Science Discovery

| Peer-Reviewed |

Health Management for the Aged: Status, Problems and Countermeasures - A Case Study of Q Community

Received: 11 December 2018    Accepted:     Published: 12 December 2018
Views:       Downloads:

Share This Article

Abstract

Taking the Q community in Nanjing, Jiangsu Province as an example, this paper examines the elderly health management and its service status on the basis of qualitative research. On the basis of the purposeful sampling, the researchers selected three elderly people as the respondents in a combination of intensity sampling and stratified sampling. Each respondents was interviewed approximately 45 minutes interview twice by semi-structured interviews. After obtaining the consent of the respondents, the researchers recorded and transcribed the interviews, and based on this, they used open coding combined with generic analysis and situational analysis to conduct in-depth analysis, refinement and induction of the interview data. All subjects read and signed the Informed Consent Form of the study, and the entire research process strictly followed the ethical principles of qualitative research. The study found that: (1) The current health management model for the elderly is mainly self-management, family management and community management. The services provided by the government are mainly realized through community, and will gradually deepen family and self-management; (2) The problems existing in the health management of the elderly include errors of personal health concept and lack of health behaviors, abandon family health management for children, low level of the quality and efficiency of community health management and insufficient attention of mental health. (3) Health management of the elderly requires self-family-community tripartite collaboration: in self In management, develop good living habits, create a healthy environment, improve health awareness and health beliefs, and regularly seek medical treatment. In family management, children pay attention to, promote home-based care and family beds, promote family doctors' contracting services, and carry out chronic disease follow-up and development. And try smart software such as family health management terminals; increase the support of third-tier cities in community management, update medical equipment and improve the technical level of medical staff, increase social workers and other professional positions and benefits, pay attention to mental health and carry out cultural and sports activities. The results show that there are still many problems in the current elderly health management services, and they are going to be improved through self-family-community health management collaboration.

DOI 10.11648/j.sd.20180606.35
Published in Science Discovery (Volume 6, Issue 6, December 2018)
Page(s) 535-541
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Elderly Health Management, Case Study, Health Management Service

