医疗护理
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深度︱“免陪照护服务”本月起全国试点,“叫好又叫座”仍面临这些挑战
Di Yi Cai Jing· 2025-06-04 13:12
Core Viewpoint - The Chinese government is promoting the "no companion care ward" model nationwide to address the challenges of an aging population and rising hospitalization costs, with a focus on providing professional care through trained caregivers [1][2]. Group 1: Implementation and Scope - The pilot program for "no companion care wards" will be implemented in major cities with significant aging populations, with at least one or two tertiary hospitals participating in each province over the next two years [1][2]. - The National Health Commission has issued a notification outlining the requirements for the pilot program, emphasizing the need for hospitals to adapt to local conditions and prioritize departments with high demand for care services [3][4]. Group 2: Service Structure and Pricing - "No companion care service" is not free; it reduces the financial burden on families by providing care at a lower cost, with prices set by the government [3][16]. - The pricing for "no companion care service" varies by hospital level, with examples including 100 yuan per day for tertiary hospitals and 75 yuan for lower-tier hospitals in Sichuan [18]. Group 3: Challenges and Concerns - Hospitals express concerns about meeting the required nurse-to-bed ratio of at least 0.6:1 for the pilot program, with many facilities currently falling short [5][6]. - Issues such as increased workload for nurses, management of third-party caregivers, and the potential for medical disputes are significant concerns for hospitals considering the implementation of this model [2][14]. Group 4: Workforce and Training - The introduction of trained medical caregivers is seen as a potential solution to nursing shortages, but there are concerns about the adequacy of training and the management of these caregivers within hospital settings [11][13]. - The current supply of medical caregivers may exceed demand if the pilot program does not expand quickly enough, leading to potential job market imbalances [12]. Group 5: Future Directions and Insurance Involvement - There is a call for the integration of commercial insurance to cover "no companion care service" costs, which could enhance accessibility and affordability for patients [19][21]. - The government is encouraged to adopt a more market-oriented pricing strategy for these services to better reflect demand and improve service quality [16][20].
广东省110家医院率先成立免陪照护医院联盟
Zhong Guo Chan Ye Jing Ji Xin Xi Wang· 2025-05-18 22:39
Group 1 - The establishment of the "No Accompaniment Care Hospital Alliance" in Guangdong involves 110 hospitals, aiming to explore operational mechanisms, quality control standards, and training systems for no accompaniment care services [1] - No accompaniment care is gaining traction in the medical field, where professional caregivers replace family members to provide care during hospitalization, integrating medical, nursing, and daily care [1] Group 2 - The Guangdong Provincial Nursing Association plans to collaborate with vocational schools and medical institutions to train 1,000 no accompaniment care designers and nurse mentors, along with 10,000 health caregivers within three years [2] - The initiative includes selecting outstanding nursing management personnel for top-level design of no accompaniment care services, focusing on various aspects such as health policy, management systems, and service quality evaluation [2] - A partnership was formed between the Guangdong Provincial Nursing Association and China People's Property Insurance Company to explore new cooperation models for integrating insurance resources with nursing services [2] Group 3 - Starting from April this year, Guangdong public hospitals have implemented price standards for no accompaniment care services, with plans to enhance payment mechanisms and encourage insurance companies to cover related costs [2]
广西加强医疗护理员培训和规范管理改革
Zhong Guo Jing Ji Wang· 2025-05-16 03:32
Group 1 - The core initiative is the training and management reform of medical caregivers in Guangxi, aiming to enhance the quality and coverage of services to over 60% this year [1][2] - Guangxi government allocates 1.085 billion yuan from employment subsidy funds to support the training of 25,000 medical caregivers and ensure that 30,000 caregivers are certified by the end of the year [1][2] - The target is to achieve a service satisfaction rate of over 98% and reduce average medical care costs by approximately 30% [1][2] Group 2 - The reform focuses on four key areas: standardization of systems and models, regulation of team management, professionalization of training, and vocationalization of the caregiver workforce [2] - A "654321" reform model will be implemented, along with 18 reference texts and institutional norms for caregiver training [2] - The initiative aims to alleviate the challenges of caregiving for the elderly and children, ensuring no additional financial burden on patients or the government while maintaining caregiver income [2]
