China's medical and nursing combination of modes of medical institutions to expand elderly services mode, elderly institutions to add medical services mode, medical institutions and elderly institutions cooperation mode, medical institutions and community family cooperation mode.
1, medical institutions to expand elderly service mode
Medical institutions to expand elderly service mode is mainly divided into two categories: one is a smaller, relatively low level of medical care and relatively high rate of empty beds of medical institutions, through the expansion of elderly service function to realize the combination of medical care, gradually to the rehabilitation hospital or nursing care hospital transformation. The first type is smaller medical institutions with relatively low medical standards and relatively high empty bed rates. This type of approach to solve the problem of a considerable portion of the elderly with chronic illnesses dragged to occupy beds, to a certain extent, to alleviate the pressure of overcrowding in large general hospitals.
The other type is the three A hospitals, large general hospitals through the addition of geriatric departments, nursing wards and other service facilities, to carry out health care services, in order to strengthen the medical function on the basis of expanding the function of the elderly service, on the basis of the provision of medical services to increase the function of the elderly care.
2, the elderly institutions to add medical service mode
Currently China's elderly institutions have not yet realized the full coverage of medical qualifications, the elderly institutions to add medical services to meet the medical needs of the elderly, to obtain the medical qualification is the key. 2014, the National Health Commission to significantly adjust the elderly institutions to add infirmary, nursing station, qualification approval standards for related caregivers and equipment, in order to encourage qualified nursing institutions to carry out related medical services.
Taking this opportunity, some nursing institutions have set up rehabilitation training centers for the elderly, clinics, infusion rooms, CT rooms, testing departments, treatment ward departments, etc., and regularly hire occupational physicians to guide the rehabilitation of the elderly, conduct comprehensive physical examinations for newly admitted seniors, set up health records of the elderly, and equip them with fitness and rehabilitation equipment, so as to improve the relevance of the services for the elderly, and to enhance the effectiveness of the combination of health care and nursing care.
3, medical institutions and nursing institutions cooperation model
Medical institutions and nursing institutions to establish a cooperative relationship is a relatively common phenomenon, but also the state to encourage and advocate the model. This model is mainly formed by the medical institutions that do not have the conditions for the elderly and no medical qualification of the elderly institutions, the two through the mutual purchase of services to establish a cooperative relationship, to achieve the effective allocation of resources.
This model saves investment costs, reduces approval time, and also reduces the risks arising from the cooperation between the two parties.
4, medical institutions and community family cooperation mode
Home care is the most important and basic way of old age in China, but the biggest obstacle encountered by home care is the medical problem. Due to the special nature of medical treatment and the current level of medical technology in China, medical services for families mainly rely on the community and hospitals to provide. Generally, urban communities have medical service centers, either alone or in cooperation with neighboring medical institutions, to provide medical and rehabilitation services for the elderly at home.
Community medical service centers are usually set up jointly by the government and enterprises, and entrusted to a professional team for management, with health clinics, pharmacies, rehabilitation rooms, cardiac ultrasound, etc., and equipped with specialists from large general hospitals to provide free medical services for the elderly in the community, and regular health checkups and guidance. Some communities also through the implementation of the family doctor system, for the elderly in the community to provide door-to-door service.