References
[1] 陈叙, 程晓明. 社区卫生服务与公共卫生服务的关系(摘编)[J]. 卫生经济研究, 2005(5):14-14。
[2] Kinnair D. California dreaming[J]. Nursing Management, 2008, 15(4):3.
[3] 陈君石. 健康管理师[M]. 中国协和医科大学出版社, 2007。
[4] 刘文兰, 张文霞, 朱家亮,等. 对社区老年慢性病患者实施医养护一体化管理效果观察[J]. 内科, 2017, 12(1):119-121。
[5] Becquemont L, Bauduceau B, Benattar‐Zibi L, et al. Association between Cardiovascular Drugs and Chronic Kidney Disease in Non‐Institutionalized Elderly Patients[J]. Basic Clin Pharmacol Toxicol, 2015, 117(2):137-143.
[6] Richard G A Feachem, Neelam K Sekhri, Karen L White. Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente[J]. Bmj, 2002, 324(7330):135.
[7] Rothgang H, Cacace M, Frisina L, et al. The Changing Public-Private Mix in OECD Health-care Systems[J]. 2008.
[8] Parry J. Foreword. In praise of the Kaiser model.[J]. Health Service Journal, 2011, 121(6278):23.
[9] Bousquet J,Anto JM,Berkouk K,et a1.Developmental detemr inants in non-communicable chronic diseases and ageing[J].Thorax,2015,70(6):595—597.
[10] 栾文敬, 杨帆, 串红丽,等. 我国老年人心理健康自评及其影响因素研究[J]. 西北大学学报(哲学社会科学版), 2012, 42(3):75-83。
[11] 何叶, 绳宇. 空巢老年糖尿病患者自我管理水平和生存质量的相关性研究[J]. 中华护理杂志, 2013, 48(2):136-138。
[12] 杨剑.健康教育及管理在社区老年慢性病防治中的应用与效果 [J].中国当代医药,2016,23(19):192-194。
[13] 冯丽娜, 陈长香, 田苗苗. 老年人自我健康管理、家庭及社会支持系统与心理健康的相关性[J]. 现代预防医学, 2014, 41(16):2963-2966。
[14] Giacomin K C, Peixoto S V, Uchoa E, et al. [A population-based study on factors associated with functional disability among older adults in the Great Metropolitan Belo Horizonte, Minas Gerais State, Brazil].[J]. 2008, 24(6):1260.
[15] Sangalang C C, Gee G C. Depression and anxiety among Asian Americans: the effects of social support and strain[J]. Soc Work, 2012, 57(1):49-60.
[16] 崔光辉, 吴振强, 张秀军,等. 安徽某地区老年人孤独及其影响因素的研究[J]. 现代预防医学, 2009, 36(11):2067-2070。
[17] 李卫红. 社区护理干预对老年人心理健康的影响[J]. 卫生职业教育, 2008, 26(20):122-123。
[18] 陈冬雅,钟雪花.社区老年慢性病患者在实施健康管理模式后的改善情况评价[J].深圳中西医结合杂志,2016,26(18):192—194。
[19] 李春霖. 我国老年人健康管理研究[D]. 中国海洋大学, 2013。
[20] 黄建始. 美国的健康管理:源自无法遏制的医疗费用增长[J]. 中华医学信息导报, 2006, 86(12):5-6。
[21] 张凤英. 综合医院健康管理服务模式研究[D]. 电子科技大学, 2009。
[22] 龙纳, 胡秀英, 大黑绫子. 日本老年护理制度介绍[J]. 护士进修杂志, 2011, 26(11):1032-1033。
[23] 杨辉, Christopher Anderson, Shane Thomas. 澳大利亚的"社区卫生服务":概念和背景[J]. 中国全科医学, 2006, 9(21):1776-1777。
[24] 秦恳, 吴琴琴, 张帆,等. 华西医院健康管理模式及区域内健康管理链的实践[J]. 中国卫生事业管理, 2011, 28(8):581-582。
