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Recently, the "unaccompanied" ward service explored and implemented in Fujian Province, Tianjin and other places has been praised by many netizens and has attracted widespread attention. The "unaccompanied" ward service is a 24-hour uninterrupted life care service provided by professionally trained medical nurses for inpatients, organically combining medical treatment, nursing and life care in the ward, so as to achieve no family companionship or accompanying care. The introduction of this measure is of practical significance for alleviating the problem of "one person is hospitalized, and the whole family is affected".
In recent years, due to factors such as the shortage of nursing staff, the deepening of the aging population, and changes in family structure, the lack of time or inability to take care of sick family members has become a "stone" on the hearts of many family members. Although nurses have alleviated the difficulty of medical escort to a certain extent, due to the lack of systematic and professional training, their quality is uneven, and it is not easy for patients to find reliable and good nurses. The provision of "unaccompanied" ward services can help reduce the burden of accompanying patients' families, ensure that patients receive homogeneous care during their stay in the hospital, and also ensure the quality of medical care and patient safety.
In November 2023, the Fujian Provincial Health Commission and other 4 departments issued the "Notice on Further Promoting the Pilot Work of "Unaccompanied" Wards in Hospitals, which made it clear that from January 2024, the pilot scope of "unaccompanied" wards will be gradually expanded to all tertiary hospitals in the province and extended to secondary public hospitals; On a trial basis, the total care fee is charged per bed day, and the total care fee is much lower than the traditional caregiver fee standard. Other provinces and cities, such as Shandong Province and Tianjin City, are also deploying to promote "unaccompanied" ward services. The results of this work can be expected, but in order to make the "unaccompanied" ward service come to the patient's bedside faster and benefit more patients' families, it is necessary to make precise efforts in "people, finance, and management".
Strengthening the construction of the nursing team and forming a team of nursing practitioners composed of nurses and medical nurses is the human basis for the implementation of "unaccompanied" ward services. Since 2019, the National Health Commission and other departments have successively issued the Notice on Strengthening the Training and Standardized Management of Medical Nursing Workers and the Notice on Further Strengthening the Nursing Work of Medical Institutions to guide the development of the medical nursing staff team to better provide life care, auxiliary activities and other services for inpatients. Compared with the extensive development of nurses, medical nurses must be professionally trained and certified to work, and their work will be more in line with the norms and requirements.
How to share the cost of care is the key to the smooth implementation of the "unaccompanied" ward service. The price policy design of the "unaccompanied" ward service can be set according to the principle of finance, medical insurance, and the patient's own burden, and the charging standard can be set according to the patient's ability to take care of himself; In accordance with the service mode and service specifications of the "unaccompanied care" service, explore the establishment of a price formation mechanism to ensure the benefits of patients and fully mobilize the enthusiasm of medical institutions.
Only by doing a good job in management can we achieve the steady and far-reaching development of "unaccompanied" ward services. On the one hand, in order to ensure the healthy development of the "unaccompanied care" system, it is necessary to give more support to hospitals and medical staff. The government can increase investment and subsidies to reduce the pressure on hospital operations. On the other hand, the physical conditions and needs of patients are different, and in order to ensure the smooth development of personalized care services, it is necessary to scientifically and elaborately formulate relevant implementation plans. At the same time, the workload of nurses is bound to increase by guiding nursing staff to standardize escort services, and new topics such as improving the guarantee mechanism and establishing an assessment and evaluation mechanism also need to be studied and solved.
It is expected that all localities will summarize their experience in a timely manner, actively solve the problems encountered in the promotion of policies, and solve the difficulties of inpatient escort with better services and more affordable prices.
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Text: Zhang Xuan (Media Person)
Editor: Yang Zhenyu
Proofreader: Li Shiyao
Review: Qin Mingrui, Xu Bingnan
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