《 人民日报 》（ 2025年10月09日 07 版） (责编：牛镛、岳弘彬) 本报沈阳10月8日电 （记者刘洪超）记者从辽宁省卫生健康委员会获悉：辽宁省沈阳市24家三级公立医 院日前启动免陪照护试点服务，减轻患者家属的陪护负担。 在落实国家卫生健康委以及辽宁省要求基础上，沈阳市结合本地实际，自主扩大免陪照护试点范围，首 批试点病区选定在老年医学科、骨科等照护需求较高的科室，由护士或医疗护理员为患者提供助餐、助 洁等规范化生活照护。为确保免陪照护服务质量，辽宁省要求各试点医院建立医疗护理员院内培训制度 及常态化监督管理机制。 ...

为确保免陪照护服务质量，各试点医院已建立医疗护理员院内培训制度，定期组织职业素养、服务技能、质量安全、院感防控等专项培训，使护 理人员熟练掌握服务所需的理论与实践技能。同时，沈阳将建立常态化监督管理机制，定期检查服务质量与收费标准，保障全市免陪照护服务的 同质化。 "下一步，我们将系统总结试点经验，稳步扩大服务范围，让患者享受更高品质的照护服务。"沈阳市卫生健康委相关负责人说。 新华网沈阳9月29日电（记者于也童）记者28日从沈阳市卫生健康委获悉，当日，沈阳市24家三级公立医院同步启动免陪照护试点服务。沈阳是老 龄化程度较深的城市,这一举措将有效减轻患者家属的陪护压力，标志着沈阳医疗护理服务正式迈向专业化、规范化新阶段。 据悉，此次免陪照护服务首批选择了老年医学科、神经科、骨科等照护需求较高的科室作为试点病区。通过"医护主导、专业辅助、安全高效"的 新模式，由护士或医疗护理员为患者提供助餐、助洁、助浴等规范化生活照护服务，免除家属的全程陪床之需。"我们充分尊重患者的自主选择， 服务完全遵循自愿原则，试点病区也为不接受此项服务的患者预留了病房。"沈阳市卫生健康委相关负责人说。 免陪照护服务收费严格按照市医保局《 ...

人民网北京9月11日电 （记者乔业琼）今日，国务院新闻办公室举行"高质量完成'十四五'规划"系 列主题新闻发布会，介绍"十四五"时期卫生健康工作发展成就。 国家卫生健康委主任雷海潮在会上介绍，因地制宜推广福建三明医改经验，国务院成立了深化公立 医院改革协调机制，就在上一周，国务院深化公立医院改革协调机制召开第一次全体会议，将在今后工 作中进一步推广好福建三明医改经验，坚持公益性导向，使公立医院在服务群众过程中发挥更加积极良 好的作用。 根据统计，通过实施改善医疗服务行动，87%的二级以上公立医院都开展了预约诊疗服务，门诊候 诊时间缩短，5500多家医院建立了"一站式"服务中心，多学科一体化诊疗服务模式推广到2000多家二级 以上医院，83%的三级公立医院开展了日间手术服务，患者不用过长时间住院就能够解决自己的健康问 题。 雷海潮说，试点开展了免陪照护服务，有4000多家医疗机构通过"互联网+护理服务"的方式为居民 提供上门护理服务项目，项目内容多达60多项。互联网医院在全国发展到3756所，目前居民患者可以通 过点手机的方式获得互联网医院提供的医疗服务。根据统计，去年互联网医院开展的诊疗人次达到1.3 亿，极 ...

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 Insights - The "accompanying economy" is emerging as a significant market driven by the needs of the elderly and the younger generation seeking emotional support [2][4][17] - By 2025, the market size of the "accompanying economy" in China is expected to exceed 50 billion yuan, highlighting the potential for growth in medical care and emotional support services [4] Accompanying Services - Accompanying services, such as medical accompaniment, are becoming essential for elderly patients who struggle with complex medical processes [5][7] - A report indicates that 88.54% of elderly individuals in communities face situations where family members cannot accompany them during medical visits, with this figure rising to 98.30% in nursing homes [7] Standardization and Professionalization - The Chinese Society of Welfare and Elderly Care has released the first systematic standards for elderly medical accompaniment services, covering service processes, safety protocols, and training [8] - There is a push towards standardizing and professionalizing accompanying services, including establishing certification mechanisms and service grading systems [8][12] Caregiver Shortage and Quality Issues - There is a significant shortage of qualified caregivers in China, with a projected increase in the number of disabled elderly individuals leading to rising care demands [11] - The quality of caregiving services varies widely due to a lack of standardized training, with many caregivers lacking proper qualifications [11][12] Innovative Care Models - The "no accompaniment care" model is being piloted in several cities, allowing hospitals or third-party services to take over traditional family caregiving roles [13][14] - This model aims to enhance care efficiency and clarify responsibilities, addressing the challenges posed by geographical separation between elderly patients and their families [13][14] Emotional Support Services - The younger generation is driving the demand for emotional support services, leading to the rise of "buddy culture" where individuals seek companionship for various activities [17] - Emotional support services are becoming commercialized, but the lack of industry standards raises concerns about service quality and consumer protection [17][18] Market Dynamics - The accompanying economy is creating job opportunities and new consumption patterns, but it also raises questions about service quality and regulation [18] - The balance between quality control, trust mechanisms, and operational efficiency will be crucial for companies to succeed in this emerging market [18]

