What measures for the convenience of the elderly are stipulated in the "Program"?

In view of the outstanding difficulties encountered by the elderly in using intelligent technology to seek medical treatment, to safeguard their health rights and interests, to facilitate the elderly to seek medical treatment, and to effectively enhance their sense of acquisition, happiness and security, Sichuan has incorporated the convenience of seeking medical treatment for the elderly into the Sichuan Provincial Health and Wellness Committee's practical work for the people, and organized and formulated the "Implementation Plan for Facilitating the Elderly to Seek Medical Treatment in Sichuan Province".

The "Program" clarified the specific work objectives of Sichuan's work to facilitate the elderly to seek medical treatment, and introduced eleven key tasks, including adding fast pre-inspection channels, opening multi-channel registration services, and comprehensively implementing priority services for the elderly.

Work objectives:

The "Proposal" proposes to carry forward the traditional virtues of respecting and helping the elderly in the province's health system, focus on the difficulties and pain points of the elderly in seeking medical treatment, accelerate the transformation of medical institutions for the elderly, optimize the medical treatment process for the elderly, establish and improve a green channel for medical treatment that conforms to the characteristics of the elderly, and fully implement the preferential policies for medical services for the elderly to protect the legitimate rights and interests of the elderly in seeking medical treatment.

By the end of 20021,medical institutions above the second level will fully realize the transformation of aging medical care and provide convenient and timely medical services for the elderly;

By 2023, a modern service system will be established in an all-round way to meet the medical service needs of the elderly.

Eleven key tasks:

Increase the fast pre-inspection channel

During the period of normalized epidemic prevention and control, medical institutions should optimize the pre-inspection process for the elderly to enter their own institutions, add a dedicated channel for the elderly at the entrance, arrange special personnel to guide the elderly to inquire about health codes, help the elderly who can't use smart phones to handle "health codes", and assist the elderly who can't provide health codes to complete epidemiological investigations, so that the elderly can quickly pass through the pre-inspection channel and avoid the inconvenience of medical treatment caused by pre-inspection congestion and long-term detention.

Open multi-channel registration service

Medical institutions should keep the traditional registration methods such as on-site registration, telephone registration 1 14, etc. in the process of establishing the appointment diagnosis and treatment system. , in line with the characteristics of the elderly, open online agency service, support family members, relatives and friends, grassroots medical staff and so on through the binding of elderly patients' electronic health cards, online registration, payment, inspection appointments, report inquiries and other matters.

Medical institutions shall, according to the actual situation of patients in their own institutions, provide a certain proportion of on-site number sources for special medical groups including the elderly.

Third-level hospitals should open some sources for primary medical and health institutions in advance, giving priority to the registration of the elderly.

Promote the medical association leading hospitals to gradually extend the appointment diagnosis and treatment information system to medical and health institutions and medical care institutions within the medical association, and smooth the two-way referral channel.

Full implementation of priority services for the elderly.

All kinds of medical institutions at all levels should further implement the priority service for the elderly. From the aspects of pre-examination, registration, payment, and taking medicine, artificial special windows such as registration, payment, and printing inspection reports are reserved for the elderly, and special personnel are arranged to take charge, giving priority to the elderly in the whole process of registration and payment. In view of the inconvenient medical treatment for the elderly, social workers, volunteers or other staff members are arranged to provide intimate and comfortable medical treatment guidance services for the elderly, and provide guidance and necessary help at nodes where the elderly are prone to inconvenient medical treatment, such as pre-inspection triage, self-service machines, registration windows, payment windows, comprehensive service points and complaint acceptance centers.

Accelerate the transformation of aging medical care

Medical institutions should, according to the characteristics of the elderly, speed up the transformation of the aging medical environment, and establish and equip necessary barrier-free channels and facilities that meet the national barrier-free design specifications.

The outpatient and inpatient wards should be equipped with barrier-free toilets, and the door width should be suitable for wheelchair access. The main entrances and exits of medical institutions should set up temporary parking spots for the elderly to get on and off, and set up safety signs. Equipped with auxiliary transfer equipment in outpatient and emergency departments and inpatient wards. Signs in medical institutions should be clear, concise, easy to understand and have good guidance. The ground in the institution is non-slip and non-reflective, and the inpatient ward should be equipped with an elderly ward, a barrier-free toilet and stable furniture.

