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2025养老大调研|中医专家号、救命药,能在家门口社区医院解决吗?
Bei Jing Ri Bao Ke Hu Duan· 2025-10-14 02:48
Core Viewpoint - The article highlights the importance of community hospitals in providing elder care services, emphasizing the need for improved facilities and services to enhance the quality of care for the elderly population in the context of an accelerating tiered medical system [1][4]. Group 1: Elderly Care Services - Community hospitals are increasingly focusing on elder-friendly services, including hardware improvements like accessible facilities and soft services such as traditional Chinese medicine (TCM) consultations and home visits [1][4]. - There is a growing demand among the elderly for TCM services at community hospitals, but the availability of qualified practitioners varies significantly across different facilities [4][6]. - The disparity in TCM resources is evident, with some community hospitals having a robust team of specialists while others struggle with limited staff and infrequent expert visits [4][6]. Group 2: Medication Supply Challenges - Many community hospitals face challenges in meeting the medication needs of elderly patients due to limited pharmacy resources, typically offering around 600 types of medications compared to over a thousand at tertiary hospitals [6][9]. - The "medication shortage registration" service has been implemented to address personalized medication needs, allowing patients to register their requirements and receive timely responses from community hospitals [7][9]. - This service not only helps meet individual medication needs but also allows hospitals to adjust their inventory based on demand trends [9]. Group 3: Home Care Services - Home care services are crucial for elderly individuals with mobility issues, with community hospitals offering various services such as home visits for medical care and health guidance [10][11]. - The sustainability of these home care services is challenged by limited medical staff and the high costs associated with providing free services [10][11]. - A "centralized home service" model is being adopted to improve efficiency, allowing medical staff to serve multiple patients in a scheduled manner while also generating revenue through service fees [11]. Group 4: Future Development Strategies - Recommendations for enhancing elder care services include improving the recruitment and training of community health personnel and leveraging technology to create integrated service platforms [12][13]. - The establishment of specialized "pharmacy service clinics" is suggested to provide tailored medication management for elderly patients, ensuring safer and more effective treatment [13]. - The "medical alliance" model is proposed to facilitate regular visits from specialists to community hospitals, thereby improving the quality of care and training for local medical staff [13].