CCTV News: In 2022, the National Health Commission will take the lead in 15 provinces, including Beijing and Jiangsu, as pilot areas for geriatric medical care services, innovate and diversify geriatric medical care services, and increase the supply of multi-level geriatric medical care services. In January 2023, the first new type of integrated medical and elderly care home in a community health service center in Jiangsu Province was officially put into operation. In the past year, how has it been operating? The reporter conducted on-the-spot interviews.
Since the beginning of this year, Xu Guangqing, director of the Lotang Community Service Center in Huishan District, Wuxi City, has another identity as the director of the Lotang Nursing Home.
Xu Guangqing, Director of Lotang Community Health Service Center in Huishan District, Wuxi City, and President of Lotang Nursing Home: The biggest feature of our nursing home is medical empowerment for the elderly, in the original community health service center, we rely on more than 120 medical staff to empower the basic medical treatment, rehabilitation and nursing of the nursing home. In the space, the nursing home and the community health center are close to each other.
At 8 o'clock in the morning, the activity center on the third floor of the Lotus Pond Nursing Home began to be lively, and many elderly people improved their physical functions through exercise, games and other activities.
Zhou Yuhong, therapist at Lotang Nursing Home, Huishan District, Wuxi City: Like Aunt Yu, who has 11 beds on the 3rd floor, she has great defects in language, cognition, and physical coordination when she first came. After three or four months of recuperation training, the limb function has recovered significantly, he is able to eat independently, his cognitive function has improved, and he can interact, communicate and play with other elderly people.
Aunt Yang's parents are both in their eighties, and the two elderly people originally lived separately, with her father living in a nursing home and her mother nursing at home. Aunt Yang herself is 64 years old, and it is very hard to take care of the elderly by running two ends every day. Two months ago, Aunt Yang's parents were finally reunited in the Lotus Pond Nursing Home, and after exercise and recovery, the old man's physical function has been greatly improved, and he often plays chess with other elderly people, and his life has become more quality in his later years.
Ms. Yang, a resident of Huishan District, Wuxi City: When my father came, he couldn't move in bed. After I came, the doctors, nurses and nurses were very good, they felt that they were not happy when they first came, but they were very happy after they came. The therapist has been training him, interacting with him, playing games for him, and sometimes he will come down on his own. So, we're happy, really happy.
At present, 119 beds are open in the three nursing wards of the Lotang Nursing Home, mainly for the elderly with limited mobility and difficulties in self-care. By sharing medical teams and medical equipment with community health service centers, nursing homes allow the elderly to receive integrated medical care, rehabilitation promotion, hospice care and other services.
Xu Guangqing, Director of Lotang Community Health Service Center and President of Lotang Nursing Home, Huishan District, Wuxi City: At the same time, we rely on the medical community of Huishan District People's Hospital. They also have seven or eight specialist clinics here. In case of a serious problem, we can transfer 120. Second, it is more convenient for them (doctors from Huishan District People's Hospital) to come over, it only takes about ten minutes, which makes the family of the elderly feel very relieved and reassured.
Revitalize primary medical resources and provide high-quality nursing resources for the elderly
In Huishan District, Wuxi City, many elderly people need high-quality nursing resources, and there are 8 hospitals within 5 kilometers of the Lotang Community Health Service Center, and some primary medical and health institutions have idle beds and insufficient use of facilities and equipment. In this case, the "embedded" of community hospitals in public care homes can be said to kill two birds with one stone.
Xu Guangqing, Director of Lotang Community Health Service Center and Director of Lotang Nursing Home, Huishan District, Wuxi City: Many of the resources of our original community health service center were idle. For example, we have beds at about 30 percent, and there are many medical staff who are usually responsible for some public health work, but there is still some time that they are free. The center is still a big pot rice model in terms of performance rewards, in fact, there is not much difference between doing more and doing less. Therefore, many employees do not have the enthusiasm to work in this regard, and they are not willing to pay more.
Although the Lotang Community Health Service Center is not large, it has a complete range of departments and hardware, which can meet the diagnosis and treatment of common and frequent diseases.
How can we make use of the idle equipment and beds in community health service centers? Increase income and mobilize the enthusiasm of employees? After repeated investigations and investigations, many departments in Wuxi City have taken the lead in promulgating a new policy in Jiangsu Province to encourage qualified community health service centers (township health centers) to set up nursing homes without changing their functions or increasing their staff. The use of idle resources in community health service centers has achieved a breakthrough in public nursing homes, and this new model operates according to the mode of one legal person, one team, two medical institutions, and two medical insurance settlements.
Sheng Mingmin, Primary Health Department, Health Commission, Huishan District, Wuxi City: Considering that we need to use this idle resource, we also need to make medical personnel have something to do. The Government is considering embedding a care home in a community centre. One can solve the problem of pension for the elderly in our jurisdiction, and at the same time improve the enthusiasm of medical staff.
Residents can enjoy basic medical insurance based on bed-day settlement policy
The establishment of public nursing homes in community health service centers is a new way out for community health service centers, and it is even more good news for the surrounding elderly people. At present, the Lotus Pond Nursing Home in Huishan District, Wuxi City has been officially put into operation, and more than 350 elderly people and patients have been treated.
After the community health service center has added the function of medical care, in addition to the basic medical insurance bed day settlement policy, the elderly who meet the long-term care insurance can also enjoy a long-term care insurance subsidy of 30-50 yuan per day.
Xu Guangqing, director of the Lotang Community Health Service Center in Huishan District, Wuxi City, and director of the Lotang Nursing Home: Wuxi's policy is still relatively good. The medical insurance policy of nursing homes is to settle by bed day, and the government can have 100 yuan of medical insurance support per day and 100 bed day settlement support per day. If you are a local patient, you can also enjoy reimbursement and subsidy policies such as long-term care insurance, and you will spend less on your own.
Since the opening of the nursing home, it has been well received by patients and their families. At the same time, the business income of the Lotang Community Health Service Center has also increased significantly, and the medical staff have also experienced the feeling of being busy and happy.
Xue Tingxian, Deputy Director of the Nursing Department of Lotang Community Health Service Center, Huishan District, Wuxi City: In the past, the number of patients was almost maintained at about 20, but now I basically care for the first and second nursing areas, basically (nursing area 1) to reach more than 30, and the second area is more than 20, which is equivalent to the amount of a ward that has reached the previous center, and the number of people in the workload is doubled.
Xue Tingxian has just returned from Zhongshan Geriatric Rehabilitation Hospital, and for her, she basically has no leisure every day.
Xue Tingxian, Deputy Director of the Nursing Department of Lotang Community Health Service Center, Huishan District, Wuxi City: This (patient's condition) is basically serious, and the work is continuous, basically non-stop. The technical requirements are also relatively high. By going out to study Xi and further study, it can be said that our technical level has been greatly improved in all aspects.
Xu Guangqing, Director of Lotang Community Health Service Center and Director of Lotang Nursing Home, Huishan District, Wuxi City: The rewards for our assessment by the Health Commission are completely different from the past, and may increase our performance by 5 to 10 percent.
After a year of operation, the Lotang Nursing Home has achieved a win-win situation for all parties, the elderly have been better cared for, the enthusiasm of medical staff has increased, and the business income of the community health service center has increased significantly. Wuxi City said that on the basis of the pilot project of the Lotang Nursing Home, it will successively launch the pilot work of public nursing homes in other regions, and continue to explore more beneficial and effective experience and measures for the integration of medical care and elderly care.
Source: CCTV