What are the modes of combining medical care with nursing care in China?

The modes of combining medical care with nursing care in China include medical institutions expanding old-age care services, increasing medical services in old-age care institutions, cooperation between medical institutions and old-age care institutions, and cooperation between medical institutions and community families.

1, medical institutions expand the old-age service model.

There are two main types of medical institutions to expand the old-age service model: one is a medical institution with relatively small scale, relatively low medical level and relatively high empty bed rate, which realizes the combination of medical care and nursing by expanding the old-age service function and gradually changes to rehabilitation hospitals or nursing hospitals. This method solves the problem that a considerable number of elderly people with chronic diseases occupy beds, and relieves the pressure of overcrowding in large general hospitals to some extent.

The other is that the top three hospitals and large general hospitals carry out the service of combining medical care with nursing care by adding service facilities such as geriatrics department and nursing ward, and expand the function of old-age care service on the basis of strengthening medical functions, and increase the function of old-age care on the basis of providing medical services.

2. Old-age care institutions should increase the medical service mode.

At present, China's old-age care institutions have not achieved full coverage of medical qualifications. Meeting the medical needs of the elderly and obtaining medical qualifications is the key to increase medical services in pension institutions. In 20 14, the National Health and Family Planning Commission substantially adjusted the qualification examination and approval standards for setting up clinics, nursing stations, relevant nursing staff and equipment in old-age care institutions, and encouraged qualified old-age care institutions to carry out relevant medical services.

Taking this opportunity, some old-age care institutions have set up rehabilitation training halls, consultation rooms, infusion rooms, CT rooms, clinical departments and ward departments in the treatment area. And regularly hire professional doctors to guide the rehabilitation of the elderly, conduct a comprehensive physical examination of the newly admitted elderly, establish health records for the elderly, and equip them with fitness and rehabilitation equipment to improve the pertinence of services for the elderly and enhance the effectiveness of the combination of medical care and nursing.

3. Cooperation mode between medical institutions and pension institutions

It is a common phenomenon to establish cooperative relationship between medical institutions and pension institutions, and it is also a model encouraged and advocated by the state. This model is mainly formed by the cooperation between medical institutions that do not have pension conditions and pension institutions that do not have medical qualifications, and they establish cooperative relations with each other by purchasing services to realize the effective allocation of resources.

This model saves the investment cost, reduces the examination and approval time, and also reduces the risks arising from the cooperation between the two parties.

4. Cooperation mode between medical institutions and community families.

Home-based care for the elderly is the most important and basic way of providing for the elderly in China, but the biggest obstacle to home-based care for the elderly is medical problems. Due to the particularity of medical treatment and the current level of medical technology in China, family-oriented medical services mainly rely on communities and hospitals. Generally, there are medical service centers in urban communities, which provide medical and rehabilitation services for the elderly at home alone or in cooperation with surrounding medical institutions.

Community medical service centers are generally jointly established by the government and enterprises and managed by professional teams. They are equipped with clinics, pharmacies, rehabilitation rooms, ultrasonic cardiographs and so on. , and equipped with experts from large general hospitals to conduct home visits, provide free medical services for the elderly in the community, and conduct regular health checks and guidance. Some communities also provide on-site services for the elderly in the community through the implementation of the family doctor system.