Making Elderly Care More "Medical" Reliable - Observations on the Practice of Integrating Medical Care and Elderly Care in Taiyuan, Shanxi Province
2023-08-24
Wang Yeye, who lives in the Textile Garden of Taiyuan, Shanxi, has been bedridden for a long time due to cerebral hemorrhage and paralysis of his lower limbs. For family members, daily care is relatively easy, and the most worrying thing is to seek medical attention. For example, elderly people need to change their urinary catheters once a month. If they go to the hospital, they need to wear clothes, prepare a stretcher or wheelchair, go downstairs, get in the car, and even toss up and down in the hospital. Without three or four people, the elderly will also suffer, "said Wang Nushi, the daughter of Grandpa Wang. Fortunately, the Xiayuan Community Health Service Center, which is not far from home, has provided "door-to-door services". As long as the appointment is made by phone in advance, doctors and nurses will come to the elderly on time to replace the urinary catheter. One night, the urinary tract suddenly blocked, and the doctor arrived more than ten minutes after answering the phone, relieving the pain for the elderly in a timely manner. Taking care of elderly people who are bedridden at home is very difficult. Fortunately, the community health service center has helped us solve many problems, "Ms. Wang said gratefully. Lv Jinsheng, director of the Xiayuan Community Health Service Center, told reporters that the area where the center is located belongs to the old state-owned enterprise factory area, with a relatively high proportion of the elderly population. In recent years, with the support of relevant provincial and municipal projects, the center has actively explored the development of door-to-door medical care, home beds, and other medical care combined services, which have been welcomed by the masses. The exploration of Xiayuan Community Health Service Center is a microcosm of Taiyuan City's active promotion of the integration of medical care and elderly care. As one of the first pilot projects for the integration of medical and elderly care in China, Taiyuan City has incorporated the integration of medical and elderly care into comprehensive deepening reform and coordinated promotion of key livelihood issues. It encourages elderly care institutions to set up medical institutions, encourages medical institutions to actively develop elderly care services, carry out extended services, and gradually forms a comprehensive hospital elderly care model, a psychiatric specialized hospital elderly care model, a elderly care institution medical model, and a medical and elderly care consortium cooperation model There are five modes of medical and nursing integration, including the home based medical and nursing integration mode. Entering the Geriatrics Department of Taiyuan Second People's Hospital, the environment is clean and elegant. Mrs. Dong, who is over 80 years old, has already been admitted to the hospital for the third time: "Every time there is something wrong, she likes to come here and treat the disease smoothly and comfortably." Dong Yuzhu, the secretary of the hospital's party committee, told reporters that in recent years, the hospital has vigorously developed the geriatric medicine department and carried out high-quality health care services. Especially in response to the characteristics of elderly patients often coexisting with multiple diseases, a comprehensive evaluation system for the elderly and a multidisciplinary team diagnosis and treatment model have been developed, We can provide one-stop diagnosis and treatment services for patients to avoid the inconvenience caused by their multidisciplinary treatment. At Anding Hospital in Taiyuan City, fruit signs such as strawberries, bananas, and watermelons are pasted at the entrance of each elderly person's room. The order of cognitive decline in the elderly is opposite to the order learned when they were young. For mentally disabled elderly people, telling them to live in 'Strawberry Room' is more effective than telling them to live in '2201', "said Dean Liu Fang. In response to the current situation that most elderly care institutions in society do not have the conditions to accept mentally ill elderly people, Taiyuan Anding Hospital has utilized the professional director of a psychiatric hospital to serve and treat "special elderly people" who suffer from mental disorders, Alzheimer's disease, geriatric psychosis, and other "special elderly people", solving the care problems of many families. Zhang Ze, Director of Taiyuan Municipal Health Commission, introduced that after years of exploration, Taiyuan City has formulated multiple local standards related to the integration of medical and nursing care, and has established 9 integrated medical and nursing institutions, 13 demonstration units for the integration of medical and nursing care, and Anning
Edit：He Chuanning Responsible editor：Su Suiyue
Source：Xinhua
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