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张慧超,吴金凤,苏孟宇,等.分级诊疗制度下江苏省安宁疗护服务项目需求与实施现状调查*[J].中国卫生经济,2023,42(8):60-65.[点击复制] |
Zhang Huichao,Wu Jinfeng,Su Mengyu,et al.Investigation on the Demand and Implementation Status of Hospice Care Services under the Hierarchical Diagnosis in Jiangsu Province[J].CHINESE HEALTH ECONOMICS,2023,42(8):60-65.[点击复制] |
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| 分级诊疗制度下江苏省安宁疗护服务项目需求与实施现状调查* |
| 张慧超,吴金凤,苏孟宇,李晓燕,周宁,周智,陈燕子,李捷,吴静,张玉玺 |
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| (南京中医药大学附属南京医院 （南京市第二医院）南京 210003 ;南京中医药大学 南京 210046;江苏省护理学会 南京 210009;南京医科大学 南京 211166;中国人民解放军东部战区空军医院 南京 210000;南京明基医院 南京 210019;南京医科大学第一附属医院 （江苏省人民医院）南京 210029) |
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| 摘要: |
| 目的：调查江苏省安宁疗护服务项目的开展现况，分析江苏省不同级别医院对安宁疗护服务项目的需求、实施情况，并结合相关文献、医保政策等提出建议。方法：采用自行设计的“安宁疗护服务项目开展现状调查表”进行调查。结果：实际调查63家实施安宁疗护服务的医院，包括41家三级医院、10家二级医院和12家一级医院。114个安宁疗护相关服务项目，根据不同医院的等级分组，得出已纳入医保相关服务项目需求-实施均值为：一级医院10.40%，二级医院31.10%，三级医院23.90%；未纳入医保相关服务项目需求-实施均值：为一级医院16.40%，二级医院43.10%，三级医院32.40%。结论： 分级诊疗制度下的安宁疗护亟待从三级医院下沉至一级、二级医院。部分已纳入医保的相关服务项目难以在安宁疗护科室享受医保待遇，难以实施。未纳入医保的安宁疗护相关服务项目有较大发展空间。 |
| 关键词: 安宁疗护服务项目 分级诊疗 医保政策 江苏 |
| DOI： |
| 投稿时间：2023-05-27 |
| 基金项目:江苏省科学技术协会调研课题（JSKXKT 2022034）；江苏省老年健康科研课题 （LKZ2022002）；国家自然科学基金（71704084）；江苏省研究生科研与实践创新计划 （SJCX22_0701） |
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| Investigation on the Demand and Implementation Status of Hospice Care Services under the Hierarchical Diagnosis in Jiangsu Province |
| Zhang Huichao,Wu Jinfeng,Su Mengyu,Li Xiaoyan,Zhou Ning,Zhou Zhi,Chen Yanzi,Li Jie,Wu Jing,Zhang Yuxi |
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| Abstract: |
| Objective: To investigate the current situation of hospice care service projects in Jiangsu Province, analyze the demand and implementation of hospice care service projects in hospitals of different levels in Jiangsu Province, and put forward suggestions based on relevant literature and medical insurance policies. Method: The current situation of hospitals providing hospice care services in Jiangsu Province was investigated by using the self-designed “Hospice Care Service Project Status Questionnaire”. Results: A to- tal of 63 hospitals providing hospice services were surveyed, including 41 tertiary hospitals, 10 secondary hospitals and 12 primary hos- pitals. A total of 114 hospice care related service items were grouped according to different hospital levels, and the average demand for covered medical insurance related service items was 10.4% in primary hospitals, 31.1% in secondary hospitals and 23.9% in tertia- ry hospitals. Demand for services not covered by medical insurance: the mean of implementation was 16.4% for primary hospitals, 43.1% for secondary hospitals and 32.4% for tertiary hospitals. Conclusion: Hospice care under the hierarchical diagnosis should be transferred from tertiary hospitals to primary and secondary hospitals. Some of the related service items that have been included in medical insurance are difficult to enjoy medical insurance treatment in hospice care departments and difficult to implement. Hospice care services that are not covered by medical insurance have a large space for development. |
| Key words: hospice care services investigation hierarchical diagnosis medical insurance policy Jiangsu |