Original title: shared care, exploration in the beginning (livelihood survey and attention to nurses door-to-door)
An open column
Entering the aging society, the nursing service of entering the door has become the needs of many families. And the rise of "Internet + medical" and the reform of nursing resources have brought light to meet this demand. Some provinces and cities have begun to try nurses to practice more and share nursing services. What about the related exploration and the current situation? How should the management be regulated?
This edition is now launching a series of reports on "caring for nurses." In this issue, the reporters visited service users, service providers, platform providers and competent departments to focus on the exploration of shared care in Xi'an, Shaanxi.
The location of transfusion, from the hospital to the home, a phone call, can let the nurse door-to-door service...... Relying on the wave of shared economy, shared care has become the focus of attention. This new service is known as "shared nurses", making it possible for hospitals and families to switch scenes.
Bicycles can be shared, and rooms can be shared. But when idle resources turn from things to human services, can people accept them? Recently, reporters in Xi'an survey found that "shared nurse" platform many, many users. Most people are tolerant and expecting.
The effect is good
"After registration, you can see the nearest nurse information, including the inauguration hospital, the employment time, etc. according to the location. Different nurses will provide different services. At the interface, the nurse's free time is displayed for the user to make an appointment. It's easy to operate. " Recently, an appointment of "shared nurse" door-to-door service in Xi'an, Ms. Li introduced.
In addition to the independent choice of nurses to make an appointment, the user can first choose the required service, and then release the order through the "shared nurse" platform, and the nurse snatches the list. In the last column before confirming the order, the patient is required to upload a medical certificate, including medical records, diagnostic certificates, prescriptions and photographs.
How is the charge of the "shared nurse"? Ms. Lee called "shared nurses" this time, spent 168 yuan, more than usual in the hospital infusion costs, more than one. However, taking into account that the taxi ride needs nearly 30 yuan, plus the time and energy spent in the queue, so she thinks that the charge of "shared nurses" is reasonable and acceptable.
"At first do not rest assured, afraid of not professional. But after receiving the service, it feels good. " Ms. Li said, "my disease is relatively simple. If they are susceptible to allergies, they will not give you any infusion service for safety reasons. "
The patient is in need
A lot of bewilderment
If you want to be a shared nurse, you need to upload your own nurse's practice license, ID card and other related information. After a backstage review, you can get on the job.
At the end of last year, nurse's keyhole was registered as a "shared nurse" by colleagues. "I was just curious and wanted to register. After reading the news report, I realized that many people were engaged in "shared nurses".
"For shared nurses, the demand in Xi'an is still large. For example, many people are now doing test tube babies, and they should continue to use progesterone for one month. In the hospital and home to run around for a month, many people can not stand. "Sharing nurses' door-to-door service can solve this problem." Small holes indicate that this model reduces the trouble of the patients and improves the experience in the treatment process; for nurses, the work risks are relatively small, the doctor-patient relationship is relatively harmonious, and their leisure time can be used to increase their income.
Speaking of the problem, Xiao Kong bluntly, although before robbing the list, the application background will review the patient's medical records, medical information and so on, so as to judge whether the patient's situation is suitable for the nurse's door-to-door service, but at this stage, there is still a lack of relevant supervision. In addition, I am also worried about being a woman and doing door-to-door service. For safety reasons, every time you come to your home, you send your location to your family in advance. Moreover, if the hospital temporarily requests overtime work, of course, she can also be a hospital, which will inevitably affect the patients who have already agreed with her.
Nurses registered as "shared nurses". Is the hospital informed? The hole says, "dare not put this thing on the bright side." It is understood that the hospital has not been banned, but the management of the Department of nursing and nurses have been greeted, "because in the registration of 'shared nurses', to provide information on the hospital. The hospital is worried that when the nurse comes to the hospital to have a medical dispute, the hospital is afraid to take responsibility.
In the interview, some people in the industry also expressed concern: on the one hand, most of the "shared nurses" engaged in door-to-door services are young women. Who will be guaranteed and responsible for their personal safety? On the other hand, since most of the "shared nurses" are private registrations, their affiliated hospitals are not directly involved. If there is a medical dispute, who will be responsible for it? In addition, if the door-to-door nurses cancel their orders due to their temporary overtime work, how should the consumers' rights and interests be maintained? All these things need clear norms.
The market is huge
At present, the aging situation is grim, and the society has great demand for new forms of pension and medical care.
In this context, the office of the State Council issued the opinion on promoting the development of "Internet + medical health" in April this year, which mentioned the need to improve the "Internet + medical health" service system, encourage medical institutions to use the Internet and other information technology to expand the space and content of medical service; improve the doctor's multi point implementation. The industry policy encourages practitioners to carry out the "Internet + health" service.
In January, Shaanxi Province issued the notice of the office of the people's Government of Shaanxi on the implementation of multi level and diversified medical services to support social forces. It mentioned the need to promote the development of diversified and specialized services, encourage the social medical institutions to innovate the medical treatment process, and provide remote consultation, guide and escort care for the patients. Personalized services such as family ward.
"Shared nurses" need to be standardized and guided. Su Xing, deputy director of the medical and administrative department of Xi'an Health Planning Commission, said that "shared nurses" did bring convenience to the common people. At present, many medical staff in Xi'an have registered as "shared nurses", with a large number of users. Although "shared nurses" as a new thing, there is a broad development prospects and huge market demand, but so far, the national level of "shared nurses" has not yet been clearly standardized.
Xin Xia, the director of the nursing department at the First Affiliated Hospital of Xi'an Jiao Tong University, said that the hospital was basically taking a wait-and-see attitude towards the "shared nurses" before the country had issued relevant policies and regulations. Compared with the mature "door-to-door health care" system in foreign countries, the current "shared nurse" service in China has no specific requirements and requirements in terms of tariff, execution content and responsibility determination. In addition, the professional level of many platform operators is also difficult to determine, and their risk prediction is inevitably inaccurate. These factors make the "shared nurse" a new thing breaking through the earth and developing capacity, but it also brings many hidden dangers and risks.
"Gold medal nurse" is a "shared nurse" APP, CEO Ding Shaolei expressed in an interview as the operator's proposal: the government is expected to license the operators of relevant qualifications, so as to regulate the support of telemedicine with medical institutions under the line. In addition, he believes that the "shared nurse" service can be under the guidance of the government, under the guidance of the industry association, the enterprise participation, the introduction of unified standards as soon as possible, so that the operators have standards. From the point of view of the survival and profit of the enterprise, Ding Shaolei also spoke of the desire to obtain government guidance and to form a medical union with the hospital. After the patient was discharged from the hospital, the service could be extended by the platform.
What is the future of the "shared nurse"? The industry believes that only the huge demand of the market can not determine its final trend. Platforms and individuals should not believe that market demand can be unimpeded. Only by achieving standardization and legalization can "shared nurses" go better and go further.
People's daily (2018, 07, 11, 13 Edition)
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