Background: The integration of medical and nursing has been gradually carried out in recent years, but the weak family pension and insufficient community pension at this stage are not enough to support the integration of medical and nursing in China. Therefore, it is of great significance to improve medical-nursing integrated services in pension agencies by investigating their current status. Objective: To explore the main problems of medical-nursing integrated services in private pension agencies through understanding their current situation, and provide countermeasures for optimizing the medical-nursing integrated services. Methods: We selected 6 pension agencies for investigation according to the combination mode of medical and nursing with stratified sampling method, then interviewed 6 managers from 6 private pension agencies with in-depth interview from December 2019 to January 2020, finally analyzed and summarized the interview data with the Colaizzi 7-step analysis method. Results: The main problems of medical-nursing integrated services in private pension agencies are lack of medical service standards, poor integration of medical and nursing, insufficient number and low quality of medical-nursing integrated service team, lack of policy support, single fund-raising channel for pension agencies and heavy financial burden of high service fee for the elderly. Conclusion: The countermeasures to solve the above problems are clarifying the goals of medical services, strengthening the construction of medical-nursing integrated service team, increasing policy support and investment, and accelerating the popularization of the long-term care insurance system.
Cite this paper
Du, X. , Li, W. , Peng, Q. , Wang, L. and Ma, J. (2021). Problems and Countermeasures of Medical-Nursing Integrated Services in Chongqing’s Private Pension Agencies: A Qualitative Study
. Open Access Library Journal, 8, e7127. doi: http://dx.doi.org/10.4236/oalib.1107127.
National Bureau of Statistics (2020) Statistical Communique of the People’s Republic of China on the 2019 National Economic and Social Development.
http://www.stats.gov.cn/tjsj/zxfb/202002/t20200228_1728913.html
Gao, H. (2017) Research on the Fund Security of City Pension Agency with “Medical & Nursing Combined” Mode. MD, Jilin University, Changchun.
https://kns.cnki.net/KCMS/detail/detail.aspx?dbname=CMFD201702&filename=1017158943.nh
Sun, J.J. and Tian, J.Y. (2020) An Analysis of Integrated Health Care and Social Services Policies of China in the Perspective of New Health Aging. China Sport Science and Technology, 56, 58-65.
Si, J.P., Guo, Q., Wang, X.J., et al. (2020) A Study on the Policy Text of Integrated Health Care and Social Services for Seniors in China from the Perspective of Policy Tools. Chinese Journal of Health Policy, 13, 49-55.
Shen, J.L., Shen, Y. and Wang, H.J. (2019) Research on the Model of “Integration of Medical Care and Nutrition” in the Perspective of Healthy Aging. Price: Theory & Practice, 15-19.
Wu, L.Q., Lu, W.J. and Yao, K.Q. (2019) Analysis on the Factors Influencing the Choose of Medical-Nursing Combined Services among the Elderly People in Urban China. Chinese General Practice, 22, 10-13.
Chongqing Municipal People’s Government (2017) Notice of the General Office of the Chongqing Municipal People’s Government on Printing and Distributing the “Thirteenth Five-Year Plan” for the Development of the Elderly Career and the Construction of the Elderly Care System.
http://www.cq.gov.cn/zwgk/fdzdgknr/lzyj/xzgfxwj/szfbgt_38656/202001/t20200115_4753846.html
Huang, J.Y. and Nie, Q.Q. (2017) Research and Countermeasures on the Integration of Medical and Nursing—Taking 6 Private Pension Agencies in Jiangsu as an Example. Health Economics Research, 21-23.
Wang, B.Y., Xu, M.J. and Wu, Q.J. (2018) Status Quo and Countermeasures for Developing Institutions Combining Old-Age Care and Medical Care in Guangxi. Chinese General Practice, 21, 3741-3745.
Wang, H.T. (2019) Take a Holistic Approach to Promote the Development of Pension Services Integrating Elderly Care and Medical Services. Macroeconomic Management, 34-38.
Liu, S.Y., Liu, M., Gui, Y., et al. (2016) Development of Old-Age Care Institutions of Medical-Nursing Combined in Beijing: Problems and Solutions. Chinese General Practice, 19, 4034-4038.
Zhou, X.L., Jiao, Y.H. and Wang, C. (2019) Problems and Countermeasures in the Medical-Nursing Integrated Service System of Xi’an Elderly Care Institutions. Chinese Journal of Gerontology, 39, 1210-1213.
Zhang, X.J. (2018) Research on the Current Situation, Problems and Countermeasures of Medical Care and Pension Service in Changchun City. MD, Jilin Agricultural University, Changchun.
https://kns.cnki.net/KCMS/detail/detail.aspx?dbname=CMFD201901&filename=1019811726.nh
Shi, C. (2019) Qualitative Research on the Development Status and Dilemma of the Medical-Aged Care Combined Institutions in Taiyuan City. MD, Shanxi Medical University, Taiyuan.
https://kns.cnki.net/KCMS/detail/detail.aspx?dbname=CMFD201902&filename=1019611769.nh
Jin, Q. (2017) Analysis of the Status Quo and Countermeasures of Urban Elderly Care Institutions with Integration of Medical and Nursing—Taking C Elderly Care Institutions in Shangrao City, Jiangxi Province as an Example. MD, Jiangxi University of Finance and Economics, Nanchang.
Dang, R.Y., Zhou, Y., Xu, L., et al. (2017) Research on the Modes and Countermeasures of Urban Aged Care Institutions with the Combination of Medical and Nursing. Practical Preventive Medicine, 24, 580-582.