"Combination of medical and nursing" refers to the combination of medical resources and nursing resources to maximize the use of social resources. Among them, "medical" includes medical rehabilitation and health care services,長者醫療券餘額查詢 including medical services, health consulting services, health examination services, disease diagnosis and treatment and nursing care services, rehabilitation services for major diseases and hospice services, etc., while "nursing" includes life care services, spiritual and psychological services and cultural activity services. Nurturing" includes life care service, mental service and cultural activity service. By adopting the development model of "medical and nursing integration", the functions of medical treatment, rehabilitation, health maintenance and nursing care are integrated into a single unit, and healthcare services for the elderly are given top priority, while the functions of nursing care institutions and hospitals are combined to realize the organic integration of life care and rehabilitation care, thus forming a new type of nursing care service model.

1. Expansion of senior care service model by medical institutions

Medical institutions expanding senior care service model is mainly divided into two categories: one is a smaller scale,骨灰龕價錢 relatively low level of medical care and relatively high rate of empty beds in medical institutions, through the expansion of senior care service functions to realize the combination of medical care, and gradually transformed to rehabilitation hospitals or nursing hospitals. This approach has solved the problem of a considerable portion of chronically ill elderly people occupying beds, and to a certain extent has eased the pressure of overcrowding in large general hospitals. The other category is that of tertiary hospitals and large general hospitals, which are carrying out combined medical and nursing services by adding geriatric departments and nursing wards and other service facilities, expanding the function of nursing services on the basis of strengthening medical functions, and increasing the function of nursing care on the basis of providing medical services.

2. Mode of adding medical services to nursing institutions

At present, China's senior care institutions have not yet achieved full coverage of medical qualifications.醫療券網上申請 In order to meet the medical needs of the elderly and obtain medical qualifications, senior care institutions need to set up additional medical services.In 2014, the National Health and Planning Commission substantially adjusted the qualification approval standards for senior care institutions to set up additional infirmaries, nursing stations, and related caregivers and equipment, in order to encourage qualified senior care institutions to carry out related medical services. Taking this opportunity, some nursing institutions have set up geriatric rehabilitation training halls, consultation rooms, infusion rooms, CT rooms, testing departments, and treatment ward sections, and regularly hire occupational physicians to guide the rehabilitation of the elderly. At the same time, these nursing institutions also conduct comprehensive physical examinations for newly admitted elderly people, establish health files on the elderly, and equip them with fitness and rehabilitation equipment, in order to improve the pertinence of their services for the elderly and enhance the effectiveness of the combination of medical care and nursing.

3. Cooperation model between medical institutions and elderly care institutions

The establishment of cooperation between medical institutions and nursing institutions is a relatively common phenomenon at present, and is also a model encouraged and advocated by the state. This model is mainly formed by the cooperation between medical institutions that do not have the conditions for senior care and senior care institutions that do not have medical qualifications. The two establish a cooperative relationship by purchasing services from each other to realize the effective allocation of resources. This model saves investment costs, reduces approval time, and also reduces the risks arising from the cooperation between the two parties.

4. Cooperation model between medical institutions and community families

Aging in place is the most important and basic way of aging in China. However, the biggest obstacle facing aging at home is the medical problem. Due to the special nature of medical treatment and the current level of medical technology in China, medical services for families mainly rely on communities and hospitals. Generally, urban communities have medical service centers that provide medical and rehabilitation services for the elderly at home, either alone or in cooperation with neighboring medical institutions. Community medical service centers are usually set up jointly by the government and enterprises and entrusted to professional teams for management. These centers have health clinics, pharmacies, rehabilitation rooms, cardiac ultrasounds, etc., and are staffed with specialists from large general hospitals, who provide free medical services to the elderly in the community and provide regular health checkups and guidance. Some communities have also introduced a family doctor system to provide door-to-door services for the elderly in the community.

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