Health services extend to families

In recent years, various places have actively explored the service model of family bed. Shanghai Municipality has issued the Measures of Shanghai Municipality on Family Hospital Bed Service to ensure the medical quality and safety of family hospital bed service from the aspects of unifying service process, standardizing service behavior and strengthening quality control. The service mode of family beds in Daxing District of Beijing focuses on the urban and rural areas and the rural areas, so that the high-quality medical resources are tilted to the elderly and disabled groups; Qufu City of Shandong Province does not charge bed fees for the elderly who meet the service conditions of family beds, other medical expenses are settled according to the hospitalization standard, and home medical care services are included in the scope of long-term care insurance.

Strengthen the construction of grassroots medical staff, effectively allocate medical resources, and improve the quality and level of service

At present, most of the family bed services are carried out by community health service centers, township hospitals or secondary and lower hospitals with general medicine. The service capacity of primary health care institutions is limited, and the care targets of family beds are older people. What should we do in case of serious illness?

"Family beds will be evaluated in detail before the construction of beds, and the center is currently providing basic medical services." Patients with other treatment needs can be transferred to higher level hospitals at any time." Fuzhou City Shanghai street community health service center director Zhou Weimin introduced.

Huang Yanguang, director of Huqian Community Health Service Center, Wufeng Street, Fuzhou City, said that the center has established a compact medical alliance with the Second hospital of Fujian Province, and the second hospital of Fujian Province has specially arranged two doctors and nurses as the consultant team of Huqian Community health Service Center's family beds. "When there is a problem beyond our ability to solve, the consultant team plays a role and quickly connects with the appropriate department to save time for patients to be transferred to a superior hospital." Huang Yanguang said.

Compared with the traditional sitting mode, home bed service requires medical staff to go out of the institution and carry out door-to-door service, which has certain requirements on the communication ability, diagnosis and treatment level and experience of medical staff. Some primary medical staff said that the pain point of family beds is the lack of capacity of primary medical institutions.

"Different from the ready-made inpatient medical teams in public hospitals, the service quality of primary medical institutions is uneven and the number of medical personnel is insufficient. To promote family bed services, the construction of medical personnel, service level and participation enthusiasm need to be improved." A person in charge of a grass-roots community service center suggested that the team of grass-roots doctors should be further built, and the enthusiasm of medical staff engaged in family bed work should be stimulated by means of performance incentive and title evaluation.

Zhong Zhihua, director of the basic Health Department of Fuzhou Health Commission, introduced that in order to improve the service ability of medical staff to build beds for patients, on the one hand, Fuzhou opens up the city's medical resources, invites experts to record courses online, and grassroots medical staff can learn at any time; On the other hand, grassroots health service centers are encouraged to carry out further training for medical staff relying on medical associations and nursing technical assistance bases.

In the Shanghai Community Health Service Center, Zhou Weimin arranged four doctors and four nurses to specialize in family hospital bed service, and gave priority to recommending medical staff engaged in family hospital bed work in the selection of training personnel. A few months ago, Jiang Huiling finished a three-month off-job training at the provincial Cancer Hospital. "In the past, there were fewer specialized nursing practices commonly used in family beds such as intravenous catheters and stomostomy, and after training, I became more skilled in my own operation and more confident in the technology." Jiang Huiling said.

In order to improve the quality and level of family bed service, Fuzhou has also launched an online monitoring module for family bed service to dynamically monitor the development of family bed service in real time, further improve the efficiency of doctors' consultation and effectively allocate medical resources. In the background of Fujian primary medical health information system, the reporter saw that the number of beds built in all family bed medical institutions in the city, and the number of visits and medication records of each family bed patient were presented one by one. After the bed is removed, the system also invites patients and their families to conduct satisfaction surveys.