摘要
目的对国家医养结合试点城市出台的412份养老护理员有关政策文件中的政策工具加以研究,探讨当前养老护理员相关政策体系的特点与不足,以期为后续完善养老护理员职业发展等政策提供借鉴。方法采用政策量化分析方法,对我国医养结合试点城市2009—2022年地方政府层面发布的412份养老护理员相关政策进行分析,从政策工具类型与护理员队伍建设要素角度构建二维分析框架,深入分析医养结合养老护理员政策文件。结果X维度,需求型政策工具占10.9%、供给型政策工具占66.0%、环境型政策工具占23.1%。Y维度,资格与招聘要素占5.3%、培养与培训要素占48.6%、岗位管理要素占11.4%、人员评价要素占10.4%、权利与待遇要素占24.3%。结论在政策工具维度上供给型政策工具比例过高,需求型政策工具关注度偏低,各政策工具内部结构不合理;在建设要素维度上建设内容趋于多样化,但仍不够全面。建议优化政策工具内部结构,丰富政策要素内容,均衡各要素环节政策工具使用力度,优化养老护理员队伍建设。
Objective To study the policy tools in 412 policy documents of elderly care workers issued by national pilot cities with the integration of medical and elderly care services,to explore the characteristics and shortcomings of the current policy system for elderly care workers,and to provide reference for the subsequent improvement of policies such as the career development of elderly care workers.Methods With quantitative analysis,we analyzed 412 documents related to elderly care workers issued by local governments from 2009 to 2022 in pilot cities of with the integration of medical and elderly care services.A two-dimensional framework from the perspective of the type of policy tool and the core factors of nursing team construction was established for the policy documents regarding the integration of medical and nursing care services.Results In the X dimension,demand-oriented policy tools accounted for 10.9%,supply-oriented policy tools 66.0%,and environmental policy tools 23.1%.In the Y dimension,qualification and recruitment accounted for 5.3%,training 48.6%,post management 11.4%,personnel evaluation 10.4%,and rights and treatment 24.3%.Conclusion From the dimension of policy tool,the proportion of supply-oriented policy tool is too high,but that of demand-oriented policy tool is low,and the inner structure of each policy tool is unreasonable.From the dimension of construction element,construction content tends to be diversified,but it is still not comprehensive.Optimized internal structure,enriched content,and balanced utilization of policy tools are conducive to improving the team development of elderly care workers.
作者
刘羽佳
陆方
刘瑞韫
LIU Yu-jia;LU Fang;LIU Rui-yun(School of Medical Administration,Nanjing Medical University,Nanjing 211166,China)
出处
《护理学报》
北大核心
2023年第17期24-28,共5页
Journal of Nursing（China）
基金
国家自然科学基金青年基金项目(71804075)
江苏高校哲学社会科学优秀创新团队“公共健康政策与管理创新研究团队”资助
江苏省教育厅高校哲社课题一般项目(2023SJYB0295)。
关键词
养老护理员
政策工具
医养结合
elderly care worker
policy tool
integration of medical and elderly care service
