第五章 老年人长期照护等级评估工具发展综述.PDFVIP

〉〉 爱可泰隆医药贸易（上海）有限公司 观察思考 老年人长期照护等级评估工具 发展综述 陈诚诚 （清华大学公共管理学院 北京 100084） 【摘 要 】我国长期照护保险试点范围的不断扩大，催生长期照护等级评估日趋科学化，其意义在于 ：精 准的评估工具保障是老年人获得长期照护服务的重要依据，也联系着长期照护服务内容设置与服务质量评 估，只有科学评价老年人的长期照护需求等级，才可能确保资源配置的公平性与合理性。纵观老年人等级 评估相关工具开发过程，可总结三个部分 ：第一是借用临床护理的单一指标来评估老年人身体状况 ；第二 是开发复合指标全面评估老年人能力；第三是准确评估“长期照护需求”，衔接老年人身体状况与照护服务。 在充分理解三个部分的基础上，对于评估工具的属性以及我国未来政策发展方向会有较清晰的认识。 【关键词 】长期照护保险 ；等级评估 ；长期照护需求 ；照护认证时间 【中图分类号 】F840.684 C913.7 【文献标识码 】A 【文章编号 】1674-3830（2017）4-8-4 doi:10.19546/j.issn.1674-3830.2017.4.003 Review on the Development of Long-Term Care Grade Assessment Tools for the Elderly　 Chen Chengcheng (Tsinghua University, Beijing, 100084) As the rang of long-term care insurance pilot programs is continuously expanded, the grade 【Abstract 】 assessment of long-term care is increasingly scientifi cally based. An accurate assessment is an important evidence for providing long-term care services for the elderly, and is related to the contents of the services as well as the evaluation of service quality. Only a scientifi c assessment of the grades of long-term care need could ensure the fairness and rationality of resource allocation. The process of developing the tools to evaluate the grade of long-term care need could be summed up into three steps. The fi rst one is employing the single index of clinical nursing to evaluate the physical condition of the elderly. The second one is developing a composite index to comprehensively evaluate the ability of the elderly. The third one is accurately assessing the long-term care demands of the elderly to relate the long-term care services with their physical condition. By knowing the three steps comprehensively, the attributes of the grade assessment and the futur