[25] 薛荃, 刘冬梅, XUEQuan,等. 社区老年高血压患者的健康管理模式和效果评价[J]. 中华全科医学, 2011, 09(5):763-765。
[26] 谢霖, 郑爱喜, 肖厚平,等. 老年综合评估健康管理模式的探讨[J]. 循证护理, 2017, 3(6):580-584。
[27] 袁明秀. 社区“以医助养”模式对老年人健康管理的影响观察[J]. 健康之路, 2018(3)。
[28] Miguel A. Perez, Raffy R. Luquis. Cultural Competence in Health Education and Health Promotion, 2nd Edition[J]. 2008.
[29] Hunter DJ, Brown J. A review of health management research[J]. European Journal of Public Health, 2007, 17(1):33-37.
[30] 步诗兰. 社区老年人实施健康管理服务效果探讨[J]. 饮食保健, 2018, 5(15)。
[31] 纵蒙蒙. 老年慢性病患者健康管理效果评价[D]. 东南大学, 2015。
[32] 吴晓丽, 徐辉, 余清,等. 健康管理对老年人慢性疾病的干预效果评价[J]. 中华疾病控制杂志, 2018(6)。
[33] 李力, 徐珊珊, 纪建梅,等. 山东省基层医疗机构老年人健康管理现况研究[J]. 中国卫生事业管理, 2013, 30(4):313-315。
[34] 杨靓, 巢健茜, 陈黄慧,等. 基于模糊综合评价法的社区老年人健康管理效果评价[J]. 中国全科医学, 2016, 19(16):1946-1950。
[35] 陈璟瑜, 姜明霞, 鲍勇. 家庭医生签约服务对社区贫困老人健康管理的影响[J]. 中国全科医学, 2013, 16(34):3355-3357。
[36] 郑名烺, 李巧, 张勇,等. 深圳市福田区65岁及以上老年人健康状况与卫生服务需求分析[J]. 中国社会医学杂志, 2018(1)。
[37] 张林, 林晓明, 刘堃,等. 基于聚类分析的社区老年人健康需求状况调查及分类研究[J]. 中国全科医学, 2015(31):3849-3851。
[38] 薛方, 王丽. 基于安卓平台的居家老年人健康管理系统的构建[J]. 中国医学装备, 2015(9):17-20。
[39] 陈向明. 质的研究方法与社会科学研究[M]. 教育科学出版社, 2000。
[40] Wakeford J. The Discovery of Grounded Theory: Strategies for Qualitative Research, by Barney Glaser; Anselm L. Strauss[J]. Nursing Research, 1968, 17(4):377-380.
[41] 傅华, 李光耀. 健康自我管理手册[M]. 复旦大学出版社, 2009.
[42] Ronak Karbalaeifar, Sara Kazempour-Ardebili, Parisa Amiri, et al. Evaluating the effect of knowledge, attitude and practice on self-management in patients with type 2 diabetes[J]. Acta Diabetologica, 2016, 53(6):1-9.
[43] 余慧. 健康促进管理模式干预对社区老年人健康素养的影响探析[J]. 现代医学与健康研究电子杂志, 2018(12)。
[44] 张持晨, 潘晓洁, 贺鹭,等. 以SMG为视角的社区老年人健康管理能力评价指标体系构建[J]. 中国老年学杂志, 2018(14)。
[45] Champion V L. Use of the health belief model in determining frequency of breast self-examination.[J]. Research in Nursing & Health, 1985, 8(4):373.
[46] 张丽娟, 张敏. 健康教育对社区老年高血压患者干预效果分析[J]. 北华大学学报(自然), 2017, 18(3):386-388。
[47] 李彩福. 自我管理干预对社区中老年糖尿病患者健康素养的影响[J]. 中国老年学, 2017, 37(11)。
[48] 李欣, 张爽, 孙晓菲,等. 沈阳市养老机构老年人健康自我管理现状及其影响因素分析[J]. 沈阳医学院学报, 2018(2)。
[49] 陈莉莉, 翁林舒. 老年人居家护理服务需求状况文献分析[J]. 中国公共卫生管理, 2018(1)。
[50] 莫瑞豪, 曾润颜, 余健,等. 家庭医生制模式下老年人健康管理方法的实践[J]. 中华全科医学, 2013, 11(7)。
Author Information
  • School of Psychology, Nanjing Normal University, Nanjing, China