Core Viewpoint - The implementation of "no accompanying care services" in hospitals aims to alleviate the burden on families of elderly patients while ensuring professional care through trained medical caregivers and nurses [1][2][3] Group 1: Characteristics of No Accompanying Care Services - The "no accompanying care" model allows patients to receive care without family members present, leading to a more spacious and orderly environment in the hospital [2][3] - Professional caregivers and nurses collaborate to provide comprehensive care, including daily activities, medication management, and psychological support [2][5] - The model is tailored to specific departments based on patient needs, focusing on areas with a high proportion of elderly patients requiring care [2][3] Group 2: Implementation and Training - Chengdu University Affiliated Hospital was one of the first hospitals to pilot this service, particularly in the neurology department, which has a high demand for family support [3][4] - Caregivers undergo extensive training, covering various aspects of patient care, including specialized knowledge for neurological conditions [4][7] - The hospital has established a selection and training process for caregivers to ensure high service quality [7][9] Group 3: Cost and Service Quality - The pricing structure for no accompanying care services is more affordable compared to hiring private caregivers, with costs ranging from 100 to 240 yuan per day depending on the level of care [6][10] - Patients can choose between one-on-one or shared care models, allowing for flexibility and cost savings [6][10] - The introduction of professional caregivers has led to increased patient satisfaction and improved service quality [9][10] Group 4: Challenges and Future Directions - Despite the positive outcomes, challenges remain, such as the need for more caregivers to meet demand, especially during peak times [9][10] - The success of the program relies on adequate nurse staffing, training, and the integration of technology to enhance service delivery [10] - There is a call for more flexible pricing models to accommodate varying patient needs and to encourage insurance coverage for these services [10]

Core Viewpoint - The implementation of the "No Accompanying Care Service" in Henan Province aims to alleviate the burden on families of hospitalized patients by providing professional care services, allowing family members to focus on their work and personal lives [1][5]. Group 1: Policy Implementation - The "No Accompanying Care Service" will be piloted in tertiary hospitals starting from July 10, 2025, focusing on departments with high nursing needs such as geriatrics, neurology, cardiology, general surgery, and orthopedics [2][3]. - The service is voluntary and requires informed consent from patients or their families, ensuring that traditional care options remain available for those who can provide accompaniment [3]. Group 2: Service Structure and Pricing - Two service models are offered: basic care at 150 yuan per person per day and exclusive care at 240 yuan per person per day, focusing on daily living assistance such as meal support, bathing, and cleaning [3]. - The plan emphasizes the importance of maintaining clear boundaries between the roles of medical staff and care providers, ensuring that care personnel do not engage in medical tasks [2]. Group 3: Professional Standards and Quality Assurance - The plan includes a robust framework for ensuring service quality, with a nurse-to-bed ratio of at least 0.6:1 in care areas, and requires care personnel to undergo training and obtain certification [4]. - Detailed service standards will be established, linking the quality of care provided by nursing staff to departmental evaluations, creating a comprehensive system of training, service, and supervision [4]. Group 4: Technological Integration and Insurance Support - The initiative encourages the development of smart wards that utilize technology for efficiency, such as intelligent calling and data collection systems [4]. - There is a push for commercial insurance products to cover the costs of the no accompanying care service, aiming to reduce the financial burden on patients [4]. Group 5: Societal Impact and Future Considerations - The reform addresses the pressing issue of family burdens associated with hospitalization, with experts emphasizing the need for a balanced approach that motivates healthcare institutions while reducing patient care burdens [5]. - Effective implementation will require strong government oversight to ensure service quality and pricing standards, as well as timely integration of insurance policies [5].

