjects,and the survey was conducted by comprehensive use of questionnaire survey and field observation method.Results The overall satisfaction rate of the elderly residents reached 83.33%.Xianning mainly has three integrated medical and elderly care service modes:"medical institutions incorporating eldercare","elder-ly care institutions incorporating medical services",and"integrated medical and elderly care".These services were primar-ily operated through public-private partnerships and private-run entities institutions.Fee structures were primarily deter-mined by nursing fees,bed fees,accommodation charges,and meal expenses.Services encompassed two main compo-nents:medical care and elderly care.The institution's overall environment was characterized by three features:eco-inte-grated site selection and layout,age-adapted environmental modifications,and modular functional zoning.Staff recommen-dations focused on six areas:salary and compensation,personnel allocation,medical facilities,professional training,multi-disciplinary elderly care talents,and insurance system.Elder residents'suggestions encompassed five aspects:cost subsi-dies,dietary management,staff quantity and quality,family visitation,and activities and social support.Conclusions The development of integrated medical and elderly care services in Xianning has the advantages of diverse service models,eco-logically advantaged environments,distinct characteristics of public hospitals for the elderly care,and the rejuvenation trend in teams shows positive momentum.However,there are some problems that have not been included in the long-term care insurance pilot,the allocation of care staff and part of medical facilities has not reached the prescribed standards,el-derly care classification standards require standardization,and critical gaps persist in professional training and multidisci-plinary elderly care talents.It is suggested to strengthen the safeguard mechanisms and financial support,standardize the standards of personnel,facilities configuration and elderly care classification in institutions,strengthen professional train-ing of service personnel and establish a multi-disciplinary professional care team,so as to promote the high-quality develop-ment of the integrated medical and elderly care services.
Keywords：integrated medical and elderly careelderly care serviceelderly care managementagedlong-term care insurance
Publication Date：2025-08-25
Online Publishing Date：2025-09-17(First online date of this platform, not the publication date of the document)
Pages：7( 49-55 )