With the in-depth implementation of the four-in-one guarantee reform project of "medical care and health care" for key groups, the happy picture of "old people have support, the old have medical treatment" is shining into reality, so that the elderly in Sanshui can enjoy a healthy old age. Since the beginning of this year, the Sanshui Branch of the Foshan Municipal Medical Security Bureau has focused on long-term bedridden chronic disease patients, disabled persons, the elderly, and the disabled as the key protection objects, focused on giving full play to the leverage role of the medical insurance fund, explored the establishment of a four-in-one guarantee service system for key groups that combine institutional care and home care, and focused on improving the ability and level of security services for key groups through the powerful measures of "seven grasps".
At present, the whole district has completed the allocation of 193 "medical and health care" beds, exceeding the quota of no less than 150 beds set at the beginning of the year, which can benefit 500 key groups in the jurisdiction in the future.
Integrate the resources of private medical institutions to add 193 "medical care and health care" beds
At about 16:00 on December 15, Li Meixia, an 88-year-old man with limited mobility, was ready to practice "walking" outdoors. Since September this year, from the inpatient department of Jinben Minxin Hospital to the "Medical Care and Health Care" special area, every day doctors and nurses will go to her family bed to do acupuncture, intermediate frequency treatment and other rehabilitation projects for her, get up to wash, relieve hands and other matters just need to press the ring at the bedside, and the nurse will come.
After more than 3 months of medical treatment, nursing, health and nursing, Li Meixia, who was originally completely unable to walk, can now walk alone for 20-30 minutes with the help of a walker. On a sunny day, she can be seen in the outdoor activity area of the medical and health care area.
Chen Yuanli, president of Jinben Minxin Hospital, introduced that before the construction of the "medical care and health care" special area, it was originally an open space, and under the impetus of the four-in-one guarantee reform project of the key population "medical care and health care" in Sanshui District, the integration of resources was transformed and upgraded, and 42 "medical and health care" beds were built, and the special area also has an assessment room, a treatment area, a rescue room, a Corning room, equipped with 4 doctors and 6 nurses, and nurses can be arranged according to the individual needs of the key groups received.
Walking into the Corning room, it can be seen that the family escort area has a sofa, Xiaoice box and other home configurations, which are spacious and comfortable, and the family bed is equipped with rescue equipment such as ventilators and oxygen machines. The "Medical Care and Health Care" special area implements a 24-hour medical duty system, which can well meet the needs of different groups of people by creating a family-style environment, equipped with specialized medical services, and providing integrated medical, nursing, health and nursing services.
Jinben Minxin Hospital is one of the first private medical institutions in Sanshui District to participate in the four-in-one guarantee reform project of "medical care and health care" for key groups and build a special area for "medical care and health care". The project is also one of the "Ten Practical Things for People's Livelihood" in Sanshui District in 2021. According to reports, since the beginning of this year, in order to promote the project, the Sanshui Branch of the Foshan Municipal Medical Security Bureau has carried out 15 special investigations in relevant towns and medical institutions in combination with the imbalance in the allocation of medical resources in private medical institutions and the idleness of inpatient beds in the jurisdiction, and has deeply publicized the reform project of the four-in-one security system of "medical care and health care" for key groups.
After publicity, a total of 6 private medical institutions in the region participated in the construction of "medical care and health care" beds, accounting for 70% of the private medical institutions with inpatient business in the region.
Seven major measures have strongly promoted the optimization of the supply of "medical and health care" services
According to the data of the seventh national census of Sanshui District, in 2020, the population aged 60 and above in Sanshui District was 95,400, accounting for 11.88%, an increase of 32,400 over 2010, of which 67,200 were aged 65 and above. As the country's first affluent longevity town, the elderly population in Sanshui District also presents three basic characteristics of high aging, high concentration and high longevity, and the demand for old-age services in the whole district is large.
The elderly are a high-incidence group of chronic disease patients and disabled people who are bedridden for a long time. Allowing the elderly to "support the elderly and treat the elderly" is a happy life pursued by many elderly people, and the market gap of the integrated service of "medical care and health care" has become a practical dilemma that is difficult for many families to break through.
Since the beginning of this year, the Sanshui Branch of the Municipal Medical Security Bureau has increased the intensity of reform and innovation, actively explored the establishment of a "medical and health care" four-in-one security service system, and listed this project as a key project of the "I do practical things for the masses" practical activities, focusing on solving the urgent and difficult things that the masses are anxious about.
