Strongly appeal to the government to introduce relevant regulations to restore the nurse's own function to cancel the nurse! The first thing you need to do is to get your hands on a new car, and then you'll be able to get it back.
The caregiver has no professional training background, no professional skills, no health survey, on what basis does he exist in the hospital? Does the hospital code allow for this kind of unorganized and unmanaged configuration? Nurses exist in the end good who? This is part of the hospital mess one.
I remember that once upon a time, there was no nurse in the hospital, and during the hospitalization period, the nurses took care of the care, including turning over, scrubbing all over the body, and making regular rounds, and I don't know when all of these turned into a patient to do it, and the family couldn't take care of it, so they had to find someone to help them. Slowly, the nursing industry emerged, and the cost was getting higher and higher, and the nursing staff was doing the job the nurses are supposed to be doing, which harms the patients and their families, and pushes up the total cost of medical care.
This is China's unique scenery, should have been a nurse to do things, and now pushed to the patient's family to solve their own, high-priced so-called caregivers, hospitals and then from the management fee, so that the hospitals are happy, not only do not need to worry about their own nurses, but also charges, caregivers are happy, because they are earning this money, but only to the detriment of the patient's family.
Not long ago my father-in-law fracture hospitalization, the hospital unified management nurse (each department several nurse, not one-on-one), the patient 200 yuan per day nurse fee. After being discharged from the hospital can not take care of themselves, and then asked a live-in caregiver 7600 yuan a month.
It is indeed very expensive, we can only save a little in other areas. We don't have the strength to serve the elderly anymore, and we are already elderly ourselves.
As for the price, it is not good to comment, commodity society, a willingness to sell a willing to buy, care for the elderly is actually very hard, dirty and tired, caregiver high salary should not be condemned.
The last generation of elderly people are okay, there are several children, our generation only one, how to do in the future do not dare to think.
Before the reform and opening up, I have lived in hospitals (including local people's hospitals and military hospitals once), are not equipped with a full-time caregiver to accompany the patient, and do not allow family members to accompany the ward on tattoo. Nurses were mainly responsible for nursing duties, such as giving injections, delivering medicines, assisting patients to go for check-ups, going to the toilet, and inspecting the wards regularly in the evening. Local hospitals are also equipped with a very small number of male attendants, but they belong to the official establishment of the hospitals, and they mainly work with the medical staff to do some physically demanding work, including pushing critically ill patients into the operating room, clearing up medical wastes, and pushing corpses to the morgue, etc. For some unknown reasons, hospitals allow family members to accompany them in the wards. I don't know for what reason, hospitals allow family members to stay with the patient at night; and I don't know when it started, hospitals appeared to have no professional knowledge of the caregiver, at night in the ward to stay with the night, and during the day to send the patient to do a variety of tests, etc., and by the patient's family to pay for the hiring.
The solution to the problem of hospital nurses and nurses fee is too high, can not be a single solution, must be "multi-pronged".
First, we must further deepen the reform of the health care system, the government should let the public hospitals really last name "public", mainly by the local financial hospital expenses. Can not let the leadership of public hospitals too much energy spent on solving the hospital's own funding shortfall above, the mind too much spent on the "open source", "cutting costs" above.
Secondly, according to the size of the city's population development, all kinds of medical resources, especially medical personnel. Each hospital should have enough doctors and nurses according to the number of consultations and beds. The first step is to make sure that you have a good understanding of the situation, and that you have a good idea of what is happening. Each hospital can be equipped with a small number of caregivers, so that doctors, nurses and workers are not only their own duties, but also the division of labor and cooperation.
Third, to strengthen hospital management. Starting from the development of hospital management norms, from administration, medical care, logistics and ward management, family visits and other aspects of the establishment of rules and regulations, hierarchical norms, strict management. Under the current conditions, by the hospital on the existing nurses for full training, graded assessment, and with the city (county) price departments to work closely with the development of reasonable charges, to bring down the excessive charges. And actively create conditions to significantly reduce the number of caregivers, improve the quality of caregivers, into the hospital establishment, the implementation of unified management, and no longer to the patient's family to charge the so-called caregiver fee.
These are the first time I've ever seen a woman in a hospital, and I've never seen one before. The first time I saw this was when I was a student at the University of California, Berkeley, and I was a student at the University of California, Berkeley. The reason for this is the fact that the people who have a vested interest in this matter have been stripped of all their money, and the money that the real caregivers get is not very much. When discharged from the hospital bill on the nursing fee, a fee is not less, the nurse in addition to injections, not a little care!
This is a very real problem, I think it is also our country should be urgently solved and standardized.
Nurses mainly for the patient to provide care services, I think the cause of the high cost of care is mainly demand is greater than supply. With the advent of the aging society, more and more young people due to work, life, family, children and many other reasons, unable to take care of the elderly hospitalized sick at home, had to spend money to help the caregiver to the hospital to take care of the patient, and at present due to the prejudice of the community, many people are reluctant to engage in the care of the patient's caregiver work. The demand is high and the number of people engaged in this work is relatively small, resulting in demand exceeding supply.
When the demand for caregivers is greater than the supply, it is inevitable that caregivers are harder to find and more expensive.
Then how to solve this problem, I think:
First, to strengthen the vocational training of caregivers, caregiver training into the national vocational education and training system, to train more professional caregivers to engage in patient care work.
The second is to advocate the hospital as the main patient care service system, by the hospital according to the patient's needs to provide one-on-one or one-on-many nursing care services, nursing care workers into the unified management of hospitals, nursing care worker charges prices are also included in the scope of government supervision, in order to save the nursing care worker human resources to save manpower expenditures.
Third, the nurse service into the industry management, increase the nursing company or individual nurse management, to do licensed. According to my understanding, at present most of the caregivers are mostly from rural areas, and are slightly older some people, most have not received professional training, not to mention providing standardized services. Through the management of the industry, increase to enhance the standardized management level of caregivers, and to do with the service price.
Fourth, the government is recommended to introduce relevant policies to cope with the advent of an aging society, and to give some post subsidies to the personnel engaged in patient care work, thereby reducing the charge of nursing fees.
Fifthly, encouraging and guiding elderly hospitalization mutual aid and voluntary services from the government level is also an effective measure to reduce the cost of care and attention.
This issue must be paid attention to, do not grasp the reality of hospital caregivers, the future will be out of chaos, unmanageable. Nurse on the surface is to take care of the patient. But in fact, the hospital defaulted to the poor quality of the work of the caregiver, but the income is very high. The patient is the victim of personal interest. Nurse promised one-to-one, the patient asked for a nurse, always want to have the help of a nurse, and then difficult situation is to choose the most expensive one-to-one, in fact, completely cheat you. Nursing staff in the hospital pandemonium, to the patient just milk! One set of surface in front of people.... Nurses have to dominate the care workers to help them work, there is no compassion for the patients, condoning the care workers to collude and take turns to go home, only minimal care workers to look after the patients, the care workers to wash their hair, take a bath, repair the fingernails, toenails, but very leisurely patience, I witnessed the care workers to clean up half a bucket of live minnows, to wash the whole family's clothes, all with the hot water of the hospital. The patient wants to sleep a little, the caregiver in the restroom to open a large cage head water clattering non-stop. Every day is less than ten minutes in the morning doctors check the wards, caregivers do not go away. Usually the nurses also help the caregiver cell phone online shopping, lively discussion ... .... No good face to the patient, very impatient.
I worry that this situation will one day be a big deal. The party and the government to chemical so much money to build hospitals, never see this effect, not to patients to suffer the sins of the caregivers!
This is a gray area.
This is a gray area.