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Shorten the distance between nursing homes and hospitals, and provide medical treatment resources nearby; Encourage social forces to enter the elderly care industry, and initially establish a three-level medical and nursing service system; Strengthen health monitoring, and realize the precise service of family doctors... In recent years, Shihezi City, the eighth division of Xinjiang Production and Construction Corps, has taken multiple measures to continuously improve the elderly care and medical environment.
The hospital is next to the nursing home. In Shihezi City, the eighth division of Xinjiang Production and Construction Corps, the local government strengthened the connection between medical and health services and elderly care services, and built six such medical and elderly care institutions. In this way, the elderly can enter the hospital after passing through a door of emergency.
This is just one of the local measures to improve the elderly care environment. There are 760000 citizens in Shihezi, 152000 of whom are over 60 years old. In order to provide them with convenient and accessible professional health elderly care services, in recent years, the local government has continued to explore and gradually built a multi-level elderly care service system combining medical care and elderly care.
Build a green channel and provide medical resources nearby
The Summer Palace Health Care Center is a private nursing home in Shihezi, located in Zone C of Shihezi Economic Development Zone Hospital. They rented three floors here, separated from the hospital.
"Renting the building of the hospital is to make good use of medical resources." Cheng Guodi, the president of the nursing home, said, "Our former hospital site was relatively remote. Once the elderly needed medical treatment, it would take more than half an hour on the 120 ambulance. Now the hospital is next door, and a phone call will enable the doctor to catch up. When the elderly is in an emergency, we push the bed straight to the emergency department, at most 10 minutes."
Some time ago, the old man Cui Yigui who checked in suddenly had severe pain in his left chest. Cheng Guodi hurriedly calls Liu Suping, director of the Elderly Respiratory Department of the Economic Development Zone Hospital. Under the telephone guidance of the doctor, the nurse immediately carried out rescue, which won valuable time for follow-up treatment.
"The hospital has opened two 'green channels' for us. First, in terms of physical distance, a door has been opened between the nursing home and the wall between the hospital, so that the elderly can be quickly treated in case of sudden illness. Second, for the elderly in critical condition, they can be directly hospitalized, and the admission procedures can be completed later." Cheng Guodi said.
"It is deliberate to rent the hospital area to the nursing home. When designing and constructing this new hospital area in 2016, we made advance consideration and reserved space for exploring the combination of medical care and nursing care." Tang Xue, secretary of the Party branch of Shihezi Economic Development Zone Hospital, introduced that in terms of hardware settings, the three floors rented by the nursing home already have living facilities for the elderly, such as clothes drying room Bathroom also has oxygen generator and special bed for ward for medical aid.
In terms of mechanism, the hospital plans in advance, the elderly respiratory department and cardio cerebrovascular department doctors will establish contact with the nursing home, and the doctors will make regular visits every week. At the same time, the hospital establishes health files for the elderly in the nursing home through a management software, so that the physical condition, medical history and medication of each elderly person can be documented.
When Zhou Jinyan was on a tour, he found a 90 year old man with herpes on his face. Zhou Jinyan said: "It was diagnosed as herpes zoster. We guided nurses on the spot to take medicine and teach them how to do skin care well. A week later, the elderly's herpes scabbed and the symptoms improved. Timely intervention has played a great role."
"Compared with the previous nursing home model, the intervention of 'doctors' has improved the health level and quality of life of the elderly. In particular, in emergency situations, medical resources can be obtained nearby to help the elderly in a timely manner, which also makes children more secure." Tang Xue said that the Summer Palace Health Care Center has been in use for more than a year, and more than 100 beds have been fully occupied.
The three-level medical and nursing service system has been initially established
"We have 450 beds, and at the most time, we have more than 440 elderly people. Of these elderly people, 60% are disabled." Liang Xiaoxi, president of Shihezi Tianjian Nursing Home, said that the rehabilitation and care of disabled and semi disabled elderly people is a big problem for ordinary families.
"The children will worry about taking care of themselves, and they will be exhausted physically and mentally, but they may not be able to take care of them well; they will not trust the elderly when they are handed over to the nursing home, for fear that the elderly will be wronged." Liang Xiaoxi said that in order to solve this pain point, Tianjian Nursing Home was built next to Tianjian Hospital. Both of them are private institutions, living in the same courtyard and working together to explore the mode of combining medical care with nursing care.
