Year after year, Double Ninth Festival is now Double Ninth Festival. In the days when the golden wind is cool and the osmanthus is fragrant, we usher in the traditional festival of the Chinese nation to respect, love and help the elderly. With the acceleration of population aging, how to make the elderly "care for the elderly and medical treatment for the sick" has become the focus of social attention.
In recent years, in order to actively respond to the national strategy of population aging and effectively increase the supply of medical care services for the elderly, Lanzhou City has given full play to the demonstration and leading role of "hospital-within-hospital" medical and nursing institutions such as the Third People's Hospital of the City and the Chengguan District Recreation Hospital, providing the elderly with "six-in-one" medical and nursing services. Ten "recreation and honorary care" medical care centers, including the Community Health Service Center of Tuanjie Xincun Street in Chengguan District, have innovatively carried out a compound medical and nursing service model of "institutional management during the day, family management at night, medical services + day care + home care". Select 30 community health service centers (township health centers) in the city to set up medical and nursing service centers, allocate nursing beds and implement age-appropriate transformation, and promote the gradual realization of primary medical care to provide diversified and refined medical and nursing services (day care services) for the elderly in the community who are disabled (semi-disabled), chronic, elderly, and unable to take care of themselves, so as to meet the comprehensive needs of the elderly in terms of medical, health, nursing and nursing.
On the eve of the Double Ninth Festival, the reporter walked into a number of medical and nursing service institutions in our city to visit how the elderly there can enjoy a happy old age in the integration of professional medical care and warm elderly care.
The combination of medical care and nursing care meets diverse and high-quality needs
In 2015, Lanzhou Chengguan District Kangle Hospital became the first comprehensive service institution in the province with medical qualifications and pension qualifications integrating medical treatment, rehabilitation, nursing, health management, care and hospice care.
The morning sun shines through the floor-to-ceiling windows into the activity room, and the elderly sit around the table, drinking tea and playing chess. In the rehabilitation room next door, several elderly people are doing stretching training under the guidance of a rehabilitation therapist, and laughter and the soft sound of equipment are intertwined into a warm morning song. There is not only intimate life care, but also 24-hour medical monitoring, which gives the elderly and their families more peace of mind.
For a long time, Kangle Hospital has adhered to the 24-hour model of no family accompaniment and actively explored on the road of medical care and nursing care. The hospital is policy-oriented to achieve seamless connection between medical and nursing care. "After the hospital carried out the combination of medical and nursing care, it was based on reality, based on medical support and nursing, and explored the working model of 'doctor + nurse + caregiver's three-profession linkage'. When the disease of the elderly in care suddenly occurs and worsens and requires hospitalization, it immediately transfers to the 'medical' mode, enters the medical service process, enjoys the medical insurance policy, and doctors and nurses carry out timely, effective, professional and standardized medical diagnosis and treatment and nursing; when the condition stabilizes, it is based on the full-time caregiver team and the logistics support team, and changes to the 'nursing' mode and enters the home-style daily elderly care life. The relevant person in charge of Kangle Hospital told reporters.
Lanzhou Elderly Care Home, located in Gongjiawan, Qilihe District, is the only public elderly care home in Lanzhou. It is a medical and nursing combination project of the Third People's Hospital of Lanzhou City, which was listed in May 2019 and officially accepted the elderly in August 2020.
Li Yafang, a nurse in the nursing home, told reporters: "At present, nearly 40 elderly people admitted to the nursing home have multiple diseases, and most of them are disabled and dementia. The children at home are overwhelmed, the live-in nanny is not professional enough, and the elderly who have been bedridden for a long time will have complications such as bedsores if they are not careful. ”
It is understood that Lanzhou Elderly Care Hospital adheres to the service concept of "taking care of the body, treating the sick, and having a happy heart", with the goal of "integrated medical care and careful care", and forms a professional health care service team of more than ten people, including the chief physician and the nurse in charge, to give full play to its professional advantages and provide all-round care services for the elderly.
