Study On The Elderly Health Service Under The Two-way Cooperation Mechanism Of Taiyuan City

Objective:This topic will be from public hospitals and community health service institutions two-way collaboration, the Angle of combination of taiyuan city elderly health services demand, study of taiyuan, the elderly health services, on the basis of stakeholder theory,incentive theory, the medical service demand theory, behavior theory and the modern medical pattern, explore for the elderly to provide complete, continuous and high quality health service operating mechanism and pattern.Methods:1. Literature study method. Relevant literature to make use of a variety of database platform, access, sorting, classification, a comprehensive understanding of subjects related to policy files, the existing research results at home and abroad, and statistics information, screening may involve the investigation project, which provides the theoretical foundation for the research of this topic.2. Interview method. According to the result of literature research, is to survey the content of the summary into several problems, made the interview outline, for large hospitals and community health service institutions related to medical workers for interviews, present situation and problems of the implementation of two-way collaboration in-depth understanding and analysis.3. The questionnaire survey. Using self-made questionnaire of the elderly health services demand, adopt the method of multistage random sampling, the selection of taiyuan municipal district six questionnaire survey to 350 old people.Results:1. The questionnaire results:(1)In the poll, older women, accounted for 59.9%; The old age range is between 60 to 89years old; Generally do not have a high level of culture and is given priority to with the junior middle school and the following qualifications(61.6%); Married(spouse alive)elderly people account for most(77.5%); 81.8% of the elderly living with spouse or children of the elderly on income distribution trend of "middle more two less".(2)The elderly to community health service institutions and the superior hospitals under two-way collaboration to provide health services have higher needs, but there is still more of this part of the subjective and objective factors affect the elderly health service needs,the relevant health institutions to make certain improvement, to the elderly health services need to health services demand.The elderly to ill late rehabilitation services more seriously, nearly half of the respondents will be looking for external rehabilitation after sick place(community health service institutions or rehabilitation institutions) in the late rehabilitation. The characteristics of health facilities needed for the elderly, rehabilitation of medical and nursing services for the old. From the elderly to community health service institutions to provide services can be seen in the statistics, the elderly to health education and guidance,guiding medical service, medical care service has higher needs.2 Interview results:( 1) The elderly as the main consumption of medical resources, the need for health services is increasing. And the traditional "disease- treatment" mode already cannot satisfy the elderly health service need, not to provide continuous health services for the elderly,the elderly health services of discontinuity in preventive care work is weak, the elderly acute medical overly focused on 2 / level 3 general hospital, the lack of medium and long-term care, soothing treatment and hospice care serious shortage, and so on.( 2) Higher level hospitals and community health service institutions two-way collaboration mechanism make superior hospitals and community hospitals basically set up the relationship between the technical guidance and training, improve the technical level of the community doctors. Two-way referral superior hospitals and community health service institutions in our country after three stages of six kinds of pattern of development, at present most of the hospitals and between grassroots medical institutions is still in arelatively loose cooperation pattern.(3)Community health service institutions personnel nervous, lack of technology. In city community health service organization, personnel have already can’t satisfy the needs of practical work. The communication between higher level hospitals and community health service institutions, interest involved.Conclusions:(1)Changing ideas, focusing on prevention and rehabilitation in the elderly.(2)Clear requirements, set up network mode.(3)Increasing supply, the establishment of comprehensive geriatric hospital.(4)Integration of resources, speed up the elderly health service system construction.(5)Improve the supporting measures, ensure the elderly health service system...