Huang Dongmei, Zhou Caizhong, Li Caili, Huang Huiqiao, Pan Xiao, Pan Yanfei, Pan Qini, Lai Lichong
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China.
Department of Internal Medicine, Second People's Hospital of Teng County, Wuzhou, Guangxi, People's Republic of China.
Risk Manag Healthc Policy. 2024 Oct 29;17:2547-2556. doi: 10.2147/RMHP.S475319. eCollection 2024.
To investigate the current status of elderly health services in medical institutions at all levels within Guangxi Province, China.
Using a purposeful sampling method, a questionnaire survey was conducted from July 24, 2023 to October 24, 2023 on the general situation, human resources, rehabilitation medicine, nursing services, and the development of hospice care at 1305 medical institutions in Guangxi.
Among the surveyed 1305 medical institutions in Guangxi, 172 (13.18%) had established departments of geriatrics, while 293 (22.45%) boasted departments of rehabilitation medicine. Furthermore, 909 (69.66%) of these institutions offered annual free physical examination services to individuals aged 65 and above. Notably, a total of 362 medical institutions, encompassing both comprehensive hospitals and grassroots hospitals, were recognized as elderly-friendly institutions, accounting for 31.4% of the surveyed sample.The highest demand for talents in medical institutions at all levels included specialized physicians/general practitioners (74.6%), traditional Chinese medicine practitioners (63.1%), rehabilitation therapists (56.1%), and specialized nurses for the elderly (41.7%). A total of 1038 medical institutions conducted popular science activities on elderly health, accounting for 79.5% of the total, focusing mainly on disease prevention (89.21%), nutritional diets (84.68%), rational medication use (79.77%), physical exercise (68.21%), and mental health (60.79%). Only 88 medical institutions provided hospice care services, accounting for 6.7% of the total.
Guangxi medical institutions' elderly services are inadequate. Geriatrics and rehab departments are scarce, talent is lacking, and hospice care is underdeveloped. As aging accelerates, the country and society must support elderly care. Governments should introduce talent incentives, and medical institutions should enhance services, foster a positive work environment, and advance Guangxi's elderly health agenda.
调查中国广西壮族自治区各级医疗机构老年健康服务的现状。
采用目的抽样法,于2023年7月24日至2023年10月24日对广西1305家医疗机构的基本情况、人力资源、康复医学、护理服务及临终关怀发展情况进行问卷调查。
在广西接受调查的1305家医疗机构中,172家(13.18%)设立了老年医学科,293家(22.45%)设有康复医学科。此外,其中909家(69.66%)机构为65岁及以上人群提供年度免费体检服务。值得注意的是,共有362家医疗机构,包括综合医院和基层医院,被认定为老年友善医疗机构,占被调查样本的31.4%。各级医疗机构对人才的最高需求包括专科医生/全科医生(74.6%)、中医师(63.1%)、康复治疗师(56.1%)和老年专科护士(41.7%)。共有1038家医疗机构开展了老年健康科普活动,占总数的79.5%,主要集中在疾病预防(89.21%)、营养饮食(84.68%)、合理用药(79.77%)、体育锻炼(68.21%)和心理健康(60.79%)。只有88家医疗机构提供临终关怀服务,占总数的6.7%。
广西医疗机构的老年服务不足。老年医学科和康复科稀缺,人才短缺且临终关怀发展不足。随着老龄化加速,国家和社会必须支持老年护理。政府应出台人才激励措施;医疗机构应加强服务,营造积极的工作环境,推进广西的老年健康议程。