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

摘要

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.