Volume 22 Issue 8
Aug.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(8): 1296-1299
ZHUO Shuxiong, WU Jialin, YANG Xi, ZHOU Yingda. Problems faced in the work and countermeasures of the integrated medical and elderly care in China[J]. Chinese Journal of General Practice, 2024, 22(8): 1296-1299. doi: 10.16766/j.cnki.issn.1674-4152.003620
Citation: ZHUO Shuxiong, WU Jialin, YANG Xi, ZHOU Yingda. Problems faced in the work and countermeasures of the integrated medical and elderly care in China[J]. Chinese Journal of General Practice, 2024, 22(8): 1296-1299. doi: 10.16766/j.cnki.issn.1674-4152.003620
shu

Problems faced in the work and countermeasures of the integrated medical and elderly care in China

doi: 10.16766/j.cnki.issn.1674-4152.003620
  • 1.

    Pudong New Area South Wharf Community Health Center, Shanghai 200125, China

Funds:

 PW2021B-12

  • Received Date: 2024-03-11
    Available Online: 2024-11-19
    Abstract
  •   Objective  This paper analyzes the current situation of the integrated medical and elderly care work in China, summarizes the existing problems in the integrated medical and elderly care work and makes an in-depth analysis, and puts forward some suggestions for improvement.  Methods  The Chinese search and English search terms were "integrated medical and elderly care/integrated medical and nursing care" "development" "problems" "effect" and "current situation". Retrieve PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), VIP, WanFang Data Knowledge Service Platform and other databases, Google Scholar, Baidu Scholar, and other search engines. The retrieval time was from January 2018 to October 2023. The included literature was sorted out and analyzed, and according to the literature mention rate, the main problems existing in the current integrated medical and elderly care are sorted out. Through the Delphi expert consultation method, the problems existing in the integrated medical and elderly care mode are sorted according to importance and severity. A comprehensive ranking is obtained by adding the ranking values from low to high through the literature mention rate and the ranking values from expert interviews.  Results  Ten core problems are extracted, such as imperfect top-level design system, insufficient capacity of service subjects, the imbalance between supply and demand, the heavy burden of pension economy, insufficient construction of information platform, insufficient awareness, lack of long-term incentive mechanism, imperfect supervision mechanism, loose institutional linkage, obvious regional differences, and insufficient innovation.  Conclusion  The high-quality development of the integrated medical and elderly care model with Chinese characteristics should be supported by the establishment of a sound system guarantee, the balance between supply and demand, the deepening of information construction, and the coordination and cooperation of supply subjects, to realize the effective utilization of medical resources and achieve a healthy, orderly and stable development model.

     

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