■Currently, there are 40 community elders equipped with specialized family health care personnel
■Costs by the town of cooperative medical care to pay for 70% of the outpatient reimbursement to solve the problem of health care insurance
Family hospital beds, in short, that is, "to move the hospital into the home ".
As an important part of community health services, Xiaolan family hospital beds provide a different way of thinking to alleviate the difficulty and cost of visiting the doctor. For those elderly and chronically ill patients with limited mobility, if they go to different medical institutions and are seen by different doctors during outpatient, hospitalization, and rehabilitation, it will inevitably lead to a waste of time and money as the doctors become reacquainted with their conditions. From the point of view of Xiaolan's practice, home hospital beds are an effective way to make full use of the community's medical and health facilities, to obtain continuous medical services and to reduce medical costs.
Small olive town to implement the family hospital beds last year in subdivided west a community pilot six months, the establishment of 13 family hospital beds. After the end of the pilot, this year in some of the conditions of the community to promote, just 2.5 months, the number of built beds reached 40.
According to Liang Xuejun, deputy director of Xiaolan Town's Prevention and Protection Institute, the family beds focus on chronic or rehabilitating patients who need to see a doctor and take medication frequently, and whose mobility is inconvenient and not suitable for hospitalization. Any Xiaolan Town residents who meet the conditions for the establishment of family hospital beds can apply to the nearest community health service station with the qualification to build beds by themselves or their families, and the health service station will report to the town cooperative medical office for review and approval.
Liang A-ma in Shengfeng community established a home hospital bed on January 17th. Liang, 53, suffered from throat cancer 15 years ago and high blood pressure seven years ago. Due to the spread of cancer cells and neuropathy, she has suffered from hearing loss, slurred speech, loss of ability to walk, and increasingly limited movement of her upper limbs.
The Sheng Feng Community Health Service Station has set up a home hospital bed for Liang, and also equipped her with a specialized family doctor and nurse. The reporter can see from the medical record that the date of establishing the bed is January 17, 2008, while the doctor and nurse's visits to the clinic took place on January 17, 20, 24, 27, 31 and February 3, 14, 16, 20 and 26," the reporter said. In less than 2 months, the family doctor and nurse practitioner made 10 visits to the home, with an average of at least one bed check per week.
Zhong Xiaoqing, a caregiver hired by Liang's son for his mother, has been accompanying the elderly for more than four years, she told reporters: "In the past, the elderly had a high fever almost every night, and I had to get up and serve them every two hours. In addition, the old man's blood pressure is high, sleep and diet are not good, I have to use a wheelchair to push the old man to the hospital every three to five days. The old man suffers, and I also feel particularly tired."
"Now it's very different, because of the doctor's home care, the old man's body is no longer hot and cold, eat well, sleep well, and I'm much more relaxed. I've been here for more than four years, the old man did not let me leave one step, even the New Year's home can not." Zhong Xiaoqing said, "In fact, I think the biggest change in the elderly is in the spirit. Before always running to the hospital, the old man's face is always gloomy, she thinks she is a person waiting to die, always pestering the doctor to ask how long she can live. Now, the old man's face is rosy, and from time to time she even talks and laughs, no longer saying that 'death' word that used to hang on her lips so often."
Subdivided west of a community of moncler outlet uk trembling stood up, slowly moving his feet: one step, two steps,...... slowly, he walked almost 20 meters away! Mr. Liu's wife said excitedly, "This is thanks to the home hospital bed service at Subdistrict West 1 Community Health Service Station, which has allowed my husband to get back on his feet, and at the same time has greatly reduced my family's financial burden."
Who would have believed that more than half a year ago, Mr. Liu was a hemiplegic? The company's main goal is to provide the best quality products and services to its customers," he said. "The company's main goal is to provide the best quality products and services to its customers," he said. The patient's family has very little financial resources, and his life is very difficult. After learning about this situation, the Subdistrict West 1 Community Health Service Station promptly reflected the situation to the Township Prevention and Protection Office. With the approval of the Subdistrict West 1 Community Health Service Station, a home hospital bed was established for him, and a detailed treatment plan was formulated according to the condition of Mr. Liu, and a special person was responsible for regular home visits to provide treatment and guidance for rehabilitation, supplemented by careful psychological guidance.
After half a month of building the bed, moncler outlet online the bedsprings were basically healed, and the right side of the limb muscle strength increased significantly. The doctor instructed the patient's family to help the patient with the functional rehabilitation. Now, moncler outlet online, his condition has improved significantly.