"We use preferential policies to encourage enterprises and social funds to enter the elderly care service industry. We also encourage and support elderly care service institutions to provide medical and health services for elderly residents through the mode of setting up internal medical institutions or cooperating with surrounding medical institutions." Liu Xiaojing, secretary of the Party Committee and director of Shihezi Health Commission, introduced.
"We have responsible doctors on every floor of the nursing home. At night, we also arrange doctors on duty. Regular and irregular, we will organize doctors to visit." Wang Yan, the business director of Shihezi Tianjian Hospital, said, "Compared with the staff of the nursing home, with regular visits by doctors, once the elderly get sick, they can be better found in advance, and medical staff can intervene in time at an early stage."
"Especially the senseless disabled elderly, who cannot express themselves, and it is difficult for the nursing staff to accurately judge their situation. Therefore, they are the focus of our tour." Wang Yan said, "Every time we visit, the medical staff will carry out pre prevention and health care through blood pressure measurement, pulse taking, physical examination and other ways. Once the elderly are found to have abnormal conditions, they can timely judge the potential condition, immediately carry out treatment, and adjust the use of drugs for chronic diseases to avoid aggravating the condition. Since the implementation of the combination of medical care and nursing care, the health level of the elderly in nursing homes has significantly improved, and there are few elderly who have been transferred to treatment. "
In Shihezi, there are 32 elderly care institutions with 5622 beds. Among them, there are 29 private pension institutions, accounting for more than 90% of the total number of beds. Through reconstruction, expansion, leasing and other ways, Shihezi has built 6 medical and nursing institutions, and 26 nursing homes have opened clinics. A three-level medical and nursing service system led by large public hospitals and group hospitals, supplemented by private elderly care institutions, and supported by community health service stations and other platforms has been initially established.
Create a "15 minute home-based elderly care service circle"
"For the elderly who live at home, we will create a '15 minute home care service circle'. We will make efforts in various ways to provide them with accurate and effective medical and nursing services." Liu Xiaojing introduced that "community health services will give full play to the role of the Internet, providing regular pathological consultation and special care for the elderly at home. 84.4% of the elderly over 65 years old in Shihezi enjoy standardized health management. "
On the large screen of Shihezi Home and Community Elderly Care Command and Dispatch Center, 14 community elderly care service centers and 24 elderly canteens set up in 57 communities of 5 streets in the urban area are marked, basically forming a full coverage of the whole city.
Relying on the information platform of the "Smart Grass roots Doctors Benefiting the People Project", the local government also includes the health management of elderly citizens and the follow-up management of chronic diseases. Through platform analysis, timely push residents' health warning information to family doctors. While strengthening the monitoring of health indicators for the elderly, family doctors can provide accurate services.
"Elderly people can also make an appointment on the platform for 18 kinds of related services, such as helping doctors, helping meals and helping people walk." The person in charge of the platform introduced that the service work orders of the platform service personnel should be left with marks and reviewed. They will also pay a return visit to the elderly to ensure the quality of service.
"The Corps attaches great importance to the integration of medical care and elderly care. Our division city has incorporated the integration of medical care and elderly care into the economic and social planning and the overall deployment of elderly care service development, and has successively issued nine policy documents, proposing a number of measures from strengthening the connection between medical care and elderly care services, increasing government support, optimizing security policies, and strengthening team building." Liu Xiaojing introduced.
It's not just Shihezi. In recent years, the Xinjiang Production and Construction Corps has accelerated the construction of the elderly health service system, explored to create a combination model of medical care and nursing care, to meet the health needs of the elderly and improve the health level of the elderly. Remarkable achievements have been made in the work of health care for the elderly and the combination of medical care and nursing care.
"We are also constantly strengthening the elderly care service capacity of medical institutions and promoting the cooperation between medical institutions and elderly care institutions. According to the actual needs of elderly residents in elderly care institutions in terms of medical treatment, nursing, rehabilitation, etc., we will open up a green channel for appointment and two-way referral to provide all-round medical care services for the elderly in need," said Liu Xiaojing, "The practical effect of the combination of medical care and nursing care in Shihezi shows that it can really solve the problems of the elderly and their children."
People's Daily (May 24, 2024, 14th Edition)
