I. Definition
1. Rehabilitation hospital
Provide medical treatment for people with serious disabilities in labor, life and learning due to physical or mental defects, and give full play to their physical, mental and social abilities through treatment and training, so that only part of the organs and tissues of the handicapped and sick people maximize their ability to achieve incomplete disability, and to make the body's retained functions to play the most effective role. Medical institutions.
2. Nursing homes
Medical institutions that provide patients with long-term medical care, rehabilitation promotion, hospice care and other services, are an important part of the health care system.
3. Nursing homes
Institutions that provide group living and old-age care services for the elderly.
2. competent unit
The competent unit of rehabilitation hospitals and nursing homes is the Health Commission.
The competent unit for nursing homes is the civil affairs authority.
Third, the object of service
1. Rehabilitation hospitals
Mainly for the elderly, patients with chronic diseases, patients with acute illnesses, patients with defective or missing sensory organs, children, mental health patients and other patients in need of restoration of function and normalcy.
2. Nursing Homes
Mainly for long-term bedridden patients, patients in advanced palliative care, chronically ill patients, elderly people who are unable to take care of themselves, and other patients in need of long-term care services.
3. Nursing homes
For elderly people over 60 years old.
4. Services
1. Rehabilitation hospitals
Mainly provide comprehensive rehabilitation and technical services equal to physical therapy, exercise therapy, occupational therapy, speech therapy, and traditional Chinese medicine (TCM) manipulative technology therapy.
2. Nursing Homes
Provide medical services such as medical care, rehabilitation promotion and hospice care, as well as daily health care, life care, fitness and recreation services for the elderly.
3. Nursing homes
Provide elderly services such as diet and living, life care, health management and cultural, sports and recreational activities.
V. Department Setting
1. Rehabilitation Hospital
Sections are set up in six of the Bone and Joint Rehabilitation, Neurological Rehabilitation, Spinal Cord Injury Rehabilitation, Child Rehabilitation, Elderly Rehabilitation, Cardiopulmonary Rehabilitation, Pain Rehabilitation, Hearing and Visual Rehabilitation, Burn Rehabilitation, as well as Internal Medicine, Surgery, and Intensive Care Unit.
2. Nursing homes
are set up with clinical departments (at least internal medicine and hospice), medical technology departments (at least pharmacy, laboratory, radiology, dietetics, and sterilization and supply), and functional departments (at least healthcare quality management, nursing, hospital infection management, instrumentation, case/statistics, and information).
3. Nursing homes
Generally only have an infirmary, and those that do not have an infirmary can sign a green visit with a specialized hospital.
VI. Healthcare Configuration
1. Rehabilitation Hospitals
(1) At least 2 rehabilitation physicians and 4 rehabilitation therapists (referring to those who are engaged in exercise therapy, occupational therapy, speech therapy, physical factor therapy, and traditional rehabilitation therapy, as well as 1 part-time or full-time psychologist and 1 social worker each);
(2) Each bed is equipped with at least 1.4 health technicians, including 0.2 physicians/bed, 0.4 rehabilitation therapists/bed, and 0.3 nurses/bed.
(3) At least 1.2 health professionals and technicians per bed, including 0.15 physicians/bed, 0.3 rehabilitation therapists/bed, and 0.3 nurses/bed.
(4) The number of rehabilitation physicians and therapists in large rehabilitation hospitals needs to be higher, and the number of rehabilitation therapists is not less than one-third of the number of health technicians.
2. Nursing homes
(1) At least one physician with professional and technical position of deputy director or above and at least three physicians with more than five years of experience in the whole hospital;
(2) At least one nursing staff per bed, of which the ratio of registered nurses to nursing staff is 1:2-2.5;
(3) For every 10 beds or every ward At least 1 nurse with the qualification of professional and technical position of nurse-in-charge or above, and 1 head nurse for each ward;
(4) Pharmacists, technicians, clinical dietitians, rehabilitation therapists, and other medical and technical personnel corresponding to the diagnostic and therapeutic operations should be equipped. Configuration ratio: 1:10 for doctors, 1:10 for nurses, and 1:1.25 for caregivers.
