Health services extend to families

The report of the 20th National Congress of the Communist Party of China put forward: "Promote the expansion of high-quality medical resources and balanced regional distribution, adhere to prevention, strengthen the health management of major chronic diseases, and improve the ability of grassroots disease prevention and treatment and health management." To improve the ability of disease prevention and treatment and health management at the grassroots level is to solve the difficulties and pain points of the masses to see a doctor and actively respond to the needs of the aging population. In recent years, China has actively developed medical care for the elderly, family beds, home care and other services to promote the extension of medical and health services to communities and families.

At present, home bed services have been launched in many places to provide medical services for elderly or disabled elderly people with home medical needs and mobility difficulties, so that patients can receive medical treatment, nursing or rehabilitation in a familiar home environment.

Take the family as the daily nursing place, meet the medical needs of patients with mobility difficulties, and reduce the burden of medical expenses of patients

In Fuzhou, Fujian province, Shanghai Street Community Health Service Center doctor Lin Fenghua and nurse Jiang Huiling on the back of the tour bag ready to set out, this day is the day they build a bed for the family bed object Liu Yimei tour. In the tour package, there are stethoscope, percussion hammer, blood pressure meter, blood glucose meter, catheter and other equipment prepared a day in advance. Tap the doorbell, into the room, Jiang Huiling and Liu Yimei greeted: "Grandma, how do you feel this time?"

"I've been eating and sleeping well lately, and I'm finally expecting you again." Ms. Chen, Ms. Liu's daughter, replied.

Question and answer, Lin Fenghua for the elderly auscultation, blood pressure, after the basic inspection project, Jiang Huiling will Liu Yimei turned over, carefully check her skin. Seeing an eczema on the shoulder of the old man, Jiang Huiling took out the ointment from the touring bag, gently applied it, and turned her head to tell her family: "Long-term bed is easy to grow eczema and bedsores, and you should remember to apply the medicine on weekdays."

Last Spring Festival, 93-year-old Liu Yimei fell and broke a bone. Go to the hospital, because of old age, the doctor recommended conservative treatment. After returning home, the old man is in bed, the family can take turns to take care of life, can encounter medical operations such as replacing urine tubes, but also have to go to the hospital. "Every time I go to the hospital, I have to go up and down. When I get to the hospital, I have to take the number, queue up, and change the medicine. Watching her mother suffer, Ms. Chen was also anxious to wipe tears.

In February 2021, Fuzhou, Fujian Province, launched a pilot home bed service to provide home bed services to eligible patients. In the pilot program, it is clear that the family bed should be built for patients with clear diagnosis, stable condition, need to stay in bed due to illness or are weak, unable to take care of themselves, and need medical staff to regularly come to the home for treatment, nursing and rehabilitation.

"Hospital stays are available at home, and there are regular visits by medical staff." Ms. Chen's eyes lit up. On the "Rong Medical Pass", Ms. Chen filled in the basic situation of her mother, selected the nearest pilot medical institution, uploaded medical records, hospitalization summary, related auxiliary examination and image report, drug list and other medical records before submitting the application. On the same day, Ms. Chen received a phone call from the Shanghai Street Community Health Service Center, and then made an appointment with a doctor to assess and arrange the construction of a bed. Since then, the doctors and nurses of the community health service center will come to the house once a week to diagnose Liu Yimei's condition, change drugs, and guide her family to do daily care.

Ms. Chen told reporters that a bed-building cycle is 3 months, the total cost is only more than 4,000 yuan, after the medical insurance pooling, the cost of the individual to pay as long as 1,000 yuan, "for us to reduce a lot of burden!"

By the end of 2021, there will be 267 million people aged 60 and above, and more than 200 million people aged 65 and above, according to the National Health Commission. More than 190 million elderly people suffer from chronic diseases, and about 40 million disabled or semi-disabled elderly people have an urgent need for home medical services. The family hospital bed service takes the family as the daily nursing place, and the medical staff checks the physical condition every week to provide nursing services, which can not only meet the medical needs of patients with mobility difficulties, reduce the burden of medical expenses of patients, but also alleviate the problem of hospitalization to a certain extent.