A few days ago, 88-year-old Grandma Zhang was admitted to a Lanzhou nursing home for the elderly. She suffered from pemphigus, and her skin broke and formed a large red erosion wound. "Grandma's appearance at that time was very distressing." The nurse recalled, "After half a month of treatment, my grandmother's condition was under control. Now she is not only much more comfortable, but also happy. Grandma also suffers from diabetes, hypertension and other diseases, and we will provide her with relevant daily care every day. "At present, in Lanzhou, the number of elderly people who enjoy the combination of medical care and elderly care like Grandma Zhang is gradually increasing.
Over the years, based on the new situation of population aging, the city has focused on meeting the diversified, multi-level and high-quality elderly care service needs of the elderly. Up to now, there are 42 medical and elderly care service institutions in the city, including 6 medical institutions in elderly care institutions, 1 elderly care institution and medical institution contracted services, and 35 medical institutions expanding to provide elderly care services; A total of more than 1,600 beds for medical and nursing care are set up.
Urban and rural coverage Enjoy comprehensive medical and nursing services at your doorstep
Recently, Zhang Wen'an, who is over seventy years old, came to the Wencheng Road Community Health Service Station in Chengguan Town, Yuzhong County, as usual, and he came to diagnose his pulse and prescribe medicine and physiotherapy as soon as he felt uncomfortable. Zhang Wen'an is a retired employee in Chengguan Town and one of the first batch of elderly people received since the operation of the Chengguan Town Community Medical and Nursing Service Center in Yuzhong County. When the reporter entered the door, he noticed that in addition to the health service station, there was also a plaque on the door - "Community Medical and Elderly Care Service Center in Chengguan Town, Yuzhong County".
The combination of community medical care and elderly care is a measure to benefit the people that integrates community medical care and elderly care for the elderly and disabled and semi-disabled residents in the jurisdiction. The construction of the Community Medical and Elderly Care Service Center in Chengguan Town, Yuzhong County will be completed in September 2024, and will be accepted by relevant departments and will begin trial operation, providing convenient one-stop medical services, health consulting services, rehabilitation services, life care services, psychological services, cultural and entertainment services and other comprehensive services for the elderly in the community.
"My home is not far from the service station, and I come to treat it when I feel a little uncomfortable. The environment here is good, and the medical staff are attentive and thoughtful. After the treatment, I played chess and chatted in the chess and card room. I heard that you can also order food here. I really didn't expect that the current community health service station can not only treat diseases but also provide for the elderly. Taking advantage of the gap between the consultation, Zhang Wen'an chatted with reporters about the combination of medical care in his eyes.
"The center serves more than 4,700 elderly people in the jurisdiction, including 102 disabled and semi-disabled elderly people. Through home follow-up in the early stage, we let the elderly and their families know that the center has day care services that integrate medical care and elderly care. Every morning, children send their parents to the center, where professionals provide medical, rehabilitation, health care and other services. When it comes to meals, the designated meal assistance agency will deliver the meal on time, so that the elderly can eat delicious meals. This has largely solved the practical difficulties such as the inconvenience of taking care of children due to busy work, and constantly strived to promote the realization of happiness, support and medical care for the elderly. Lu Guozhong, head of the Chengguan Town Medical and Nursing Service Center, told reporters.
The reporter came to the Second People's Hospital of Yuzhong County in Gaoya Town, Yuzhong County. It was founded in the 70s of the last century and is the only county rural general hospital in the city.
Since last year, Lanzhou City has focused on meeting the diversified, multi-level and high-quality elderly care service needs of the elderly, promoting the orderly advancement of county-level medical and elderly care services, and is committed to building the Second People's Hospital of Yuzhong County into a medical and nursing professional team integrating medicine, health, nursing and nursing, and providing institutional care, rehabilitation nursing, health management, community care and other embedded comprehensive services for the elderly in the county.