Characteristics of the bed
There is a set of systematic treatment and care program
Looking at the introduction of this family bed, readers may feel a sense of déjà vu: "Isn't this the same as the previous outpatient clinic?"
Shangbin Xiao, director of the Shengfeng Community Health Service Station, disagrees. He said: "Compared with the outpatient clinic, the home hospital bed has at least the following advantages: the outpatient clinic is a kind of emergency treatment, which can be said to be a headache, while the home hospital bed has a set of systematic and complete treatment and care programs; the outpatient clinic is a one-time visit, while the home hospital bed has a system of timed bed checking; the outpatient clinic is a personal act of the outpatient doctor, while the home hospital bed has the support of the experts from the big hospitals, as well as the professional nurses. The doctor's visit is a personal act of the visiting doctor, while the home hospital bed has the support of specialists from big hospitals and the professional care of nurses. What's more, home bed service can provide systematic and professional guidance, and family members or accompanying staff can carry out targeted care for patients."
Shengfeng Community Health Service Station has set up family bed files, which record in detail the patient's condition, consultation and treatment, and the doctor's attendance time, while another file contains a detailed rehabilitation treatment plan and process schedule for the patient.
While there is still a shortage of medical staff and equipment in the community, and the family beds have increased the workload of the health stations, they have also brought many benefits to the health service stations. "Specialists from big hospitals come over at least once a week to give guidance, which provides a good learning opportunity for doctors at the station. The establishment of family beds is also conducive to building a harmonious doctor-patient relationship. Doctors often run to the patient's home, not only can practically solve the patient's pain, but also can establish a good doctor-patient relationship, which in turn can gain the patient's recognition of the health service station."
According to Xiao Shangbin, when doctors check the beds, they often respond to the requests of patients' neighbors and family members to do some routine checks for them as well. As a result, patients or patients' families often pull the bed-checking doctors from leaving and want to stay for dinner, "due to disciplinary constraints, our doctors will politely decline."
Costs
Paid 70% by the town cooperative medical care
According to Liang Xuejun, deputy director of the Xiaolan Town Prevention and Protection Institute, the rules for applying for a family bed require that any Xiaolan Town resident who meets the requirements can apply for a bed by himself or his family members close to the community health service station qualified to build beds, and then report the application for a bed to the Town Cooperative Medical Care Office for review and approval.
Liang Xuejun said the family beds fill a gap in Xiaolan's current health insurance: outpatient reimbursement. The town government stipulates that any reimbursable medical expenses incurred by an approved family hospital bed will be paid 70 percent by the town's cooperative medical care, and the patient only needs to pay 30 percent. This move effectively reduces the burden on the patient's family and alleviates, to a certain extent, the difficulty and high cost of visiting the doctor. According to last year's subdivided west a community health service station pilot situation, then *** build family beds 13 times, the average daily cost of 14.7 yuan, of which the cost of medicine accounted for 60.3%, which is basically the same as the cost of visiting the health station.
As a people's livelihood project, Xiaolan Town family hospital bed service is now being gradually pushed throughout the town.
Liang Xuejun said: "Before the family hospital bed service has formed a large scale, the low price, not a lot of manpower, time investment, for the daily operation of the health station has brought some pressure, but in the long run, it brings social benefits can not be underestimated. In order to encourage health service stations to actively do a good job in community health services, the town government allocates funds at the rate of 20 yuan per household population, and annually assesses and scores according to the work of the community health service stations, and those who score a perfect score will be awarded this 20 yuan, and those who fall short will be deducted proportionally."
Even without considering the convenience it brings to patients, home beds have merit just from the point of view of overall economic benefits. Liang Xuejun analyzed, "Regular consultation and care allows patients to receive continuous and standardized treatment, and patients' conditions are more stable, which reduces the chances of patients being re-hospitalized and saves medical resources for the community."
Zhongshan City Xiaolan Town comprehensively pushed urban and rural residents outpatient medical insurance work
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In order to build a In order to build a harmonious society and alleviate the practical problems of farmers' difficulties and high costs of medical treatment, Xiaolan Town has launched urban and rural outpatient medical insurance on the basis of urban and rural cooperative medical care. This work from May 20, 2009 to fully promote, as of June 10, the town *** have 131,909 people to participate in the insurance, the participation rate of more than 80%.
