网约护士，4500万失能失智老人的等待

Core Viewpoint - The article discusses the emergence and challenges of "online nursing" services in China, highlighting the growing demand for home care among the elderly and disabled populations, while also addressing the barriers to widespread adoption and utilization of these services [4][20]. Development of Online Nursing Services - The "online nursing" service was officially introduced in February 2019 with a pilot program launched by the National Health Commission in six provinces, focusing on elderly and disabled individuals [5]. - By January 2021, the service expanded nationwide, with over 3,000 providers participating [5]. - In Ningbo, the service volume reached 52,000 home visits in 2023, with an expected increase to 94,000 in 2024, reflecting an over 80% year-on-year growth [7]. Market Dynamics and Service Models - The online nursing service has developed into two main models: public hospital-based and platform-based services. The former is provided by hospital nurses during their off-hours, while the latter is operated by third-party companies that offer more flexible service options [8][9]. - The service primarily targets vulnerable groups, particularly the elderly with disabilities, who often face difficulties accessing traditional medical care [11]. Challenges in Adoption - Despite high demand and supportive policies, the service faces low participation from nurses, with only two out of 18 nurses in a trial hospital in Changsha engaging in the service [15]. - Factors contributing to low participation include heavy workloads, lack of financial incentives, and safety concerns for nurses providing home care [15][16]. Economic Barriers - The pricing structure for online nursing services varies significantly, with public hospital services costing between 300 to 500 yuan per visit, while platform-based services can range from 200 to over 1,000 yuan, often without insurance coverage [16][17]. - The lack of integration into national health insurance systems limits accessibility for low-income elderly individuals, exacerbating the issue of affordability [16][18]. Future Outlook - The introduction of the National Long-Term Care Insurance Service Project Directory in September 2025 aims to address payment challenges and promote the widespread adoption of online nursing services [18]. - The article emphasizes that the success of online nursing services hinges on the establishment of a robust payment system and the integration of these services into existing healthcare frameworks [20].