Exploration of the realistic dilemmas and development paths in the establishment of elderly-friendly medical institutions
10.12026/j.issn.1001-8565.2024.12.15
- VernacularTitle:老年友善医疗机构创建中的现实困境及发展路径探析
- Author:
Jiaying ZHANG
1
;
Yiyao ZHANG
;
Yingchun PENG
Author Information
1. 首都医科大学医学人文学院,北京 100069
- Keywords:
elderly-friendly hospital;
elderly;
medical environment;
quality of life
- From:
Chinese Medical Ethics
2024;37(12):1466-1472
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current dilemmas in the survival and development of elderly-friendly medical institutions from the dual perspectives of medical staff and elderly patients,to optimize the construction of elderly-friendly medical institutions,to create a friendly,safe,and comfortable medical environment,provide comprehensive,continuous,and caring medical services for the elderly.Methods:Based on the questionnaire survey method,the existing dilemmas and development paths of elderly-friendly medical institutions from multiple dimensions were explored,including culture,management,service,and environment.Results:Quantitative research showed that elderly patients satisfaction with the friendly culture of the medical,but 28(21.1%)still thought that the medical staff did not communicate with them adequately,and 73(54.9%)thought that the institutions lacked health education and guidance for them.In the evaluation of the medical environment,the dissatisfaction of elderly patients was manifested as inadequate transportation facilities(33 visits),lack of barrier-free facilities(29 visits),and unclear medical guidance(25 visits).The results of the chi-square test showed that there was a statistically significant difference in waiting time for medical services among elderly patients based on gender(P<0.05),and women were more patient.There were statistically significant differences in the level of service convenience and satisfaction with geriatric syndrome assessment among elderly patients of different age groups(P<0.05).Qualitative research found that there were problems in the management of elderly-friendly medical institutions,such as cumbersome referral processes,low enthusiasm of medical staff,insufficient elderly professionals,and a lack of performance evaluation and training systems.Conclusion:To solve the existing difficulties of elderly-friendly medical institutions,it should start with paths of strengthening the training of medical staff,improving the hospital management system,upgrading the level of service specialization,and improving the aging-appropriate environment,to enhance the sense of accessibility of medical care for elderly patients and improve their quality of life.