In carrying out this work Xiaolan Town has always adhered to the following principles: 1. the principle of individual contributions, collective support, the combination of government subsidies; 2. the principle of income to determine expenditure, balance of income and expenditure; 3. the principle of the obligations of the insured person and the rights of the participants correspond to the principle of the 4. focus on solving the participants of the common diseases, pathogens, chronic diseases, the principle of the principle of the part of the cost of outpatient medical care; 5. according to the village (community) medical institution According to the construction situation of village (community) medical institutions, the principle of gradual promotion will be implemented. In order to better and faster for the majority of community residents to enjoy this beneficial policy, the government, the community and other units of staff regardless of holidays to guide, help participants to fill out, apply for the relevant information, timely submission of information to the town social security bureau. Town labor and social security bureau in accordance with the procedures of the community to submit the participant information for collation and proofreading, enter the participant fixed community medical institutions identification, and for the new participants in the production of medical insurance card. From August 1, the participants to the designated community health service stations and hospitals to see outpatient, you can use the health insurance card for card reimbursement
The urban and rural residents of outpatient medical insurance work enrollment methods are as follows: the community residents committee for the unified registration of the insurance unit, the same household register all eligible members of the unified registration and payment of fees, the standard contribution of individual 2 yuan per month, the city, town financial subsidies per person per month 3 yuan, a total of *** per person per month RMB 2 yuan per month per individual, and the city and town financial subsidies are each RMB 3 yuan per month per person, totaling RMB 8 yuan per month per person. Participants per social security year outpatient cumulative payment limit of up to 400 yuan. From August 1 this year, the successful registration and payment of residents can be in the designated community health service stations, is the reimbursement of medical expenses, the integrated fund to pay 80%, the individual to pay 20%, in the township hospitals, the fund to pay 20%, the individual to pay 80%.
According to statistics, as of June 10, Xiaolan Town, the participation rate has reached 82.43 percent, Baofeng, Shengfeng, Lianfeng, Subdistrict West I, Jiedong I, Jiedong II, six communities are more than 98 percent of the rate of participation, of which the Baofeng community has the highest rate of participation, up to 99.26 percent.
Urban and rural residents outpatient basic medical insurance is Xiaolan Town in the improvement of social medical security system is another major initiative. The establishment of residents of outpatient basic medical insurance system, will further improve the level of medical protection of household residents, in the hospitalization of the basic security and cooperative medical insurance "protection of major diseases, hospital" on the basis of the more convenient for residents close to the doctor, to achieve the goal of minor illnesses do not go out of the community of the benefit of the people, and is conducive to the promotion of the construction of a harmonious socialist society.
From Xiaolan Town Labor and Social Security Branch learned that, from September this year, the town's residents can participate in the urban and rural residents of Zhongshan City inpatient basic medical insurance. This is also a specific initiative to improve people's livelihood in Xiaolan Town, comprehensively promote urban and rural residents hospitalization basic medical insurance, improve the level of social insurance participation, so that the masses have two medical insurance per person.
There are three main types of existing social medical insurance, namely, comprehensive medical insurance, employee hospitalization basic medical insurance and urban and rural residents' hospitalization basic medical insurance, of which the first two are mainly for the employees of enterprises and institutions, while urban and rural residents' hospitalization medical insurance is mainly for urban and rural residents as the object of insurance. Currently, 95 percent of Xiaolan residents are enrolled in cooperative medical care, and more than 40,000 are enrolled in urban and rural workers' medical insurance.
According to Chen Xikun, director of the labor and social security bureau of Xiaolan Town, because comprehensive medical insurance and inpatient basic medical insurance are mainly taken out by the staff of enterprises, the majority of peasants and residents who do not work in enterprises fail to participate in the insurance, so according to the relevant provisions of the Zhongshan City Urban and Rural Residents' Inpatient Basic Medical Insurance Measures, Xiaolan Town plans to comprehensively promote inpatient basic medical insurance for urban and rural residents in September. Medical Insurance.
The urban and rural residents' hospitalization basic medical insurance is a basic medical insurance system that focuses on hospitalization and is coordinated at the municipal level. It covers rural residents who have participated in basic pension insurance, urban residents who have not participated in the basic medical insurance for urban workers, as well as family members of five-guarantee and low-income households.
In Xiaolan Town, all household residents who have not participated in the comprehensive medical insurance and employee inpatient basic medical insurance can participate in the urban and rural residents' inpatient medical insurance, while those who have participated in cooperative medical care are not affected. Participation will be on a voluntary basis, but all those eligible to participate in the same household register will be required to do so. The cost of participation will be paid by the residents, regardless of age, at 18 yuan per person per month.
According to Xiaolan Town, the relevant departments of the statistics, hold two medical insurance residents, medical expenses in addition to out-of-pocket expenses, the rest of the basic can be fully reimbursed.