基于ICF的社区老年人健康相关康复服务架构与策略探析

doi:10.3969/j.issn.1006-9771.2024.07.008

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (7): 804-810.doi: 10.3969/j.issn.1006-9771.2024.07.008

基于ICF的社区老年人健康相关康复服务架构与策略探析

井淇¹^,²^,³, 蔡伟芹¹^,², 高倩倩¹^,², 嵇丽红¹^,⁴, 董志伟¹^,², 邢洋⁵, 李伟¹^,⁴, 张建华¹^,⁴^,⁶()

1.山东第二医科大学“健康山东”重大社会风险预测与治理协同创新中心，山东潍坊市 261053
2.山东第二医科大学管理学院/ICF研究院/康复健康研究院，山东潍坊市 261053
3.牛津大学牛津人口老龄研究所，英国牛津OX2 6PR
4.山东第二医科大学公共卫生学院，山东潍坊市 261053
5.山东第二医科大学第一附属医院，山东潍坊市261042
6.济宁医学院，山东济宁市 272113

收稿日期:2024-06-26 出版日期:2024-07-25 发布日期:2024-08-07
通讯作者: 张建华(1970-)，男，汉族，山东阳信县人，硕士，教授，主要研究方向：卫生管理与政策、卫生法学，E-mail： zhangjh@sdsmu.edu.cn
作者简介:井淇(1988-)，男，汉族，山东临朐县人，博士，教授，主要研究方向：卫生健康政策与管理。
基金资助:
国家自然科学基金项目(72374156);山东省高等学校"青创团队计划"团队研究课题(2022RW075)

Analysis of framework and strategies of community-based health-related rehabilitation service for older adults based on ICF

JING Qi¹^,²^,³, CAI Weiqin¹^,², GAO Qianqian¹^,², JI Lihong¹^,⁴, DONG Zhiwei¹^,², XING Yang⁵, LI Wei¹^,⁴, ZHANG Jianhua¹^,⁴^,⁶()

1. Healthy Shandong Collaborative Innovation Center for Major Social Risk Prediction and Management, Shandong Second Medical University, Weifang, Shandong 261053, China
2. School of Management/China Academy of ICF/China Rehabilitation and Health Research Institute, Shandong Second Medical University, Weifang, Shandong 261053, China
3. Oxford Institute of Population Ageing, University of Oxford, Oxford, OX2 6PR, United Kingdom
4. School of Public Health, Shandong Second Medical University, Weifang, Shandong 261053, China
5. First Affiliated Hospital, Shandong Second Medical University, Weifang, Shandong 261042, China
6. Jining Medical University, Jining, Shandong 272113, China

Received:2024-06-26 Published:2024-07-25 Online:2024-08-07
Contact: ZHANG Jianhua, E-mail: zhangjh@sdsmu.edu.cn
Supported by:
National Natural Science Foundation(72374156);Project of "Youth Innovation Team Plan" in Shandong University(2022RW075)

摘要/Abstract

摘要：

目的从社区与人群视角科学评估老年人健康相关康复服务需求，构建社区老年人健康相关康复服务框架。
方法从社区层面分析老年人健康相关康复服务存在的局限性，并基于《国际功能、残疾和健康分类》(ICF)框架构建社区老年人健康相关康复服务框架并提出实施路径。
结果本研究在分析国内外现有社区康复服务的评估、供给和模式的基础上，结合我国的新时代背景和现实要求，阐释了社区老年人健康相关康复服务的内涵，提出以ICF为指导构建社区老年人健康相关康复服务框架，从提高领导力和政策、筹资、人力、服务供给、技术、数智赋能等方面提出推动社区老年人健康相关康复服务的实施策略，为落实推动应对人口老龄化国家战略和健康中国战略提供参考和借鉴。
结论要持续加快推动健康相关康复服务能力建设，增加健康相关康复服务供给，满足群众多样化健康相关康复服务需求。

关键词: 老年人, 社区, 健康相关康复服务, 策略

Abstract:

Objective To assess the elderly health-related rehabilitation services (HRRS) needs from a community and population perspective and construct a community-based elderly HRRS framework.
Methods The limitation of the elderly HRRS was analyzed, a community-based elderly rehabilitation service framework based on the International Classification of Functioning, Disability, and Health (ICF) was guided, and the implementation path was proposed.
Results This paper analyzed the evaluation, provision and models of existing community rehabilitation services both domestically and internationally. It combined the background and practical requirements of China's new era to elucidate the connotation of HRRS for the elderly in the community. It proposed constructing a community-based elderly HRRS framework guided by ICF. The paper also offered implementation strategies for promoting community-based elderly HRRS, focusing on enhancing leadership and policy, financing, human resources, service provision, technology, and digital intelligence empowerment. It provided reference and insights for advancing the national strategy of population aging and implementing the Healthy China strategy.
Conclusion It is suggested to continue to accelerate the development of rehabilitation capacity, and increase the supply of HRRS, to meet the diverse needs of the masses of HRRS.

Key words: elderly, community, health-related rehabilitation services, strategy

中图分类号:

R161.7

井淇, 蔡伟芹, 高倩倩, 嵇丽红, 董志伟, 邢洋, 李伟, 张建华. 基于ICF的社区老年人健康相关康复服务架构与策略探析[J]. 《中国康复理论与实践》, 2024, 30(7): 804-810.

JING Qi, CAI Weiqin, GAO Qianqian, JI Lihong, DONG Zhiwei, XING Yang, LI Wei, ZHANG Jianhua. Analysis of framework and strategies of community-based health-related rehabilitation service for older adults based on ICF[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 804-810.

图/表 1

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基于ICF的社区老年人健康相关康复服务架构与策略探析

Analysis of framework and strategies of community-based health-related rehabilitation service for older adults based on ICF

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