During the period of normalized epidemic prevention and control, medical institutions should optimize the pre-inspection process for the elderly to enter their own institutions, arrange special personnel at the entrance to guide the elderly to inquire about health codes, and assist the elderly who cannot provide health codes to complete epidemiological investigations.
Provide multi-channel appointment registration service
In the process of establishing the appointment diagnosis and treatment system, medical institutions should provide convenient ways for the elderly to make appointments and register, and unblock the channels for family members, relatives and friends, grassroots medical staff and so on to register for the elderly. Medical institutions shall, according to the actual situation of patients in their own institutions, provide a certain proportion of on-site number sources for special medical groups including the elderly.
Third-level hospitals should open some sources for primary medical and health institutions in advance, giving priority to the registration of the elderly. Promote the medical association leading hospitals to gradually extend the appointment diagnosis and treatment information system to medical and health institutions and medical care institutions within the medical association, and smooth the two-way referral channel.
Optimize online and offline service processes
Encourage medical institutions to develop Internet medical services, constantly optimize the interface design and service functions of the Internet medical service platform, simplify the online processing process, and provide services such as voice guidance and manual consultation for the elderly. In the development of Internet medical services, combined with the medical needs of the elderly, artificial windows such as registration, payment and printing of inspection reports are reserved.
Promote medical services through multimedia such as ID cards, social security cards and electronic medical insurance certificates, and encourage the application of technologies such as face recognition in medical treatment scenarios. Set up a comprehensive service point for the elderly with clear signs in outpatient clinics to provide comprehensive services such as consulting and borrowing assistive devices for the elderly.
Encourage qualified secondary and above general hospitals to set up geriatrics departments, set up comprehensive outpatient services for the elderly, and provide "one-stop" services such as diagnosis and treatment, rehabilitation, nursing and medication guidance.
Convenient pharmacy service
Medical institutions should implement the relevant requirements of long-term prescriptions for chronic diseases and reduce the number of trips of elderly patients to and from hospitals. Actively promote traditional Chinese medicine decoction pieces, drug distribution, drug consultation and other services to facilitate the elderly to be equipped with commonly used drugs for chronic diseases nearby.
Carry out the construction of outpatient smart pharmacy, promote the docking of prescription system and pharmacy distribution system, and reduce the waiting time for patients to take medicine.
Implement a "one-stop" service for admission and discharge.
Medical institutions should constantly optimize the admission process, encourage qualified medical institutions to establish a comprehensive service center or window for admission, and uniformly handle information registration, hospitalization payment, pre-hospital examination, appointment and other matters.
Provide "one-stop" services such as settlement of discharge expenses, direct reduction of blood expenses of blood donors and their immediate family members, and printing of discharge summary in wards or inpatient departments, so as to make it more convenient for the elderly to enter and leave the hospital.
Strengthen the management of hospitalized elderly patients
Medical institutions should strengthen the safety risk management of hospitalized elderly patients, such as pulmonary embolism, falling, aspiration, falling out of bed, etc. And establish high-risk preventive measures and emergency plans.
Comprehensive evaluation and management of senile syndrome were carried out for hospitalized elderly patients, and dietary nutrition services were provided according to the characteristics of the elderly. Encourage patients and their families to participate in the formulation and implementation of nursing plans. Strengthen professional training to improve the ability of medical staff and accompanying personnel to serve elderly patients.
Arrange special personnel to provide medical guidance services.
Medical institutions should arrange social workers, volunteers or other staff to provide medical guidance services for the elderly, and provide guidance and necessary help at nodes where the elderly are prone to medical inconvenience, such as pre-inspection triage desks, self-service machines, registration windows, payment windows, comprehensive service points, and complaint acceptance centers.
Building an aging medical environment
Medical institutions should improve the medical environment according to the characteristics of the elderly, equipped with necessary barrier-free access and facilities that meet the national barrier-free design specifications.
The outpatient and inpatient wards should be equipped with barrier-free toilets, and the door width should be suitable for wheelchair access. The main entrances and exits of medical institutions should set up temporary parking spots for the elderly to get on and off, and set up safety signs. Signs in medical institutions should be clear, concise, easy to understand and have good guidance.
Strengthen the propaganda and guidance for the elderly to use intelligent technology to seek medical treatment.
Medical institutions should promote the use of intelligent technology for medical treatment to the elderly in an easy-to-understand form, carry out medical-related intelligent technology training suitable for the elderly, help the elderly to be familiar with the Internet medical service process and operation process, guide the elderly to use intelligent technology for medical treatment, and gradually adapt to the modern medical model.
Promote family medical services for the elderly.
Encourage medical institutions to extend services to the homes of elderly patients through medical associations and the Internet. According to the requirements of the Notice on Strengthening Family Medical Services for the Elderly, and according to the Family Medical Services Reference Project (Trial), technologies and service projects with large demand, low medical risk and suitable for family operation are given priority.