Home hospital bed is to take the family as the place of care, selecting the types of diseases that are suitable for medical treatment or rehabilitation in the family environment, and letting the patients receive medical treatment and nursing care in a familiar environment, which is conducive to promoting the rehabilitation of the patients and reducing the burden of the family's economy and manpower. The establishment of home beds enables medical personnel to go out of the hospital door to maximize the satisfaction of social medical care requirements, and the content of services is also expanding, including disease screening, health education and consultation, prevention and control of disease development; expanding from treatment to prevention, expanding from hospitals to outside the hospital, forming a comprehensive medical care system; home beds are a new form of medical care that has emerged in line with the development of society. care form.
Edit 2.Who can handle home hospital beds
Insured residents who are suffering from the sequelae of cerebrovascular accidents, advanced malignant tumors, or bone fracture traction can set up home hospital beds for treatment after examination by the first designated medical institution. When setting up a home hospital bed, the insured resident shall hold the home hospital bed admission notice of the first designated medical institution, fill in the Home Hospital Bed Approval Form for Insured Residents, and apply for the home hospital bed admission procedures after the approval of the medical insurance section of the designated medical institution, and each treatment shall not be more than two months, and those who need to continue the treatment after the expiration date shall apply for the relevant procedures again. During the period of staying in the family hospital bed, the hospitalization shall not be carried out in the designated medical institution at the same time. The Interim Working Regulations on Family Hospital Beds (Ministry of Health 1984) stipulates: ...... Article 7 Hospitals generally establish family hospital beds only within the lot for which they are responsible. The scope of the types of diseases to be admitted to family hospital beds shall be determined by medical units at all levels in accordance with their own medical conditions and technical levels. Generally: (1) patients with geriatric, common and frequent diseases whose conditions are suitable for medical treatment at home. Patients who still need treatment and rehabilitation during the recovery period after being discharged from the hospital. Patients who are old, weak, sick or disabled and have difficulties in visiting hospitals continuously. Patients with obstetrics and gynecology, infectious diseases, occupational diseases and mental illnesses that are suitable for treatment in home hospital beds. Patients with advanced tumors who need supportive treatment and pain relief. For long-term chronic patients who have difficulties in outpatient consultation and do not need hospitalization, they should make good outpatient consultation and may not build beds.
Edit paragraph 3. China's home hospital beds status
Since the 1970s, home hospital beds have been initially established in various parts of China, began to appear specialized home hospital beds. Family beds became the main form of community nursing. In the opening of family beds, nurses accounted for a certain proportion, and take on important tasks. After decades of development, it is still far from being able to meet people's needs up to now. In the next few years, the development of home beds is still the goal and direction of the development of community nursing.
Edit 4. Social role of home hospital beds
(1). Reduce the economic burden on society and families. (2). Favor the recovery of disease. (3). Provide convenience for patients to seek medical treatment. (4). Rationalize the use of health resources. (5). To provide more nursing services to the community. (6). Disseminate health knowledge to the community. (7). Embodiment of nurses' social value.
Edit paragraph 5.Family bed management information system
There are historical data show that family beds were firstly emerged in Tianjin in the 1950s.In September 1984, the Ministry of Health held a national experience exchange meeting on family bed work in Tianjin, which summarized the experience of carrying out the work of family beds and revised and discussed the Interim Regulations on the Work of Family Beds. The regulations clearly stated that "family hospital beds are hospital beds established by medical units in their homes for certain patients who are suitable for examination, treatment and care under family conditions, and adhere to the policy of combining popularization and improvement, combining Chinese and Western medicine, and combining medical treatment, prevention, health care and rehabilitation." The regulations also clearly set out the tasks and scope of admission to family hospital bed services, which is exactly what community health organizations have been following for many years. The regulations stipulate that the main tasks of family hospital beds are "to provide medical services to patients with established beds; to expand prevention, carry out health check-ups, disease surveys, and prevention and treatment of diseases; to carry out rehabilitative medical treatment under family conditions; to publicize and popularize knowledge of disease prevention and treatment and family medicine and health care; and to select appropriate types of diseases for therapeutic observation and study of therapeutic, preventive, and rehabilitative measures, and to summarize them continually. " It is not difficult to see that the competent authorities have, from the very beginning, given a clear orientation to the service principles of family hospital beds, such as emphasizing that "hospitals generally establish family hospital beds only in the lots for which they are responsible" and so on. Home beds and community care are a "trinity" of medical institutions, patients and families, and the concept of community care has been y rooted in people's minds during the development of home bed services. The home visit service of medical and nursing staff is conducive to the treatment and rehabilitation of patients, as most of these people are elderly patients who wish to receive treatment in a comfortable home environment, with less psychological pressure, and are also relieved of the laboriousness of traveling to and from the hospital. Through targeted health knowledge education and tracking observation of patients, in the careful care at the same time can also teach residents self-care.