Investigation and analysis on 20 elderly care institutions in urban Shanghai
10.3760/cma.j.issn.1000-6672.2018.06.001
- VernacularTitle:上海市部分城区养老机构发展现状和对策研究
- Author:
Chunling LI
1
;
Yao WAN
;
Xiaojie TIAN
;
Zhimin SHAO
Author Information
1. 复旦大学附属华东医院
- Keywords:
Homes for the aged;
Elderly care;
Rehabilitation;
Nursing;
Prevention
- From:
Chinese Journal of Hospital Administration
2018;34(6):441-444
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand current reality of institutional elderly care services in 11 districts in Shanghai and discuss solutions to the planning and enhancement of such institutions. Methods Surveys were conducted in 20 elderly care institutions in Shanghai from August to October 2017 and questionnaires were distributed to the staff and residents in these facilities. Data were analyzed using Stata 12. 0. Results All the 20 institutions offer medical and nursing care, 19 of which providing insurance settlement and 10 were in deficit. Public facilities boost larger scale than private ones. A survey of 186 staff indicated that only 59. 67% of them felt satisfied with their academic title and professional career promotion opportunities; of 450 of the residents surveyed, 61. 47% of them expressed high acceptance of institutional elderly care, and the coverage of such insurances as critical illness and long-term care insurance was below 7%. Conclusions Half of the sample institutions experienced financial difficulties, roadblocks for staff professional promotion mechanism, unaffordable economic burden for residents, and insufficient supplementary insurance coverage. Policies should be implemented to ensure infrastructure and talent cultivation at elderly care facilities. Combination of elderly care with medical services should be promoted. Supplementary insurance is recommended for citizens to relieve disease and elderly care burden.