80-year-old Li Xiulan was admitted to the Gaoya Town Medical Care Service Center of the Second People's Hospital of Yuzhong County due to the sequelae of cerebral infarction, and she was receiving physiotherapy when the reporter saw the old man. According to reports, since the beginning of this year, more than 100 people have entered and exited the hospital, and there are currently about a dozen elderly people who have been receiving long-term medical care.
"Our service targets are mainly the elderly at home in rural areas, and there are more elderly people who have medical care intentions after home visits in the early stage, but in reality there are fewer people staying, and the root cause is that they cannot afford medical care costs. At present, the center has been in trial operation for more than half a year, and in the future, we hope to let more rural elderly people gradually realize the 'three inseparables' - pension without leaving medical care, pension without leaving home, and pension without family affection. Wei Jinlin, vice president of the Second People's Hospital of Yuzhong County, told reporters.
Grassroots efforts have made medical institutions a new force
Since last year, the Municipal Health Commission and the Civil Affairs Bureau have jointly built medical and nursing service centers in 30 community health service centers (township health centers) in the city, equipped with nursing beds and implemented age-appropriate transformation, and provided embedded comprehensive medical and nursing services such as institutional care, rehabilitation nursing, health management, and community care for the elderly in the community and at home.
Qilihe District Agan Hospital, Agan Town Community Health Service Center, and Agan Town Health Center are medical and nursing service institutions that have been transformed for the elderly. During the visit, the reporter learned that the hospital has installed handrails on the stairs and ward corridors in the combined medical and nursing service area, the bathroom has also been renovated to be barrier-free, and an emergency call button has been newly installed for each bed; In addition, it is also equipped with nursing and rehabilitation equipment such as electric nursing beds, wheelchair-type stair climbers and shortwave therapy devices, providing a more comfortable medical environment for the elderly.
Shi Xinfu, vice president of Agan Hospital, told reporters that in response to the special service work of combining medical and nursing care, the hospital has organized 12 medical personnel to participate in professional training to further improve the service awareness and skill level of the elderly. "In order to allow the elderly to effectively enjoy high-quality, efficient and convenient medical services, we optimize the service process and fully realize one-stop inpatient services, fetching hot water and delivering meals to the hospitalized elderly, and sending the elderly home when discharged. We will continue to deepen the work of age-appropriate transformation, strengthen cooperation and exchanges with elderly care institutions and village (resident) committees in the jurisdiction, and actively explore new models of integration of medical prevention and care based on the needs of the elderly, so that the elderly can enjoy elderly care services in medical care, and provide more comprehensive and meticulous care for the elderly. ”
Recently, the reporter met the elderly Song Aizhen in the medical and nursing area of the community health service center of Tuanjie Xincun Street, Chengguan District, and she told reporters: "I originally had diabetes, and this year I was diagnosed with hypertension. Over the years, thanks to the care and care of Dr. Zhang and other staff, my condition is quite stable. The doctors and nurses were very friendly and familiar with my situation, which was more convenient than going to the hospital. Song Aizhen is a resident of Tuanjie Xincun Street, Chengguan District, and Dr. Zhang in the old population is Zhang Xutao, deputy director of the Tuanjie Xincun Street Community Health Service Center.
Zhang Xutao told reporters that the center provides combined medical and nursing services to 3,820 elderly people in the jurisdiction twice a year. In order to further promote the combination of medical and nursing care and promote the seamless connection between medical and health resources and elderly care service institutions, the center has signed a contract with the Love Care Elderly Care Service Center and Winbond Beautiful Home Elderly Care Service Center, and regularly provides free physical examinations, health guidance, chronic disease management, traditional Chinese medicine health services, health education, and two-way referral green channels for the elderly every year, realizing the close connection and integrated development of the medical and elderly care center and the elderly care center, and meeting the multi-level and diversified health service needs of the elderly. (Reporter Liu Xiaofang text/photo)