21日下午，在胸外科病房，记者见到了术后正在恢复的宋先生及其家人。宋先生今年64岁，因病情复杂，经历了先化疗后手术的治疗过程。"经历 了一场大手术后，恢复是关键。"宋先生的家属坦言，面对身上插着管、需要专业康复训练的病人，家人感到手足无措。 这种困境因"免陪照护服务"而破解。2025年5月，上海在三级医疗机构率先开展"免陪照护服务"试点工作，由医疗机构的专业医疗护理员，为住院 患者(特级、I级护理患者)提供24小时不间断的生活照护服务，不依赖患者家属亲自陪护，也不需要家属自聘护工。 春节是阖家团圆的时刻，而在上海市肺科医院病房里，却有一群人与患者待在一起，用专业和坚守书写着别样的"年味"。记者春节期间走访上海 市肺科医院，实地了解"免陪照护服务"如何为患者家庭排忧解难。 护理员方阿姨是春节期间值守团队的成员之一。谈起工作，她认为耐心与专业同样重要。除了严格按照护理清单完成拍背咳痰、擦身、辅助行 走、饮食提醒等工作外，她格外关注患者的情绪。"除夕夜，有位老爷子想家，家属暂时不在身边，我就陪他聊天，疏导情绪。康复训练也不能因 为过节松懈，尤其要耐心和家属沟通，让他们理解并配合。"方阿姨表示，专业的康复指导能有效避 ...

Core Viewpoint - The introduction of "免陪照护服务" (no accompanying care service) in hospitals aims to alleviate the burden on families of patients who require hospitalization, providing professional care while reducing the need for family members to take time off work [1][6]. Summary by Sections Implementation of No Accompanying Care Service - The "免陪照护服务" was initiated in Henan Province following a national pilot program, starting from July 10, with the aim of addressing the challenges faced by families when a member is hospitalized [1][6]. - The service allows patients to receive care from nurses or medical caregivers based on their condition and self-care ability, with family consent [2][5]. Patient and Family Experiences - Patients have reported positive experiences with the service, highlighting the attentive care provided by nursing staff, which includes daily hygiene, mobility assistance, and basic rehabilitation exercises [2][3]. - The cost for the service varies, with "one-to-many" care priced at 135 yuan per day and "one-to-one" care at 216 yuan per day in some hospitals [3]. Professional Standards and Training - The implementation plan mandates that medical caregivers undergo professional training and obtain certification to ensure quality care, addressing concerns about the competency of caregivers compared to private hires [4][5]. - Hospitals are required to maintain a nurse-to-bed ratio of at least 0.6:1 to ensure adequate monitoring and care for patients [7]. Challenges and Public Perception - There are concerns regarding the public's acceptance of the service, with some families preferring to care for their loved ones themselves due to mistrust of unfamiliar caregivers [6][7]. - The service's integration into the healthcare system faces challenges, including staffing shortages, management costs, and the need for a robust training program for caregivers [7]. Financial Aspects and Insurance Coverage - Families have expressed a desire for the costs of the no accompanying care service to be covered by health insurance, similar to models in other regions where a portion of the costs is reimbursed [6][7]. - The financial sustainability of the service is a concern, as hospitals must balance service quality with operational costs [7].

Core Viewpoint - The Shandong Provincial Health Commission, in collaboration with other departments, has introduced a plan to standardize the "no accompanying care" service in medical institutions, aiming to enhance patient experience and reduce the burden on families [1][7]. Summary by Sections Service Details - The "no accompanying care" service is not free; caregivers charge between 150 to 330 yuan per day depending on the type of service [2][3]. - Caregivers provide services such as daily living assistance and post-operative care, with costs varying based on patient needs and hospital departments [3][11]. Implementation Timeline - By the end of 2025, all public tertiary medical institutions in Shandong are expected to offer this service, with secondary institutions encouraged to explore its implementation by the end of 2027 [7][12]. Current Practices - Some hospitals have already adopted similar models, where trained caregivers from third-party agencies provide care while nurses handle medical tasks [7][11]. - The service is primarily composed of family members and third-party caregivers, with varying levels of care depending on patient conditions [8][9]. Regulatory Framework - The government will implement a guided pricing system for the "no accompanying care" service, with other regions in China already conducting pilot programs [12][14]. - The service aims to address issues such as caregiver shortages and inconsistent service quality in traditional caregiving [11][14]. Future Prospects - The model is expected to reduce costs compared to traditional one-on-one caregiver services, while ensuring a stable and professional service through regulatory oversight [11][14].