3. Nursing Homes
(1) The whole leadership of the hospital should have college degree or above in related majors.
(2) There should be one full-time social worker and full-time rehabilitation worker with college degree or above and graduated in social work.
(3) There shall be one doctor and a corresponding number of nurses in the organization serving the intermediate care of the elderly.
(4) The number of nursing staff and other personnel is based on the principle that they can meet the needs of the service users. Configuration ratios: doctors are not required, nurses 1:50, caregivers 1:4-10.
VII. Functional Area Settings
1. Rehabilitation Hospital
A variety of rehabilitation treatment modalities and technology in one integrated treatment modality, such as for neurological and muscular rehabilitation, there will be a diagnostic and treatment room, traction room, physiotherapy, acupuncture, rehabilitation training hall, osteoporosis clinic, traditional Chinese medicine fumigation therapy room, and a treatment room for osteoporosis. For example, for neurological and muscular rehabilitation, there will be consultation rooms, traction rooms, physiotherapy rooms, acupuncture rooms, rehabilitation training halls, osteoporosis treatment rooms, Chinese medicine fumigation treatment rooms, pain treatment rooms and other functional spaces. Therefore, in the design of the rehabilitation hospital must understand the specific form of rehabilitation treatment.
2. Nursing Home
(1) There are a number of services such as living and living, culture and entertainment, rehabilitation training, medical care and other facilities.
(2) the overall design: barrier-free design; each room should be equipped with clothing storage space, and the interior of the barrier-free bathroom; with independent bathrooms, rehabilitation areas, indoor (outdoor) activity areas, radiology, testing and functional examination rooms; physical therapy rooms; the need for elevators in the building, should be set up at least 1 barrier-free elevator; a mortuary.
3. Nursing homes
have a fixed place of service, necessary living facilities and outdoor activities can be.
VIII. Facilities and Equipment
1. Rehabilitation Hospitals
Tier II Rehabilitation Hospitals and Tier III Rehabilitation Hospitals are equipped with the following standards:
2. Nursing Homes
(1) Basic equipment: at least with a call device, an oxygen supply device, a respirator, an electrically operated suction device or a phlegm suction device, an air mattress bed or mattresses with the function of preventing and controlling pressure ulcers, a treatment trolley, an evening care trolley, and a medical records trolley. Evening care trolley, medical record trolley, medicine cabinet, electrocardiograph, X-ray machine, B ultrasound, blood and urine analyzer, biochemical analyzer, thermostat, disinfection and supply equipment, refrigerator, washing machine, water purification and filtration system for normal hot water.
(2) First aid equipment: at least equipped with cardiac defibrillator, cardiac monitor, endotracheal intubation equipment, respirator, oxygen supply equipment, rescue vehicle.
(3) specialized equipment for rehabilitation therapy: at least equipped with exercise therapy, physical therapy and occupational therapy equipment appropriate to the rehabilitation needs of the admitted patients.
(4) Information technology equipment: automated office equipment is configured in the inpatient department, information section and other departments to ensure the statistics and reporting of nursing home information.
(5) basic equipment per bed unit in the ward: should be the same as the second level of general hospitals, beds should be equipped with bed stops.
(6) other: there should be other equipment appropriate to the diagnosis and treatment operations carried out.
3. Nursing homes
Intermediate, intermediate care for the elderly should be installed at the bedside of the call bell; fitness, rehabilitation equipment and devices suitable for the elderly; necessary laundry equipment, such as washing machines, irons, etc.; adequate medical equipment and supplies, there should be first aid medicine box and wheelchair carts.
Nine, the number of beds
The number of beds in the secondary rehabilitation hospitals is more than 100, and the number of beds in the tertiary rehabilitation hospitals is more than 500.
Nursing homes require more than 50 beds.
Nursing homes require more than 30 beds.