一人住院、全家奔波？徐美东代表谈推广“免陪照护”的问题和路径

Core Viewpoint - The proposal to promote "no companion care" services in Shanghai aims to enhance the quality and efficiency of medical services, addressing the challenges faced by families with hospitalized patients [1][2]. Group 1: Current Situation and Challenges - The elderly population in Shanghai has exceeded 5.77 million, accounting for nearly 40% of the registered population, leading to significant family burdens when one member is hospitalized [3][4]. - The current model of patient care relies heavily on family members or hired caregivers, which has proven to be inadequate due to the aging workforce and lack of professional standards among caregivers [3][4]. - The "no companion care" service, initiated in March 2025, has been implemented in 57 medical institutions, but its coverage in general wards remains insufficient [5][6]. Group 2: Service Implementation and Impact - At Shanghai Oriental Hospital, 40% of the wards have adopted "no companion care," which has improved patient experience and allowed medical staff to focus more on treatment [4][5]. - The service costs 150 yuan per day and is not yet included in the medical insurance system, placing a financial burden on some families [5][6]. Group 3: Recommendations for Improvement - It is suggested to innovate payment mechanisms and integrate these services into the medical insurance system, expanding coverage to patients requiring level II and III care [6]. - Building a professional system for medical caregivers is essential, including implementing employee management, establishing salary guidelines, and creating career advancement pathways [6]. - Enhancing social communication and awareness of "no companion care" services is crucial, with proposals for public engagement initiatives and a unified satisfaction evaluation platform [6].