Core Viewpoint - The implementation of "Internet + Nursing Services" in Gansu Province, particularly in Baiyin City, is significantly improving access to quality nursing care for the elderly and patients with mobility issues, allowing them to receive care at home rather than in hospitals [1][4][5]. Group 1: Service Implementation - Baiyin City First People's Hospital has received over 700 orders for "Internet + Nursing Services," allowing patients to submit requests online and receive care from specialized nurses with over five years of clinical experience [4]. - The service includes 23 types of nursing care, such as wound dressing, rehabilitation guidance, and catheter changes, tailored to meet individual patient needs [4]. - The hospital has trained and assessed nurses comprehensively before they can register on the online platform to provide home care services [3]. Group 2: Demographic Context - By the end of 2024, over 310 million people in China will be aged 60 and above, accounting for 22% of the national population, highlighting the growing demand for nursing services [5]. - The aging population is driving the need for innovative solutions like "Internet + Nursing Services" to address challenges in elderly care [5]. Group 3: Broader Adoption - The "Internet + Nursing Services" model is not limited to Baiyin but is also being implemented in other cities in Gansu Province, such as Lanzhou and Jiayuguan, indicating a broader trend across the region [4]. - Since 2019, the National Health Commission has identified several pilot provinces for "Internet + Nursing Services," including major cities like Beijing, Shanghai, and Guangdong, with various services now covered by health insurance [4].

Core Insights - The seminar focused on advancements in blood purification in Shandong Province, emphasizing infection control, quality management, and sustainable development in dialysis services [3][4][6] Group 1: Event Overview - The "Blood Purification Angel" seminar was held on June 15, organized by the Shandong Health Promotion and Education Society and hosted by Tengzhou Central People's Hospital [1] - The event gathered experts and clinical staff from the blood purification field in Zaozhuang to discuss key topics such as infection prevention and control in hemodialysis [3] Group 2: Expert Contributions - Nursing expert Fu Jing from Shandong University Qilu Hospital analyzed infection risk points and control strategies, sharing practical experiences in infection prevention [4] - Wang Lili, a nursing expert from Shandong Qianfoshan Hospital, presented on the standardized construction of nursing quality in blood purification rooms [4] - Bai Qingning from Linyi People's Hospital discussed the impact of changes in medical insurance policies on dialysis services and explored paths for sustainable development through refined management [4] Group 3: Practical Workshops - The seminar included hands-on workshops demonstrating standardized clinical operations, such as catheter maintenance and vascular access techniques [6] - Participants had the opportunity to engage in practical demonstrations, enhancing their skills in clinical operations and addressing common issues [6] Group 4: Networking and Collaboration - The event provided a platform for nursing professionals to exchange knowledge and experiences, fostering collaboration in the blood purification field [6] - The Tengzhou Central People's Hospital team continues to focus on professional development and the delivery of high-quality care for patients [6]

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].

Core Viewpoint - The reform of medical caregivers in Guangxi has significantly improved the quality and affordability of patient care, addressing the challenges faced by patients, families, and caregivers alike [8][15][17]. Group 1: Background and Challenges - Patients and families often faced high costs and variable quality when hiring private caregivers, leading to significant stress and anxiety during hospital stays [9][10]. - Caregivers previously lacked formal training, contracts, and social security, resulting in a precarious work environment with limited career advancement [10][11]. Group 2: Reform Implementation - In February 2024, a pilot program was launched to enhance the training and management of medical caregivers, officially starting on March 1 [11][12]. - The program aims to differentiate medical caregivers from traditional caregivers, providing standardized training and requiring certification for employment [11][13]. Group 3: Outcomes and Impact - Since the reform began, the number of medical caregivers in pilot institutions has increased to 3,527, with a 279% rise in certified personnel [15]. - The average cost of medical care for hospitalized patients has decreased by approximately 30%, while complaints related to care have dropped by 38%, leading to a patient satisfaction rate of 97% [15][16]. - The introduction of a "no accompanying caregiver" model allows medical staff and trained caregivers to provide comprehensive care, reducing the need for family members to be present [13][15]. Group 4: Future Goals - The government plans to allocate 1.085 billion yuan to expand the training and management reform to cover 60% of medical institutions, aiming for 30,000 certified caregivers by the end of the year [17][18]. - The focus will also extend to elderly and maternal care, addressing broader caregiving challenges in society [17].

北京、上海、广东、江苏、四川、福建、河北、山西、陕西、安徽等全国多省，已试点推进免陪护病房试点。本 月起在全国范围内试点推广。 面对人口老龄化和社会住院陪护成本的日益加深，我国将自本月起在全国范围内试点推广医院"免陪护病房"。在 未来两年里，各省区市人口老龄化程度较深的省会城市和地级市，至少要确定一到两所三级医院参与该项试点。 近日，国家卫健委发布《关于印发医院免陪照护服务试点工作方案的通知》（下称"试点工作方案"）并明确了上 述规划要求。 "免陪照护服务"是近年来新出现的一项医疗服务，主要用于破解"一人住院、全家奔波"的窘境，由经过规范化培 训的护理员为住院患者提供24小时不间断的专业医疗护理和生活照护。 2024年10月，国家医保局出台调整护理类价格相关政策，新设"免陪照护服务"价格项目，这意味着医院可以直接 主导开展"照护服务"，按指导价向患者收取费用，此举促进了该种新兴护理模式在多地的推广工作。 截至目前，北京、上海、广东、江苏、四川、福建、河北、山西、陕西、安徽等全国多省，已试点推进免陪护病 房试点。 "万事俱备，只欠病床。"一名参与北方某地免陪照护服务试点工作的机构人士对第一财经表示，在"免陪护" ...

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]

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]

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]