The Beijing Municipal Health Commission focused on the difficult problems of the elderly in seeking medical treatment, and explored and introduced a series of targeted medical improvement measures
Open "help old number" and increase "site number" to facilitate the elderly to see a doctor
The issue of hospital medical services is one of the 27 high-frequency people’s livelihood issues identified by Beijing Municipality as soon as it receives a complaint this year. The Beijing Municipal Health Commission focused on the difficult issues that the elderly reported more concentrated in seeking medical care, and explored and issued a series of issues. Targeted medical improvement measures... such as setting up a green channel for the elderly with "no health code" at the entrance of the hospital, opening a "help old number" and "onsite number" to facilitate the elderly to see a doctor, community health institutions to deliver medicines to the elderly, etc., to effectively improve The medical experience of elderly patients.
●Site
The nurse helped me, "like my children"
On June 11, Mr. Guo, who was nearly eighty years old, came to the Department of Surgery of Puren Hospital, Dongcheng District to change dressings.
"I injured my right leg while riding a bicycle a while ago, so I came to the doctor to see it. I am recovering well. I will change the dressing today." Mr. Guo told reporters that he had been treated at Puren Hospital since more than ten years ago. The daily medical problems have continued to this day.
"I was like a fish in the water at Puren Hospital." Mr. Guo said that his electronic health insurance card was established with the help of nurse Xiao Feng. The first payment with Alipay was also operated by Xiao Feng, and even the first time he took a taxi, Xiao Feng helped him.
"In the past, I asked a nurse to help connect with Beijing Yitong in a large hospital, and the other party returned to me:'You can ask your children for help.' According to this statement, Xiao Feng helped me time and time again, just like my children." Mr. Guo Say.
The "Xiao Feng" in Mr. Guo's name is Feng Tao, and he has been working as a nurse in Puren Hospital for 30 years.
She said that Mr. Guo's wife is not in good health. He often comes to the internal medicine department of the hospital to prescribe medicine, so he is more familiar with it and often helps him solve some minor problems.
Feng Tao told reporters that there are more elderly people who go to Puren Hospital for medical treatment. Many elderly people do not have children to accompany them. She and her colleagues will try their best to help solve problems such as scanning codes, signing in appointments, and paying for the elderly.
If you can’t solve it by yourself, you should ask the leader to coordinate, “It’s really not easy for the elderly to come to the hospital.”
According to Zeng Wenjun, Dean of Puren Hospital, the hospital has always attached great importance to serving patients, especially the elderly. On the one hand, doctors and nurses are required to actively assist the elderly in operating their smartphones. On the other hand, they are also in accordance with the unified requirements of the Beijing Municipal Health Commission during the new crown epidemic. Medical institutions that provide diagnosis and treatment services for the elderly have established a green channel for elderly patients with "no health codes" to facilitate their timely visits.
Measure 1
Open the "No Health Code" green channel
According to Lu Shan, deputy director of the Medical Administration Department of the Beijing Municipal Health Commission, since the outbreak of the epidemic last year, medical institutions at all levels and types in Beijing have strictly implemented the pre-inspection and triage system, and carried out temperature monitoring, health code inspections and inspections for all personnel entering the medical institutions. Epidemiological investigation, strict prevention of nosocomial infections, to ensure the safety of doctors and patients.
At the same time, in view of the problems of some elderly patients who do not have smart phones or have smart phones but cannot use them, and cannot provide health codes on their own, medical institutions in the city that provide diagnosis and treatment services for the elderly have established green channels for elderly patients without health codes. .
The specific method is that for the elderly who have smart phones but do not use them, staff, volunteers, and social workers will assist the elderly to perform health code query operations.
For the elderly without smart phones, staff, volunteers, and social workers will assist them to complete the epidemiological history survey through self-service flow control machines and manual filling of paper flow control forms to ensure that the elderly are not affected by the health code and Delays in circulation problems and delays in treatment.
In response to the problem that some elderly people do not use their mobile phones to fill out flow adjustment tables, Beijing Shijitan Hospital has added a self-service flow adjustment integrated machine in the outpatient department.
The patient only needs to sign the name on the screen, and the machine can automatically complete the task of quickly reading the document information and automatically filling in the flow adjustment form.
The patient can pass in the hospital with the voucher printed by the machine.