Constructing "One-stop" Service Process

Medical institutions should constantly optimize the admission process. Conditional medical institutions should establish a comprehensive admission service center or window to handle information registration, hospitalization payment, pre-hospital examination, appointment and other matters.

Conditional medical institutions can integrate outpatient and inpatient service resources, set up a comprehensive service center for the elderly with clear signs, covering services such as consultation, registration, payment, taking medicine, admission and borrowing of assistive devices for the elderly, and provide one-stop services such as consultation, registration, payment, taking medicine, admission and borrowing of assistive devices for the elderly.

Medical institutions should provide "one-stop" services such as settlement of discharge expenses, direct reduction of blood expenses of blood donors and their immediate family members, and printing of discharge summary in wards or inpatient departments, and actively carry out bedside settlement and discharge, so that it is more convenient for the elderly to go through admission and discharge procedures.

Ensure the hospitalization safety of elderly patients

Medical institutions should strengthen the safety risk management of hospitalized elderly patients, such as pulmonary embolism, falling, aspiration, falling out of bed, etc. And establish high-risk preventive measures and emergency plans.

Promote the construction of intelligent wards for the elderly, carry out intelligent infusion services, and give automatic audible and visual alarms at the nursing end and bedside when infusion is abnormal or about to be completed.

Comprehensive evaluation and management of senile syndrome were carried out for hospitalized elderly patients, and dietary nutrition services were provided according to the characteristics of the elderly.

Encourage patients and their families to participate in the formulation and implementation of nursing plans. Strengthen professional training to improve the ability of medical staff and accompanying personnel to serve elderly patients.

Third-level hospitals should rely on medical associations to actively sink and guide community health service centers and township hospitals to establish and improve the management of health records for the elderly.

Simplify the "Internet+Medical" service process

Encourage all kinds of medical institutions at all levels to speed up the construction of Internet hospitals, vigorously promote closed-loop medical services such as online diagnosis and treatment, online settlement, electronic prescription circulation and home delivery, fully implement the Regulations on the Administration of Internet Diagnosis and Treatment in Sichuan Province, and provide more standardized Internet diagnosis and treatment services for the elderly.

Constantly optimize the interface design and service functions of the Internet medical service platform, simplify the online processing process, and provide services such as voice guidance and manual consultation for the elderly. Carry out AI intelligent face recognition and intelligent voice assistant functions to facilitate elderly patients to complete medical information entry through face recognition verification or automatic recognition voice entry.

Convenient pharmacy service

Medical and health institutions should continue to carry out health management services for the elderly, actively carry out family doctor performance services and "one-stop" online services for "special patients", and provide health consultation, chronic disease follow-up, health management, extended prescription, pharmaceutical consultation, medication guidance and other services for the elderly.

Clinicians implement long-term prescription management of chronic diseases for up to 3 months after strictly evaluating the condition of elderly patients, so as to reduce the number of visits of elderly patients.

Actively promote the construction of "smart pharmacies" to reduce the waiting time for patients to take medicines. In internet plus, we will provide services such as decoction and drug distribution of Chinese herbal pieces, so as to facilitate the elderly patients to take medicine nearby.

Provide family medical services for the elderly.

Medical institutions extend their services to the homes of elderly patients through medical associations and the Internet. According to the requirements of the Notice on Strengthening Family Medical Services for the Elderly, technologies and services with large demand, low medical risk and suitable for family operation are given priority through family sickbeds, on-site inspections, family doctors signing contracts, etc., according to family medical service reference projects.

Strengthen the innovation of intelligent medical technology

Conditional medical institutions, especially tertiary medical institutions, should further strengthen innovation drive, strengthen cooperation with internet companies according to the characteristics of elderly people seeking medical treatment, concentrate relevant personnel on technical research, develop smarter, more convenient, simpler and easier-to-operate wearable devices and diagnosis and treatment methods, and effectively improve the level of online and offline integrated services that adapt to aging.

Strengthen the propaganda and guidance of intelligent medical care.