广西医疗护理员改革破解“一老一小”护理难题
Guang Xi Ri Bao· 2025-05-16 02:48
Core Viewpoint - Guangxi is advancing the reform of medical caregivers, aiming to cover over 60% of medical institutions in the region by the end of the year, addressing the caregiving challenges for the elderly and children [1][2][3] Group 1: Reform Initiatives - Guangxi has prioritized the training and management of medical caregivers as a public service initiative for two consecutive years, allocating 15 million yuan for vocational training and certification [1][2] - The region has established an innovative "654321" reform model, which includes six unifications, five systems, and three bottom lines to effectively tackle the issues of caregiving difficulty and cost [2] Group 2: Achievements and Metrics - The number of medical caregivers under standardized management has significantly increased from 1,666 to 3,527 in the pilot institutions, indicating a growing employment capacity [2] - The number of individuals holding relevant vocational skill certificates surged by 279%, from 917 to 3,476, marking the end of the history of unregulated caregiver certification [2] - Patient and caregiver satisfaction rates have risen, with an average satisfaction rate of 97% among patients and their families [2] - Hospital care costs have decreased by approximately 30% compared to private one-on-one caregiver services, making it more affordable for patients to hire medical caregivers [2] Group 3: Future Plans - In 2023, Guangxi plans to allocate 108.5 million yuan to expand the coverage of caregiver training and management reforms to over 60%, with a target of training 25,000 individuals and achieving a satisfaction rate of over 98% [3] - The initiative aims to enhance the quality of caregiving services and explore expansion into elderly care and maternal-infant care sectors, contributing to the overall health and employment quality in Guangxi [3]
广东率先成立免陪照护医院联盟
Nan Fang Ri Bao Wang Luo Ban· 2025-05-13 08:26
免陪照护,正成为医疗圈的热词。5月10日,在第七届广东省护理科学艺术大会上,广东110家医院率先 成立免陪照护医院联盟,包括了南方医科大学珠江医院、广东省中医院等。广东省护士协会会长彭刚艺 称,联盟首批成员将共同探索免陪照护服务的运行机制、质量控制标准、人员培训体系等,形成可复 制、可推广的经验和模式,为中国老龄化社会提供可持续解决方案。 免陪照护并非无人照料,而是通过规范化培训的专业医疗护理员替代家属,为患者提供住院期间的生活 照护,实现医疗、护理与生活照护的有机结合。 南方医科大学南方医院护理部主任宋慧娟宣读了《广东省免陪照护医院建设十大宣言》,提出一方面要 联合职业院校与医疗机构,优化照护课程体系,3年内培养千名免陪照护设计师、护士导师及万名健康 照护师。其中,免陪照护设计师将在护士长以上岗位的优秀护理管理干部中选拔,进行医院免陪照护服 务的"顶层设计",综合卫生政策、管理制度、服务流程、人力安排、运营绩效、后勤保障等方面,参与 免陪照护服务标准制定、服务质量评价、运营管理体系建设等。另一方面,将组织赴日本、中国香港及 国内标杆医院研学,借鉴先进经验,推动免陪照护模式辐射粤港澳大湾区,打造国际认可的护理 ...
通用技术集团举办2025年国际护士节庆祝大会
Sou Hu Cai Jing· 2025-05-12 08:14
Core Viewpoint - The event held by China General Technology Group on May 10 celebrated International Nurses Day and emphasized the importance of nursing in the healthcare sector, highlighting the commitment to improving nursing services and supporting healthcare workers [1][4]. Group 1: Importance of Nursing - Nursing is identified as a crucial foundation for the development of the Group's healthcare and elderly care business, serving as a key defense for public health [4]. - The Group aims to enhance the quality of nursing services and integrate healthcare and elderly care industries, aligning with national health strategies [4]. Group 2: Call to Action for Nurses - The Group encourages nurses to uphold the spirit of Florence Nightingale, providing high-quality, efficient, and professional care to patients [4]. - There is a focus on deepening reform and innovation in nursing to achieve high-quality development, transitioning from labor-intensive to smart and precise nursing services [4]. - The Group emphasizes the importance of responsibility and mission in nursing, aiming to improve patient experiences through technological innovation and humanistic care [4]. Group 3: Recognition and Support - The event recognized outstanding nursing teams and individuals, showcasing the dedication and achievements of nursing professionals [6]. - The Group plans to create a "nurse-friendly" professional ecosystem and a comprehensive training system to support nurses [5]. - The launch of the "White Paper on Improving Nursing Services" marks a significant step in enhancing nursing care within the Group [6][8]. Group 4: Educational Initiatives - The third session of the General Health Forum was held, featuring reports on advanced nursing concepts and technological innovations to broaden the professional perspectives of nursing staff [8].