Hot background
In Shanghai's Minhang District, there is such a nursing home for the elderly. Among the 1500 inpatients, the majority are over 60 years old. As the number of elderly patients continues to increase, the pressure on outpatient clinics and wards is gradually increasing. On the one hand, although the elderly's daily necessities are taken care of, family members, especially children, have many "hidden worries" about the elderly's medical security; on the other hand, medical staff are also concerned about the critical condition of the elderly, rapid changes, and the lack of diagnosis and treatment. Not to mention feeling anxious and under a lot of mental pressure.
How to solve the problems of elderly care and rehabilitation caused by aging? On the afternoon of April 19, the South Branch of Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine and Tongkang Hospital signed a "Medical Consortium" cooperation agreement. This is also the first in Shanghai. The "1+X New Medical Complex" is jointly established by public tertiary hospitals and private medical institutions. Li Jin, executive vice president of Renjin Nan Hospital, said that the construction of medical alliances cannot only be carried out between public medical institutions. It is imperative for public hospitals to build medical alliances with non-public medical institutions.
Tongkang Hospital is a designated unit of Shanghai Medical Insurance. The hospital has geriatric care wards and complete outpatient departments, with an annual outpatient volume of 150,000, and mainly serves the surrounding population of 350,000. The demand for medical services from surrounding people and elderly patients is increasing year by year. Due to the diverse and complex disease structure, many "medical safety issues" have arisen.
After this "marriage", a medical consortium expert studio will be opened first, including experts from 36 specialist departments including internal medicine and surgery of Renjin Nan Hospital. Patients who go to Tongkang Hospital can make an appointment with experts from Renjin Nan Hospital. According to the needs of patients, experts will open outpatient clinics at Tongkang Hospital once a week, saving patients the trouble of traveling to seek medical treatment.
After the opening of the two-way referral green channel, some intractable and critically ill patients who are difficult to diagnose and treat in Tongkang Hospital can make priority appointments with experts from Renjin Nan Hospital through the green channel for the next step of diagnosis and treatment. At the same time, patients treated at Renjin Nan Hospital can also receive rehabilitation management at Tongkang Hospital, which alleviates the embarrassment of patients having nowhere to go during their recovery period.
Luan Wei, director of the two-way referral office of Renjin Nan Hospital, said that the medical consortium also has teaching attributes and will train medical staff at different levels. At the same time, experts from Renjinan Hospital will also conduct regular ward rounds on severely hospitalized elderly patients to ensure the quality and safety of medical care.
Simulation proposition
Shanghai and other places have launched tertiary hospitals and private medical institutions to establish medical consortiums. What do you think of it?
Analysis of answers to national civil servant interview simulation questions
As the aging of the population continues to deepen, problems such as difficulty and high cost of providing for the elderly have arisen in many areas. Especially in densely populated cities in the east, who and how to provide for the elderly have become current issues that people are exploring and researching. Shanghai's Minhang District can take the lead and explore a senior care model that combines top-level hospitals and private medical institutions to build a medical consortium based on its own actual conditions, which is worthy of learning and reference by other regions.
The medical consortium is a concrete manifestation of the realization of "combination of medical care and elderly care, and medical care for the elderly". It is one of the necessary means to form a medical care alliance. The formation of a unified consortium by medical institutions and elderly care centers not only shortens the admission examination procedures for the elderly, but also eases the It reduces the financial burden on patients, greatly improves medical efficiency, and lays a solid foundation for creating a good doctor-patient relationship. This is in sharp contrast to the fact that many tertiary hospitals and elderly rehabilitation centers currently perform their own duties and perform their own duties. Inspection and laboratory reports between different institutions do not recognize each other, resulting in repeated examinations for patients admitted to and transferred to other hospitals.
Of course, if we want to implement this model of medical consortium, we still need the joint efforts of many parties.
The first is that the Health and Family Planning Commission and hospitals should increase their publicity efforts, which can be promoted to the public through Weibo, official websites, WeChat public accounts, Douyin short videos, etc., so that more patients are aware of it; the second is that patients and their families should understand and support this good policy. Do not look at this policy with the outdated thinking and vision of the past. Examination, admission, and discharge should be strictly in accordance with the requirements of the policy to avoid the situation of the elderly "pressing the bed"; thirdly, hospitals and community rehabilitation centers should To continuously enrich the nursing team, we can cultivate more clinical staff through recruitment, examination, or signing employment agreements with medical schools.
Good policies require multi-party support and in-depth practice to release medical and pension dividends for more elderly people.