近期，新修订的《扬州市家庭病床管理和服务规范》实施，实现多项突破：服务对象新增中重度失能老 人及80岁以上高龄患者；服务场所由家庭扩展至养老机构；起付线降低并与住院合并计算；家庭病床费 用不纳入医保总额控制，患者可同时享受门诊慢特病报销。据悉，患者可就近向定点机构提出建床申 请，机构将在7个工作日内完成评估，建床后责任医生24小时内上门首访。扬州市卫健委主任王劲松表 示，家庭病床是"小切口、大民生"的惠民工程，扬州将继续稳步扩大服务供给，让更多失能、半失能老 年人和行动不便患者在家门口享受到规范、便捷、暖心的医疗卫生服务。 本报讯(李源鹤丽)扬州市卫健委、市医保局日前联合发布家庭病床服务新政策，全市新增46家基层医疗 卫生机构纳入医保定点，覆盖所有县(市、区)，为行动不便、居家康复需求强烈的居民提供"床边诊 疗"。 ...

Core Viewpoint - The National Health Commission emphasizes the importance of strengthening grassroots medical and health services, highlighting improvements in accessibility, equity, and convenience for the population [1] Group 1: Development of Grassroots Medical Services - Since the beginning of the 14th Five-Year Plan, grassroots medical institutions have accounted for over 50% of the total medical consultations nationwide, with over 90% of residents able to access medical services within 15 minutes [1] - The number of grassroots medical institutions has increased from 970,000 to 1,040,000, including 33,300 health centers, 570,400 village clinics, 10,200 community health service centers, and 27,100 community health service stations [2] Group 2: Capacity Building of Grassroots Medical Institutions - By the end of 2024, there will be 2.078 million licensed physicians and assistant physicians in grassroots medical institutions, an increase of 542,000 since 2020 [3] - The proportion of healthcare personnel with college degrees or higher in township health centers and community health service centers has risen from 65% and 81.4% in 2020 to 77.4% and 88.2% respectively by 2024 [3] - Over 90% of township health centers and community health service centers meet basic service capacity standards, with many exceeding recommended standards [3] Group 3: Convenience Measures for Patients - The integration of family doctor contract services is a key initiative to enhance the accessibility of basic medical and public health services [4] - 95% of community health service centers and township health centers can provide long-term prescriptions for chronic disease patients, reducing the frequency of patient visits [4] - 95% of these centers offer extended service hours or holiday clinics, and 85% provide weekend vaccination services [4]

Core Points - The establishment of family bed services for disabled patients in Baoji City marks the official launch of a pilot program aimed at providing home-based medical care for specific vulnerable groups [1][2] - The primary target audience for the family bed service includes disabled elderly individuals, semi-disabled elderly, high-age seniors, patients in recovery after surgery, and chronic disease patients requiring long-term care [1] Summary by Sections Service Implementation - The family bed service was initiated in the Jiangtan Community Health Service Center, successfully setting up beds for four disabled patients [1] - The service aims to address the challenges faced by elderly patients, such as difficulty in accessing hospital care due to mobility issues [1] Beneficiary Experience - A 91-year-old beneficiary, Hao Xiufang, received timely home care services after a quick application and assessment process, highlighting the efficiency of the service [1][2] - Family members expressed satisfaction with the professionalism and attentiveness of the medical staff, indicating a positive reception of the service [2] Regulatory Framework - Baoji City has issued implementation plans and detailed guidelines to ensure the effective operation of the family bed service pilot, covering aspects such as service targets, institutions, personnel, service standards, payment methods, quality monitoring, and risk prevention [2] - Currently, ten grassroots medical institutions and the Baoji Second People's Hospital in Jin Tai District, Wei Bin District, and High-tech Zone have begun offering this service [2]

Core Viewpoint - The establishment of home hospital beds in Huairou District aims to provide convenient and continuous medical services to patients, particularly the elderly and disabled, enhancing their access to healthcare [1][2][3] Group 1: Home Hospital Bed Services - Six community health service centers in Huairou District have launched home hospital bed services, establishing a total of 15 beds to date [1] - Home hospital beds are designed for patients who meet hospitalization criteria but can receive care in their own living environment, facilitating ongoing medical services [1][2] - The service is particularly beneficial for patients with mobility issues, allowing healthcare professionals to conduct regular assessments and treatments at home [2] Group 2: Economic and Health Benefits - The service follows national and Beijing regulations for pricing, with costs covered by health insurance, reducing the financial burden on families [2] - A case study of an 87-year-old woman illustrates the practical benefits of home hospital beds, as it alleviated the challenges her family faced in managing her medical needs [2] - The initiative is recognized as a significant public welfare project aimed at improving healthcare accessibility and efficiency for patients [3] Group 3: Future Plans - The Huairou District Health Commission plans to expand the coverage and improve the quality of home hospital bed services to benefit more patients in need [3]