"我差点没命了。"7月16日，在成都大学附属医院（以下简称"成大附院"）神经内科的免陪照护病 房，一见到记者，67岁的脑梗患者帅阿姨就开始诉说自己刚进院时的惊险，"是他们把我'拽'回来了， 不然我活不到现在"。 所谓"免陪照护服务"，主要指患者住院期间，在患者或家属知情同意且自愿选择的基础上，根据患 者病情和生活自理能力等，由护士或医院聘用医疗护理员提供生活照护服务。 不用家属陪，也不用自己找护工，免陪照护病房试点运行情况与效果怎么样？记者进行了实地探 访。 免陪照护病房有何特点 免陪照护不等于无人陪护，恰恰相反，陪护变得更加专业。免陪照护患者的日常翻身拍背、康复训 练、用药管理乃至心理疏导，均由经过专业认证的医疗护理员与护士协同完成。 "免陪照护病房"并非一刀切式推广，而是按科室实际需求设置。上述方案明确，试点医院要根据临 床科室病种特点、患者病情需要、自理能力程度和护理级别等要素，优先在一级护理住院患者占比较高 的科室病区（老年医学科、神经科、心血管科、普外科、骨科等）探索开展，不断总结经验，逐步扩大 试点病区数量。 实际上，早在2024年年初，成大附院就启动"免陪照护病房"试点，该院是成都市首批响应国家 ...

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]

Core Viewpoint - The introduction of "no accompanying care" services in hospitals aims to alleviate the burden on families and improve the quality of patient care, particularly in the context of an aging population and nursing staff shortages [1][2][3] Group 1: Service Implementation - The "no accompanying care" service pilot program will be launched in selected tertiary hospitals starting from June 2023, focusing on areas with a high proportion of elderly patients and significant demand for such services [1] - This service allows nurses or caregivers from medical institutions to provide comprehensive care for patients without family members or hired caregivers, addressing both time and economic burdens on families [1][2] Group 2: Talent Supply and Management - The transition from caregivers to medical caregivers requires a higher standard of training, with the new national standard mandating at least 150 hours of training for medical caregivers [2] - Effective management of medical caregivers is crucial, necessitating improved hospital management systems to ensure quality and accountability in service delivery [2] Group 3: Pricing Strategy - The National Healthcare Security Administration has introduced a government-guided pricing model for "no accompanying care" services, which is generally lower than market rates for traditional caregiver services [3] - Future pricing strategies may need to incorporate a more flexible and differentiated pricing system to reflect the varying levels of care required by different patients [3]

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 introduction of "unaccompanied care services" in Shandong Province aims to address the increasing demand for patient care due to aging populations and changing family structures, while also improving medical quality and resource optimization [1][3][4]. Group 1: Service Overview - Unaccompanied care services allow patients to receive care from nurses or hired caregivers during hospitalization, based on patient consent and condition, currently applicable only to certain levels of care and not covered by insurance [1][2]. - The service is designed to alleviate the burden on nurses, who are primarily focused on medical tasks, by allowing them to delegate non-technical care duties [3][4]. Group 2: Implementation and Pilot Programs - Various regions, including Anhui, Shandong, Tianjin, and Zhejiang, have initiated pilot programs for unaccompanied care services, with the National Healthcare Security Administration establishing pricing guidelines for these services [2][6]. - The pilot program, which started in June 2023 and will run until June 2027, aims to enhance service availability and improve patient experiences [2][4]. Group 3: Challenges and Solutions - Key challenges include staffing shortages, the need for clear responsibilities, and ensuring quality of care, as many patients and families may have concerns about the service quality [6][7]. - Strengthening the caregiver workforce through better pay, training, and career development opportunities is essential for the success of these services [6][7]. Group 4: Pricing and Payment Models - The pricing for unaccompanied care services varies by region, with examples including a daily rate of 150 yuan in Anhui and 280 yuan for one-on-one care in Guangdong, though these services are not currently covered by insurance [7][8]. - There is a suggestion to explore flexible pricing based on care complexity and to consider integrating insurance mechanisms to alleviate patient costs [8].

Core Viewpoint - The article discusses the implementation of "no companion care wards" in hospitals across China to address the challenges posed by an aging population and rising hospitalization costs, emphasizing the need for trained caregivers to provide continuous medical and daily care for patients without family accompaniment [1][2]. Summary by Sections Introduction to No Companion Care Service - The "no companion care service" aims to alleviate the burden on families who need to accompany hospitalized patients, allowing trained caregivers to provide 24-hour care [1]. - The National Health Commission has initiated a pilot program for this service, requiring at least one or two tertiary hospitals in major cities to participate over the next two years [1]. Implementation Challenges - Initial enthusiasm for the "no companion" model may exceed hospital participation due to concerns about meeting care standards, increased nurse workloads, compensation, and management of third-party caregivers [2]. - The sustainability of the "no companion care wards" depends on addressing these operational challenges during the pilot phase [2]. Targeted Departments for Service - The service will prioritize departments with a high proportion of elderly patients and significant demand for care, such as geriatrics and cardiovascular departments [3][4]. - The service is not free; patients will pay a reduced fee for care, and it is not applicable to all hospitals or wards [3][4]. Nursing Resource Allocation - The pilot program specifies that the nurse-to-bed ratio in trial wards should be at least 0.6:1, meaning each bed should have a minimum of 0.6 nurses [6][10]. - There are significant disparities in nurse-to-bed ratios across hospitals, with some areas falling below national standards [8][10]. Caregiver Training and Management - The article highlights the need for qualified caregivers to supplement nursing staff, with hospitals responsible for evaluating caregiver performance and ensuring quality of care [11][12]. - The introduction of caregivers is seen as a potential solution to nursing shortages, provided that they are well-managed and trained [10][12]. Pricing and Insurance Considerations - The pricing for "no companion care services" is set by government guidelines, with costs varying based on the level of care provided [20][21]. - There is a call for more market-oriented pricing and the inclusion of these services in commercial insurance plans to enhance accessibility [19][21]. Future Outlook - The pilot program aims to gradually expand the number of participating wards and hospitals, with hopes of including more departments in the future [16]. - The success of the program will depend on addressing operational challenges, ensuring caregiver quality, and potentially integrating commercial insurance solutions [21].

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" ...