In May this year, the State Council issued the "Chinese Medicine Health Service Development Plan (2015~2020)", and the active development of traditional Chinese medicine health care services was listed as a key task. All parts of the country are developing Chinese medicine specialty care institutions to promote Chinese medicine and old-age care. Service integration. Resolving the "old doctors" to make up for the "short board" of doctors and their own existence is the top priority of the development of an aging society. Starting today, the newspaper will launch three series of articles to discuss the advantages and prospects of combining Chinese medicine with old-age care.
In Suining County, Xuzhou City, Jiangsu Province, Li Laotai, who is lying in bed, is receiving two times a day of whole body Chinese medicine massage. Her squatting and medical care center is surrounded by green shades. It is a quiet and quiet place. It was started in Xuzhou Suining County Hospital of Traditional Chinese Medicine in 2014. The medical care combines the park.
In the northern part of the motherland, the investigation team of the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine is planning to build a medical and nursing project covering an area of 400,000 square meters. It will take advantage of the hospital's acupuncture, massage and rehabilitation specialists. In the future, a distinctive Chinese medicine will be born here. Medical care combined with the park.
The “health-care combination” model has sprung up. In 2015, Beijing confirmed that it will pilot a “health-care combination” TCM health pension model in Fangshan District and Dongcheng District, and establish a typical combination of medical care. Shaanxi Province plans to build a number of demonstration zones and demonstration sites for traditional Chinese medicine health care services, and establish a “Chinese Medicine Health Care Service Alliance”. Guangdong, Heilongjiang, Shaanxi, Anhui and other provinces have successively introduced plans to actively develop local Chinese medicine health service development. Other provinces have been mulling relevant policy documents. For example, the relevant planning of Jilin Province has been submitted to the provincial government for approval.
It is worth noting that the functions of old-age care institutions and traditional Chinese medicine are no longer simply superimposed, but through the model innovation to achieve the deep connection between “medical and maintenance”.
New mode: Chinese hospitals run nursing homes
"Using high-quality medical resources and nursing resources of the three-level Chinese medicine hospital, providing the elderly with 'zero-distance medical treatment, specialized rehabilitation care, all-round old-age care, five-star health care service'..." Heilongjiang University of Traditional Chinese Medicine Zhang Xiaofeng, the director of the Second Hospital, is full of confidence in the new construction project. He hopes to refine the characteristics of the Chinese medicine hospital to every corner of the old-age care institution.
The new concept of “medical management” is a new normal and new measure in the development of medical institutions across the country, and it also provides a broad platform for a healthy old-age industry with huge industrial space. Under this model, Chinese medicine medical institutions take the lead in setting up nursing homes to realize the old-age care institutions that are equipped with medical institutions or clinics, as well as medical structures that have the functions of providing old-age care and carrying out aged care.
"The nursing home can't see a doctor, the hospital can't support the elderly" has always plagued many elderly people, and it has also restricted the development of the healthy old-age industry. In 2013, Zhang Xiaofeng proposed the proposal of “three-level hospitals to set up nursing homes” as a member of the provincial CPPCC. He believes that if the tertiary hospitals run the old-age care institutions, the special elderly groups who are disabled and half-disabled and hospice care can play the medical level of the tertiary hospitals, and can truly manage the health of this group. Will be resolved.
The garden-style medical care combination in Suining County of Jiangsu Province is also a model for the construction of old-age care parks in Chinese medicine hospitals. Yu Linhui, deputy magistrate of Suining County, Jiangsu Province, introduced that the project area of the agglomeration area is about 150 mu. It is divided into a health care and old-age care center with a medical care function, a rehabilitation center for disabled people, and a high level of medical treatment. The four branches of the Chinese Medicine Hospital and the residential community with medical and residential care functions, “At present, the agglomeration area and the health care center and the community health service center have become the branches of the county hospital.” Jiangsu Suining Chinese Medicine Hospital Chang Zhang said that the intervention of Chinese medicine hospitals will help to actively explore new models of old-age care that combine disease treatment, disease-free treatment, medical care and old-age care.
Examples in the new mode are not uncommon. In 2015, Beijing will promote the reform of the investment mechanism of municipal finance to the development of Chinese medicine in districts and counties, and continue to promote the cooperation between the large-scale Chinese medicine hospitals in the city and the district/county governments to jointly build regional Chinese medicine medical centers and promote the construction of Chinese medicine medical associations. Hebei Quzhou County Chinese Medicine Hospital has two new and old campuses. In 2012, Quzhou County Chinese Medicine Hospital invested 15 million yuan in the new hospital area to build the old care center, a new model of “testing water” and combining medical care and maintenance. The elderly are not seeing the doctor and taking medicine, and they have to go to the hospital. Direct hospitalization, or live in a ward converted from the old house, after the condition is stable or improved, then "health" to "foster."