  • School of Psychology, Nanjing Normal University, Nanjing, China

  • School of Psychology, Nanjing Normal University, Nanjing, China

Cite This Article
  • APA Style

    Changhong Liu, Liping Yang, Hong Fu. (2018). Health Management for the Aged: Status, Problems and Countermeasures - A Case Study of Q Community. Science Discovery, 6(6), 535-541. https://doi.org/10.11648/j.sd.20180606.35

    Copy | Download

    ACS Style

    Changhong Liu; Liping Yang; Hong Fu. Health Management for the Aged: Status, Problems and Countermeasures - A Case Study of Q Community. Sci. Discov. 2018, 6(6), 535-541. doi: 10.11648/j.sd.20180606.35

    Copy | Download

    AMA Style

    Changhong Liu, Liping Yang, Hong Fu. Health Management for the Aged: Status, Problems and Countermeasures - A Case Study of Q Community. Sci Discov. 2018;6(6):535-541. doi: 10.11648/j.sd.20180606.35

    Copy | Download

  • @article{10.11648/j.sd.20180606.35,
      author = {Changhong Liu and Liping Yang and Hong Fu},
      title = {Health Management for the Aged: Status, Problems and Countermeasures - A Case Study of Q Community},
      journal = {Science Discovery},
      volume = {6},
      number = {6},
      pages = {535-541},
      doi = {10.11648/j.sd.20180606.35},
      url = {https://doi.org/10.11648/j.sd.20180606.35},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sd.20180606.35},
      abstract = {Taking the Q community in Nanjing, Jiangsu Province as an example, this paper examines the elderly health management and its service status on the basis of qualitative research. On the basis of the purposeful sampling, the researchers selected three elderly people as the respondents in a combination of intensity sampling and stratified sampling. Each respondents was interviewed approximately 45 minutes interview twice by semi-structured interviews. After obtaining the consent of the respondents, the researchers recorded and transcribed the interviews, and based on this, they used open coding combined with generic analysis and situational analysis to conduct in-depth analysis, refinement and induction of the interview data. All subjects read and signed the Informed Consent Form of the study, and the entire research process strictly followed the ethical principles of qualitative research. The study found that: (1) The current health management model for the elderly is mainly self-management, family management and community management. The services provided by the government are mainly realized through community, and will gradually deepen family and self-management; (2) The problems existing in the health management of the elderly include errors of personal health concept and lack of health behaviors, abandon family health management for children, low level of the quality and efficiency of community health management and insufficient attention of mental health. (3) Health management of the elderly requires self-family-community tripartite collaboration: in self In management, develop good living habits, create a healthy environment, improve health awareness and health beliefs, and regularly seek medical treatment. In family management, children pay attention to, promote home-based care and family beds, promote family doctors' contracting services, and carry out chronic disease follow-up and development. And try smart software such as family health management terminals; increase the support of third-tier cities in community management, update medical equipment and improve the technical level of medical staff, increase social workers and other professional positions and benefits, pay attention to mental health and carry out cultural and sports activities. The results show that there are still many problems in the current elderly health management services, and they are going to be improved through self-family-community health management collaboration.},
     year = {2018}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Health Management for the Aged: Status, Problems and Countermeasures - A Case Study of Q Community
    AU  - Changhong Liu
    AU  - Liping Yang
    AU  - Hong Fu
    Y1  - 2018/12/12
    PY  - 2018
    N1  - https://doi.org/10.11648/j.sd.20180606.35
    DO  - 10.11648/j.sd.20180606.35
    T2  - Science Discovery
    JF  - Science Discovery
    JO  - Science Discovery
    SP  - 535
    EP  - 541
    PB  - Science Publishing Group
    SN  - 2331-0650
    UR  - https://doi.org/10.11648/j.sd.20180606.35
    AB  - Taking the Q community in Nanjing, Jiangsu Province as an example, this paper examines the elderly health management and its service status on the basis of qualitative research. On the basis of the purposeful sampling, the researchers selected three elderly people as the respondents in a combination of intensity sampling and stratified sampling. Each respondents was interviewed approximately 45 minutes interview twice by semi-structured interviews. After obtaining the consent of the respondents, the researchers recorded and transcribed the interviews, and based on this, they used open coding combined with generic analysis and situational analysis to conduct in-depth analysis, refinement and induction of the interview data. All subjects read and signed the Informed Consent Form of the study, and the entire research process strictly followed the ethical principles of qualitative research. The study found that: (1) The current health management model for the elderly is mainly self-management, family management and community management. The services provided by the government are mainly realized through community, and will gradually deepen family and self-management; (2) The problems existing in the health management of the elderly include errors of personal health concept and lack of health behaviors, abandon family health management for children, low level of the quality and efficiency of community health management and insufficient attention of mental health. (3) Health management of the elderly requires self-family-community tripartite collaboration: in self In management, develop good living habits, create a healthy environment, improve health awareness and health beliefs, and regularly seek medical treatment. In family management, children pay attention to, promote home-based care and family beds, promote family doctors' contracting services, and carry out chronic disease follow-up and development. And try smart software such as family health management terminals; increase the support of third-tier cities in community management, update medical equipment and improve the technical level of medical staff, increase social workers and other professional positions and benefits, pay attention to mental health and carry out cultural and sports activities. The results show that there are still many problems in the current elderly health management services, and they are going to be improved through self-family-community health management collaboration.
    VL  - 6
    IS  - 6
    ER  - 

    Copy | Download

  • Sections