CAJ | 학술논문

目的:调查公立养老机构痴呆老人的照顾费用及其构成情况,并分析其影响因素,为合理分配社会资源,探索痴呆老人最佳的照顾管理模式提供依据.方法:从北京市和广州市2家公立养老机构选取103例痴呆老人作为研究对象,调查其照顾费用情况,并采用多元线性回归分析照顾费用的影响因素.结果:公立养老机构痴呆老人每月平均照顾费用为1672~8634 (3974.6±1782.9)元,约47 695元/年,其中直接医疗费用占59.10%,直接非医疗费用占37.84%,间接费用占3.05%.文化程度越高、日常生活能力越差的痴呆老人照顾费用越高;轻度痴呆老人照顾费用高于中、重度痴呆老人.结论:养老机构痴呆老人照顾费用给家庭和社会带来一定经济负担;老人的文化程度、日常生活能力和痴呆程度对照顾费用有一定影响.建议通过合理配置资源,在确保痴呆老人获得优质照护服务的同时,降低总体的照顾费用.
목적:조사공립양로궤구치태노인적조고비용급기구성정황,병분석기영향인소,위합리분배사회자원,탐색치태노인최가적조고관리모식제공의거.방법:종북경시화엄주시2가공립양로궤구선취103례치태노인작위연구대상,조사기조고비용정황,병채용다원선성회귀분석조고비용적영향인소.결과:공립양로궤구치태노인매월평균조고비용위1672~8634 (3974.6±1782.9)원,약47 695원/년,기중직접의료비용점59.10%,직접비의료비용점37.84%,간접비용점3.05%.문화정도월고、일상생활능력월차적치태노인조고비용월고;경도치태노인조고비용고우중、중도치태노인.결론:양로궤구치태노인조고비용급가정화사회대래일정경제부담;노인적문화정도、일상생활능력화치태정도대조고비용유일정영향.건의통과합리배치자원,재학보치태노인획득우질조호복무적동시,강저총체적조고비용.
Objective: To investigate the level, distribution and inlfuencing factors of cost of care in dementia patients living in public elderly homes, and provide references for reasonable distribution of social resources and exploring the best care management mode for dementia patients. Methods: Totally 103 dementia patients were recruited from two public elderly homes in Beijing and Guangzhou. The cost was estimated through questionnaires and the inlfuencing factors were analyzed using multiple linear regression analysis. Results: The average cost of dementia patients in public elderly homes was (3974.6±1782.9) RMB per month, nearly 47 695 RMB per year. The direct medical cost and direct non-medical cost accounted for 59.10% and 37.84%, respectively, while the indirect cost accounted for 3.05%. Regression analysis showed that educational level, ability of daily living and severity of dementia were inlfuencing factors of cost. Conclusion: The cost of care in dementia patients living in elderly homes is relatively high, which brings economic burden to the family and society. The cost is higher in patients with higher educational level, poorer ability of daily living and mild dementia patients. It is suggested to make better resources relocation to ensure high-quality care and reduce the cost of dementia patients.