In addition to the Chinese medicine hospitals, the general hospitals around the country have also begun to try to build nursing homes. For example, Shanghai Minhang District Central Hospital invested 120 million yuan to build the Junlian Pension Service Center. After the completion of the first half of this year, this will be the first hospital investment and management in the country. Public pension institutions. This 500-bed nursing home is provided by the hospital's professional nursing team. In addition to its advantages in medical rehabilitation and prevention of chronic diseases, it also provides personalized services such as physiotherapy, filling and physical examination.
Cooperation mode: hospitals and pension agencies join hands
“Each Chinese medical institution and old-age care institutions can carry out a series of in-depth cooperation based on their own characteristics.” Wang Xuejun, director of the Heilongjiang Provincial Administration of Traditional Chinese Medicine, said that the provincial health and family planning committee has formulated a comprehensive health care service for all levels of medical institutions in the province. The plan has achieved remarkable results through the establishment of new institutions such as medical institutions, cooperation between hospitals and old-age care institutions, door-to-door medical institutions, opening of traditional Chinese medicine services, and idle medical resources.
Institutional pension is an important support for the construction of social pension service system. At present, Heilongjiang is striving to establish a contractual service relationship between large Chinese medicine hospitals and nursing homes, and promote contracting services. The old-age care institutions can put forward actual needs and sign long-term cooperation agreements with hospitals above the second level to clarify rights and obligations. . This "joint operation" mode of medical cooperation is increasingly popular with the people.
"Great, the doctor is here." Xu Yueze, medical director of the Heilongjiang Provincial Academy of Traditional Chinese Medicine, remembers that they first went to sign a nursing home for the first time, and the old man was excited when he saw her. According to Wang Shun, president of Heilongjiang Provincial Academy of Traditional Chinese Medicine, they signed contracts with three high-, medium-, and low-end pension institutions in their jurisdictions. The hospital regularly provides medical services and clinics to nursing homes, while pension institutions provide rehabilitation or stable periods. Nursing service. In addition, the hospital has opened up a green channel for patients in the care institutions in the service area, and the old-age care institutions cooperate with the hospital to establish a two-way referral mechanism.
The community pension service center has signed contracts with Chinese medicine hospitals or community health service agencies to provide health services for the elderly in the home community. It has also become an important starting point for the joint development of medical care.
It is understood that in July 2015, the elderly over 65 years old in downtown Wuhan can sign an agreement with the community health service agency. The elderly will enjoy two-way referral and appointment medical treatment in addition to basic public health services and basic medical services. service.
Support mode: the old-age institution is the dominant
The old-age service of the Xinyi Community Health Service Center in Daowai District of Harbin is hard to find. Here, four old people live in a room. In addition to TVs, cabinets, and flowers, medical equipment such as pagers, drip frames, and oxygen cylinders are installed at each bed.
"Upstairs for the elderly, downstairs to see a doctor, medical conditions is the biggest advantage here." Community Director Gao Guiying told reporters. After years of accumulation, the new community has formed an experienced and professional team. They conduct consultation and review for each elderly person, establish medical files, monitor vital signs, and timely discover the symptoms for early treatment. This is the other. What the pension agency does not have.
Wang Xuejun said that Heilongjiang Province also actively promotes the deep cooperation between Chinese medicine hospitals and geriatric hospitals, elderly care homes, and rehabilitation institutions, and encourages conditional nursing homes to set up Chinese medicine clinics that mainly control geriatric diseases and chronic diseases. Clinic or clinic.
The pension institution invests in the hospital itself, and the operation of the professional medical team is also an important part of the model. For example, the hospitals in the Shanghai Affinity Senior Apartment are operated by a professional medical team, which is not only open to members but also provides medical services.
Nursing homes are the mainstay, and internal medical institutions are also encouraged and supported. It is reported that Shanghai has introduced a supportive policy this year. If the old-age care institution has a medical institution built in it and is approved for use by the health and family planning department, it will be given a one-time reward of 50,000 yuan; a new internal medical institution will be set up in the old-age care institution and the health and family planning department will be established. If it is approved for normal use, a one-off subsidy of 100,000 yuan and 500,000 yuan will be given according to the different types of internal medical institutions.