CAJ | 학술논문

为了解上海市老年人医疗服务需求和日常费用情况及老年护理存在问题，对上海市老年人现状及费用情况进行了调查。研究采用国际通用的日常活动能力等指标对老年人健康状况进行评分，并对不同程度的老年人进行分层分析。在卫生机构、民政机构和社区居民三种居住类型的老年人群中，社区居民的日常生活费用支出最低，而医疗费用方面则是民政机构的老年人费用最低；在自付比例方面，民政机构的老年人自付比例最高，医疗机构的老年人为最低；在日常活动能力方面，住卫生机构的老年人日常活动能力最差、社区居民最高。上海市老年服务存在政策碎片化、养老机构医疗服务提供不足，以及不同机构收治标准不统一等问题。建议从改变养老理念、建立养老-就医绿色通道、明确收治标准等方面考虑本市的老年护理问题。
위료해상해시노년인의료복무수구화일상비용정황급노년호리존재문제，대상해시노년인현상급비용정황진행료조사。연구채용국제통용적일상활동능력등지표대노년인건강상황진행평분，병대불동정도적노년인진행분층분석。재위생궤구、민정궤구화사구거민삼충거주류형적노년인군중，사구거민적일상생활비용지출최저，이의료비용방면칙시민정궤구적노년인비용최저；재자부비례방면，민정궤구적노년인자부비례최고，의료궤구적노년인위최저；재일상활동능력방면，주위생궤구적노년인일상활동능력최차、사구거민최고。상해시노년복무존재정책쇄편화、양로궤구의료복무제공불족，이급불동궤구수치표준불통일등문제。건의종개변양로이념、건립양로-취의록색통도、명학수치표준등방면고필본시적노년호리문제。
To ifnd out the demands, daily expenses and problems of elderly care in Shanghai, a survey was conducted to understand the status quo of the elderly in Shanghai and the expenses of elderly care.The survey adopts international general indicators like capacity of daily living activities to grade the health condition of the elderly, and makes stratiifcation analysis to the elderly who get different scores. The results show that, among the three different residence types of elderly group, i.e. the health agency, civil organizations and community residents, the daily living expense of community residents is the lowest;as for the medical expense, civil organization residents show the lowest;as for the self-paid ratio, civil organization residents rank the ifrst while the health agency residents the last;as for capacity of daily living activities, the health agency residents perform the worst while community residents the best. Through f urther analysis, we ifnd that there exists several problems in current old-age service policies in Shanghai, such as the f ragmentation of pension policy, insuf ifciency of medical service provided by old-age care agencies and non-uniform standards for receiving and giving medical treatment to elderly by different agencies. It’s suggested in this paper that the elderly care problem can be considered from the change of elderly support idea, establishment the green channel of elderly support to medical treatment and deifne the standards for receiving and giving medical treatment to elderly.