Hot background
In Minhang District, Shanghai, there is such a nursing home. 10.5 million inpatients, most of them are elderly people over 60 years old. With the increase of elderly patients, the pressure of outpatient and ward is increasing gradually. On the one hand, although the elderly have been taken care of, their families, especially their children, have many "hidden concerns" about the medical security of the elderly; On the other hand, medical staff are also anxious and stressed about the elderly's critical condition, rapid change and inability to keep up with the level of diagnosis and treatment.
How to solve the problems of old-age care and rehabilitation brought about by aging? 19 On the afternoon of April, the South Campus of Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine signed a cooperation agreement with Tongkang Hospital, which is the first "1+X new medical consortium" jointly established by a public tertiary hospital and social medical institutions in Shanghai. Li Jin, executive vice president of Jinan Hospital, said that it is imperative for public hospitals and non-public medical institutions to jointly build medical associations.
Tongkang Hospital is a designated medical insurance unit in Shanghai. The hospital has a geriatric nursing ward and a complete outpatient department, with an annual outpatient volume of 6.5438+0.5 million, mainly serving the surrounding population of 350,000. The demand for medical services of the surrounding people and elderly patients is increasing year by year, which brings many "medical safety problems" because of the diverse and complicated disease structure.
After this "marriage", a medical association expert studio will be opened first, including experts from 36 specialist departments such as internal medicine and surgery of Renji Jinan Hospital. Patients who go to Tongkang Hospital can make an appointment with experts from Renjian Hospital. According to the needs of patients, experts will open an outpatient clinic once a week in Tongkang Hospital, so as to avoid the pain of patients rushing to seek medical treatment.
After the green channel of two-way referral is opened, some difficult and severe patients who are difficult to diagnose and treat in Tongkang Hospital can make priority appointments for further diagnosis and treatment through the green channel. At the same time, patients treated in Renjian Hospital can also be managed in Tongkang Hospital, which relieves the embarrassment that patients have nowhere to go during their rehabilitation.
Luan Wei, director of the Two-way Referral Office of Yan Chai Hospital, said that the medical consortium also has teaching attributes and will train medical staff at different levels. At the same time, experts in Jinan Hospital will also make regular rounds for elderly patients with severe hospitalization to ensure medical quality and safety.
Simulated proposition
Shanghai and other places have launched a medical consortium of top three hospitals and social medical institutions. What do you think of this?
An Analysis of the Answers to the Simulated Interview Questions of National Civil Servants
With the deepening of population aging, there are many problems such as difficulty and high cost of providing for the aged in many areas, especially in densely populated cities in the east. Who will provide for the aged and how to provide for the aged have become the problems that people explore and study at present. Minhang District, Shanghai can take the lead, combine its own reality, and explore the old-age care model of medical consortium built by 3A hospitals and social medical institutions, which is worth learning and learning from other regions.
Medical consortium is the concrete embodiment of "combining medical care with old-age care" and one of the necessary means to form medical consortium. The unified combination of medical institutions and nursing centers for the elderly not only shortens the admission examination procedures of the elderly, reduces the economic burden of patients, greatly improves the medical efficiency, but also lays a solid foundation for building a good doctor-patient relationship. This is in stark contrast to the fact that many third-class hospitals and elderly rehabilitation centers do not recognize each other's inspection reports, which leads to repeated inspections when patients are transferred to hospital.
Of course, if we want to implement this model of medical association, we need the joint efforts of many parties.
First, the Health Planning Commission and hospitals should increase publicity, which can be publicized to the public through Weibo, official website, WeChat official account, and short video of vibrato, so that more patients can know; Second, patients and their families should understand and support this good policy. Don't look at this policy with outdated thinking and vision. It is necessary to check, enter and leave the hospital in strict accordance with the policy requirements to avoid the situation of "pressing the bed" for the elderly; Third, hospitals and community rehabilitation centers should constantly enrich the nursing team and train more clinical staff through recruitment, examination or signing employment agreements with medical schools.
A good policy needs multi-party support and in-depth practice in order to release medical and pension dividends for more elderly people.