Study On The Present Situation And Countermeasures Of Medical-nursing Intergrated Services In Private Pension Agencies

ObjectiveAt present,along with the aging population intensifies,the elderly not only have a need for “nursing”,but also have an even more urgent need for“medicine”.However,integration of medical and elder care in China is still in its development stage,so its goal has not been fully realized.This study investigates the service status of integrated medical and elder care services in private pension agencies in Shapingba District of Chongqing City from the tripartite of private pension agencies,elderly residents in agencies,and relevant government functional departments,analyzes the predicament of private pension agencies in the process of integrated medical and elderly care services,and explores the countermeasures and suggestions on improving integration of medical and elder care services to meet the multi-level health needs of the elderly.Methods1.Literature research method: By consulting the literature and policies,this study summarizes the research results of integrated medical and elder care services,and sorts out and defines the basic concepts and related theories.2.Qualitative interview method:This study designs a semi-structured interview outline on the basis of literature review and expert advice,and conducts investigations on the management personnel of6 private pension agencies with integrated medical and elder care service in Shapingba District of Chongqing City,elderly residents in agencies,and relevant government functional departments in Shapingba District of Chongqing City,so as to understand the service status quo of private pension agencies with integrated medical and elder care services,and to explore the contradictions and predicaments in integrated medical and elder care services of private pension agencies.3.Colaizzi data analysis method:Colaizzi’s seven-step data analysis method is adopted to sort out and summarize the interview data and extract related information of research content.Result1.There are three types of integrated medical and elder care in private pension agencies of Shapingba District of Chongqing City,including internal nursing home,internal infirmary and cooperation with medical institutions.The service status of the six elderly care institutions are different.The total occupancy rate is 71.19%.In addition,the charging range is 1500-10000 yuan/month according to the nursing level of the elderly.2.Results of subject extraction:(1)Four themes were extracted from the interview data of the elderly,including medical services failing to meet the needs;The incidence of negative psychological emotions is high;The number and quality of nursing staff is low;Service charges are high and the increase is not standardized.(2)Two themes were extracted from the interview data of the management personnel of the institution.First,limited sources of funds and high operating pressure;Second,the shortage of service personnel is in urgent need of introduction.(3)Two themes were extracted from the interview data of the government staff:lack of financial support and multiple supervision.ConclusionsBased on the research results,we conducted an in-depth analysis of the service process of private medical and elderly care institutions,and found that they have the following difficulties: First,incomplete policies or inadequate implementations hinder the development of integrated medical and elderly services;second,the supervision and management of integrated medical and elderly services has multiple subjects,Lack of effective coordination;third is the shortage of professional talents in the integration of medical and elderly care;fourth,the degree of integration of medical and elderly care is low,and medical service capabilities are insufficient;fifth,the lack of mental health services,the elderly cannot solve their psychological problems;sixth,the elderly’s ability to pay is low and the burden of the elderly is heavy.SuggestionsThe first is to improve and implement policies to promote the development of integrated medical and elderly services;The second is to establish a holistic management system to achieve effective supervision;The third is to strengthen the construction of a team of integrated medical and elderly services;The fourth is to clarify the content of medical services and improve service capabilities;fifth,pay attention to the mental health of the elderly and establish a psychological counseling department;The sixth is to improve the payment ability of the elderly and relieve the pressure of the elderly.