This is a great convenience for the elderly who are dazzled, unable to read, have difficulty writing, or cannot use smartphones.
Measure 2
Launched "Helping the Old Number, Live Number"
According to Lu Shan, in recent years, Beijing has continued to improve the appointment diagnosis and treatment services and promote the rational allocation and use of medical resources. The outpatient appointment registration channels have expanded from traditional window appointments to online appointments, WeChat appointments, App appointments, self-service machine appointments, and consultations. Multiple appointment methods such as inter-time appointment, discharge follow-up appointment, community referral appointment, etc. are parallel, making appointment registration more flexible and convenient.
While making use of information technology to enrich the ways to make appointments, Beijing also provides on-site number sources to meet the needs of the elderly for medical registration.
According to the requirements of the Beijing Municipal Health Commission, each medical institution can provide a certain percentage of on-site number sources for the elderly according to the actual situation of the elderly in the institution.
In addition, in order to unblock the registration channels, the appointment registration platforms such as Beijing Yitong, 114, etc., and the hospital App can be bound to multiple medical cards, making it convenient for family members, relatives and friends to make appointments for the elderly.
Beijing has also established a green channel for senior citizens to make appointments and provide follow-up appointment services.
At present, all medical institutions in the city that provide diagnosis and treatment services for the elderly have opened green channels that provide convenient services such as registration and medical treatment for the elderly.
Peking University People's Hospital, Guang'anmen Hospital of Traditional Chinese Medicine, Beijing Obstetrics and Gynecology Hospital, Beijing Geriatric Hospital, Beijing Traditional Chinese Medicine Hospital and other medical institutions encourage outpatient physicians to provide elderly patients with appointment services for follow-up visits in the clinic, so as to avoid the trouble of "grabbing calls" for elderly patients.
Some hospitals have also improved the management of the number source to facilitate the elderly to see a doctor.
For example, according to the number of outpatient visits, the Third Hospital of Beijing Medical University dynamically adjusts the outpatient units of geriatric internal medicine, cardiovascular internal medicine, endocrinology, neurology and other common and frequently-occurring diseases of the elderly, and opens all-day outpatient clinics on Saturdays and Sundays to meet the registration needs of elderly patients.
The Shunyi District Traditional Chinese Medicine Hospital has added a "Helping the Elderly and People with Numbers", and the outpatient clinic has sent additional assistants to guide elderly patients to complete appointments and obtain numbers.
Measure 3
Signed a family doctor to "deliver medicine to your door"
Beijing is steadily advancing the establishment of contracted services and medical consortia for family doctors for the elderly.
Up to now, the contracted services of family doctors have covered 2.102 million elderly people over 65, and the medical consortium has covered more than 600 medical institutions in the city.
Through the sinking of the number source, the Beijing Municipal Health Commission promotes the orderly referral of elderly patients under the guidance of family doctors and orderly flow in the medical community.
Each secondary and tertiary medical institution, based on the principle of "community first", unblocked referral channels, expanded the number of community family doctor appointment numbers, and made it convenient for family doctors to make appointments for elderly patients.
At the same time, the core hospitals of the integrated medical consortium reserve 30% of the source of appointment numbers for the primary medical institutions in the medical consortium, and the secondary and tertiary hospitals in the medical consortium provide priority consultation services for the referral of contracted elderly patients, which is convenient for the primary medical institutions to provide elderly patients. Provide appointment referral service.
In addition, in order to give full play to the role of family doctors, Beijing also provides a variety of "home delivery" services for home doctors over 65 who have a clear diagnosis and stable condition to sign contracts with elderly patients with chronic diseases through online consultations.
There are 253 "Friendly Hospitals for the Elderly"
As early as 2018, Beijing took the lead in establishing a friendly hospital for the elderly in the country.
These hospitals have improved the medical experience of the elderly by establishing green channels for the elderly, consulting windows for medication for elderly patients, and providing escort ward services.
According to Lu Shan, deputy director of the Medical Administration Department of the Beijing Municipal Health Commission, as of now, Beijing has a total of 253 friendly medical institutions for the elderly.
This year, the Beijing Municipal Health Commission will continue to carry out the construction of friendly medical institutions for the elderly in the city. By the end of the year, the construction rate of friendly medical institutions for the elderly in the city will not be less than 65%.
Beijing News reporter Sha Xueliang