岳铭坤　叶利军

〔摘要〕 目的 了解中医院校教职工对医养结合养老模式的认可程度和需求，探索促进医养结合养老模式发展的途径。方法 对湖南省某中医药大学及附属医院教职工进行问卷调查。结果 共收回有效问卷340份，在选择养老院时，被调查对象偏重于选择社区卫生服务中心内设养老机构，了解医养结合的途径主要是网络与电视，对医养结合的养老模式比较认可，但是存在认知度不高、对收费标准不满意等问题。结论 医养结合机构需要加强宣传力度;政府发挥宏观调控职能;调动社会力量积极性、增加医养结合供给;医养结合机构提高医疗和养老服务的能力和水平;加强专业人才队伍建设，发挥中医药在养老服务中的作用。

〔關键词〕 中医院校教职工;医养结合;养老模式;认知情况

〔中图分类号〕R2;C93       〔文献标志码〕A       〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.09.026

Investigation and Reflection on the Cognitive Situation of Pension Mode of Medical Care and

Old-age Care Combination in Faculty and Staff of Traditional Chinese Medicine University

YUE Mingkun， YE Lijun*

（Hunan University of Chinese Medicine， Changsha， Hunan 410208， China）

〔Abstract〕 Objective To understand the degree of recognition and demand in faculty and staff of a traditional Chinese medicine （TCM） university on the pension mode of medical care and old-age care combination， and to explore ways to promote the development of the pension mode of medical care and old-age care combination. Methods A questionnaire survey was conducted among faculty and staff of a TCM university and its affiliated hospital in Hunan Province. Results A total of 340 valid questionnaires were retrieved. When choosing a nursing home， the respondents tended to choose a community health care center-based one. They understood the combination of medical care and old-age care mainly through network and TV. The faculty and staff in the TCM university relatively recognized the pension mode of medical care and old-age care combination， but there were problems such as low degree of cognition and dissatisfaction with the charging standards. Conclusion Organizations of medical care and old-age care combination need to strengthen their publicity， and the government should play the role of macro-control. The enthusiasm of social forces should be mobilized， and the supply of medical care and old-age care combination needs to be increased. The service ability and level of medical care and old-age care need to be improved in the organizations of medical care and old-age care combination. Strengthen the construction of professional talent teams， and exert the role of TCM in the old-age care services

〔Keywords〕 faculty and staff of a traditional Chinese medicine university; medical care and old-age care combination; pension mode; cognitive situation

党的十九大报告提出“积极应对人口老龄化，大力推进医养结合”。“医养结合”是指医疗资源与养老资源相结合，“医”包括医疗康复保健服务，具体为医疗服务、健康咨询服务、健康检查服务、疾病诊治和护理服务、大病康复服务以及临终关怀服务等;“养”则包括生活照护服务、精神心理服务、文化活动服务[1]。随着我国老龄群体不断增长，老龄化程度不断加深。目前，我国60周岁及以上人口为1.47亿，占总人口的17.9%[2]。老年人的生活自理能力和长期照料问题日益突出。我国学术界研究的着眼点主要在分析不同模式的医养结合优劣以及其造成的影响等方面，很少涉及不同群体对医养结合的认可度。……