"The medical staff of our special area participated in the 'medical and health care' business training twice this year, which further improved the relevant business level and ability." Li Yizhong, director of the "Medical Care and Health Care" special area of Jinben Minxin Hospital, is the director of the orthopedic department of the hospital and has been engaged in clinical work for more than 30 years. Since the beginning of this year, the Sanshui Branch of the Municipal Medical Security Bureau has invited well-known experts and domestic "medical and health care" service operation agencies to conduct systematic business training for the key population of relevant medical institutions "medical care and health care" practitioners, and printed the "Handbook for the Care of Key Groups in Sanshui District", which has effectively improved the business level of relevant practitioners.
This is also one of the "seven grasps" effective measures taken by the Sanshui Branch of the Municipal Medical Security Bureau to promote the implementation of the project this year. The "seven grasps" effective measures are to do a good job of research and deployment, refine work measures; do a good job of publicity and launch, expand coverage; do a good job of communication and docking, coordinate the introduction of policies; do a good job of linkage and collaboration, form a work synergy; do a good job of bed construction, strengthen service supply; do a good job of special training, improve the level of care; do a good job of inspection and evaluation, and standardize daily management. Nowadays, under the impetus of the "seven grasps" measures, Sanshui has effectively improved the ability and level of guarantee service supply for key groups, which can benefit 500 key groups in Sanshui District in the future.
Deepening and refining reform measures to promote the implementation of policies to benefit the people
Since it was put into use in October, the "Medical Care and Health Care" special area of Jinben Minxin Hospital has provided "medical and health care" four-in-one services for more than 30 key groups of people, and more than 10 people have been discharged from the hospital after rehabilitation treatment and medical care services.
Chen Yuanli introduced that at present, more than 30 key groups of people received by the "medical care and health care" special area are mainly people with stroke sequelae, many of them can not take care of themselves when they come in, they cannot get out of bed, after a period of "medical care" treatment and care, they can move around, the basic self-care ability is restored, the hospital is in accordance with the family bed to build a bed, remove the bed process, after re-evaluation, meet the standards can be withdrawn. It is reported that the maximum period of family bed construction is 90 days, and those who need to continue treatment after the expiration of the period need to be re-evaluated and applied.
"In addition to optimizing the supply of 'medical and health care' services, we also use the leverage role of the medical insurance fund to further reduce the economic burden of key groups." According to the relevant person in charge of the Sanshui Branch of the Municipal Medical Security Bureau, since the launch of the project, the Sanshui Branch has promoted the implementation of the "Foshan Basic Medical Insurance Family Bed Management Measures" on July 1, 2021 by strengthening communication with the Municipal Medical Security Bureau, providing strong policy support for the solid promotion of reform, and leading the compilation of the "Foshan Sanshui District Basic Medical Insurance Family Bed Treatment and Service Management Guide", further clarifying and refining the family bed treatment, service requirements and content. Specific measures such as service management of designated medical institutions.
Next, we will make efforts in the four aspects of "excellent service, strong publicity, promotion of expansion, and observance of norms", continue to consolidate and expand the effectiveness of the four-in-one guarantee reform of "medical care and health care" for key groups, and open up the "last mile" where relevant policies have been effective.
■ Said by witnesses
Recovered patients:
Comfortable environment and professional service
Li Meixia accidentally fell in January this year and underwent hip replacement surgery in Guangzhou. At the age of 88, she has suffered from lumbar disc herniation for many years, and she has previously had limited mobility, and she is completely unable to get up after surgery, so she needs to stay in bed for many years.
"After the operation, my children were worried and didn't know where to send me." Li Meixia said that the family found a lot of homes for the elderly, all unsatisfactory, ordinary homes for the elderly to more than 5,000 yuan a month, but there is no medical support at all, I also need rehabilitation treatment after surgery, a little too expensive family can afford it.
Later, he was introduced by Li Meixia's family to Jinben Minxin Hospital. Li Meixia said that at first, the family was very uneasy, but after coming to see, the family was very recognized, there are professional doctors, nurses, there are special rehabilitation centers, but also equipped with nurses, the environment is also very good, the ward is spacious, and there are activity areas.
"When I first came to an old man's house, I felt lonely in my heart, and I often secretly wiped my tears." Li Meixia said that the doctors and nurses here are very good, the nurses are very careful and patient, giving her a lot of care, and now her mood is much more cheerful and happy. Her relatives are Sanshui Baixiao people, right next to Jinben, and her daughter and son-in-law can often come to visit when they come home.
What touched Li Meixia the most was the encouragement of the doctors and nurses, and it was under their constant encouragement that she had confidence and was able to stand up again. "I'm 88 years old, and after surgery, I thought I would never be able to stand up again." Li Meixia said that the current unrecovered expenses of the previous month are about 4,000 yuan, the environment here is good, there are professional medical, rehabilitation, nursing services, the family feels that the cost performance is very high.
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