Study On The Effect Evaluation And Optimization Measures Of Home Care Combined With Medical Care In Pukou District, Nanjing

With the continuous acceleration of the aging process of our country,the increase of the demand of the people's medical care and the home-based pension service in the context of the aging population,the realization of the cooperative governance goal and the development of the welfare multi-social organization need to further study the current medical-care and home-based pension.the invention can only accelerate the diversified development of the service of medical and care and care,widen the channel of the social organization to participate in the old-age service,increase the supply quantity and the quality of the old-age service,and improve the professional level of the service personnel of the old-age service,In order to alleviate the current situation of the imbalance of the supply and demand of the home-care service in our city,we can guarantee the stable and harmonious life of the old people.In that light of the evaluation of the effect of the health-care and the home-care service in the Pukou district of Nanjing,and the analysis of the influencing factors,this paper,from the aspect of the mode of the service of the medical-care and the home-care service,the process-level and the output-level,comprehensively considered the capital investment of the medical-care and family-based pension in the Pukou district of Nanjing,The factors such as input of personnel,material input of medical facilities,support capacity and supply,quality of service and the satisfaction of old people,etc.The weight matrix was constructed by the expert evaluation method,and the evaluation index system of the old-age pension effect in Pukou district of Nanjing was established.and select Nanjing according to the requirements of the "Notice of the Implementation of an exemplary Medical Pension Administration in Jiangsu Province" The results of the comparison and analysis of the health-care and home-based pension service agencies in Pukou District of the city have calculated the effect of the medical and nursing in the Pukou District of Nanjing in combination with the old-age pension operation.Based on the positive analysis of the effect of the old-age pension in Pukou District,Nanjing,the mean value of the score of the effect level of the old-aged service in the Pukou District of Nanjing is 0.3491,but the difference of service effect of different institutions is large,the highest is 0.5874,and the lowest score is 0.1866.At present,the city medical pension,which is represented by the Pukou District of Nanjing,has problems such as the lack of development funds,the simple service facilities,the shortage of medical care and the specialized personnel of the aged,and the lack of pertinence of the service at the process level;At the level of service output,there is a lack of reasonable supervision and management system And so on.The paper also puts forward the optimization measures for the problems found in the empirical study:first,to increase the support of the funds at the input level,to accelerate the construction of the talents and to increase the medical facilities and technical input;and secondly,to strengthen the research of the needs of the elderly at the process level,and to improve the service according to the needs,To improve the pertinence and quality of service;third,establish and perfect the system of government responsibility at the output level,and improve the supervision and management level.