免陪照护服务加速落地，如何破解“一人住院，全家奔波”困局？

Core Viewpoint - The introduction of "unaccompanied care services" in Shandong Province aims to address the increasing demand for patient care due to aging populations and changing family structures, while also improving medical quality and resource optimization [1][3][4]. Group 1: Service Overview - Unaccompanied care services allow patients to receive care from nurses or hired caregivers during hospitalization, based on patient consent and condition, currently applicable only to certain levels of care and not covered by insurance [1][2]. - The service is designed to alleviate the burden on nurses, who are primarily focused on medical tasks, by allowing them to delegate non-technical care duties [3][4]. Group 2: Implementation and Pilot Programs - Various regions, including Anhui, Shandong, Tianjin, and Zhejiang, have initiated pilot programs for unaccompanied care services, with the National Healthcare Security Administration establishing pricing guidelines for these services [2][6]. - The pilot program, which started in June 2023 and will run until June 2027, aims to enhance service availability and improve patient experiences [2][4]. Group 3: Challenges and Solutions - Key challenges include staffing shortages, the need for clear responsibilities, and ensuring quality of care, as many patients and families may have concerns about the service quality [6][7]. - Strengthening the caregiver workforce through better pay, training, and career development opportunities is essential for the success of these services [6][7]. Group 4: Pricing and Payment Models - The pricing for unaccompanied care services varies by region, with examples including a daily rate of 150 yuan in Anhui and 280 yuan for one-on-one care in Guangdong, though these services are not currently covered by insurance [7][8]. - There is a suggestion to explore flexible pricing based on care complexity and to consider integrating insurance mechanisms to alleviate patient costs [8].