Core Viewpoint - The "Internet + Nursing Services" initiative, launched by the National Health Commission in 2019, aims to provide home healthcare services to vulnerable populations, but faces challenges such as low nurse participation and public awareness [1][2]. Group 1: Service Implementation and Challenges - The pilot program for "Internet + Nursing Services" has expanded nationwide, focusing on elderly and disabled individuals who require home care [1]. - Despite the urgent demand for services, the lack of insurance coverage for home nursing care leads to high out-of-pocket costs, making it unaffordable for many families [1][2]. - Public awareness of the service is low, with only 1 out of 10 surveyed patients being aware of its existence, indicating a significant gap in communication and outreach [1][2]. Group 2: Safety and Regulatory Concerns - Nurses face safety risks when entering unfamiliar environments, including potential violence and data privacy issues, with current regulations lacking clarity on responsibilities and liabilities [2][3]. - The absence of unified policies and standards for service delivery and safety regulations hampers the widespread adoption of "Internet + Nursing Services" [3]. Group 3: Recommendations for Improvement - Suggestions include establishing a regional service network through third-party companies to ensure quality and oversight of home nursing services [4]. - The implementation of a long-term care insurance model could provide financial support and regulatory standards necessary for the service's success [4]. - Recommendations also include creating a "positive list" and "negative list" of nursing services tailored to local conditions, along with safety measures for nurses [4].

Core Viewpoint - The "Internet + Nursing Services" initiative, particularly the "on-demand nurse" model, has gained traction since its pilot launch in 2019, addressing home care challenges for elderly and disabled patients, though it faces awareness and participation issues among nurses and patients [1][2][3]. Group 1: Service Implementation and Structure - The "on-demand nurse" service in Qingdao integrates various stakeholders, including government, enterprises, and medical institutions, to facilitate its rollout [1][2]. - A comprehensive service platform named "Kanghong Medical Care" has been established to manage appointments, resource allocation, and service evaluations, ensuring efficient service delivery [2][3]. - As of now, the "Kanghong Medical Care" platform has registered 21,000 users and over 2,000 nurses, offering more than 70 types of nursing services [3]. Group 2: Service Demand and Challenges - The service has seen significant demand, with 56,000 patient assessments and 20,000 nursing service orders completed, benefiting thousands [3]. - Despite positive feedback, the service's popularity is hindered by low awareness among potential users and a limited number of participating nurses [4][5]. - The cost structure, including service fees and material costs, is perceived as higher than traditional hospital care, and many services are not covered by insurance, limiting broader adoption [6][10]. Group 3: Talent and Quality Assurance - The entry requirements for becoming an "on-demand nurse" are stringent, necessitating a minimum of eight years of clinical experience and specific qualifications [7][8]. - A three-tiered admission system ensures that only qualified nurses provide home care services, enhancing service quality and safety [8]. - The integration of on-demand nursing services with hospital operations is designed to avoid conflicts, allowing nurses to manage both in-hospital and home care responsibilities effectively [9].