Core Viewpoint - Shandong Province has implemented a government-guided pricing for "no accompanying care" services starting July 1, aimed at alleviating the burden on family members of hospitalized patients and addressing the challenges of an aging society [2][3]. Group 1: Implementation of No Accompanying Care Services - The "no accompanying care" service will be fully available in all public tertiary hospitals in Shandong by the end of 2025, as part of a collaborative effort by multiple government departments [2]. - The pricing structure includes a charge of 150 yuan per day for caring for two or more patients simultaneously, while one-on-one care pricing is determined by the medical institutions [2][3]. Group 2: Role of Caregivers - Caregivers, distinct from nurses, are becoming recognized as professional caregivers, providing 24-hour continuous care that includes companionship, mobility assistance, and fall prevention [3][4]. - The service is based on the informed consent and voluntary choice of patients or their families, ensuring that patients can select the type of care they need [4]. Group 3: Training and Quality Control - Caregivers undergo a rigorous training program consisting of 150 hours of theoretical and practical training before being allowed to work with patients, with a requirement of 100% pass rate on internal examinations [5][6]. - The training covers not only basic skills but also specialized care techniques and emphasizes humanistic care, ensuring that caregivers are well-prepared to meet patient needs [6]. Group 4: Challenges and Adaptations - The transition to standardized yet personalized care presents challenges, particularly in balancing the need for quality care with the individual needs of patients [7][8]. - The service currently applies only to patients requiring level one and level two care, which complicates the continuity of care as patients transition between care levels [8].

Core Viewpoint - The implementation of "no companion care services" in hospitals aims to address the needs of elderly patients and their families, particularly in regions with significant aging populations, by providing professional care at a lower cost compared to traditional caregiver services [1][4][9]. Group 1: Service Implementation - The "no companion care service" allows patients to receive care from nurses or hired medical caregivers during hospitalization, based on the patient's condition and self-care ability, with the consent of the patient or family [1]. - Hospitals are prioritizing the implementation of this service in areas with a high proportion of elderly patients and a strong demand for such services [1][8]. Group 2: Patient Experience - Patients and their families have reported positive experiences with the service, noting that it alleviates the burden of constant family presence and provides professional care at a more affordable rate compared to traditional caregivers [3][4]. - For example, the cost of "no companion care" is approximately 120 to 240 yuan per day, significantly lower than the 320 yuan charged for one-on-one caregivers [4][6]. Group 3: Training and Quality Assurance - Hospitals are establishing dedicated departments to manage caregivers and ensure the quality of "no companion care" services, including professional training programs for caregivers [6][7]. - Training includes both theoretical knowledge and practical skills, with many caregivers obtaining certification to enhance service quality [6][7]. Group 4: Patient Satisfaction and Outcomes - The implementation of "no companion care" has led to increased patient satisfaction, with reported satisfaction rates reaching 99% and a significant reduction in average hospital stay duration [8]. - The model has shown effectiveness in reducing hospital-acquired infections and complaints, indicating a positive impact on overall patient care [8][9]. Group 5: Future Challenges and Developments - Challenges remain in optimizing support systems and managing the demand for companion services, with ongoing efforts to improve caregiver management and resource allocation [9]. - Future plans include enhancing caregiver training and management to ensure that the service meets both professional care standards and the emotional needs of patients [9].

Core Points - The article discusses the implementation of a "no accompanying care" service in Guangdong Province, aimed at reducing the burden on families of hospitalized patients [2][3] - The service is part of a pilot program initiated by the Guangdong Provincial Health Commission and other departments, with eight cities including Guangzhou and Shenzhen participating [2] - The program has received positive feedback, with a reported patient satisfaction rate of approximately 99% since its launch in April [2] Summary by Sections Service Overview - The "no accompanying care" service allows patients to receive care from hospital-appointed caregivers, reducing the need for family members to take time off work [2] - Caregivers are recruited from the community and undergo training to meet national standards, ensuring quality of care [2] Pricing Structure - The pricing for the service is tiered based on the level of care: "one-to-three" care costs a maximum of 140 yuan per patient per day, while "one-to-two" and "one-to-one" care are priced at 180 yuan and 280 yuan respectively [2] - Patients have expressed satisfaction with the pricing, finding it more economical than having family members provide care [2] Implementation and Future Plans - The pilot program currently operates in eight specialties, with nearly 400 professional caregivers employed [2] - The Guangdong Provincial Health Commission plans to further standardize service content and quality, aiming to enhance the overall patient experience [3]