It is difficult that there is not the ward to accompany and attend to and popularize and meet the bottleneck Charge too low and perplex the hospital

It is difficult that there is not the ward to accompany and attend to and popularize and meet the bottleneck Charge too low and perplex the hospital
It is difficult that there is not the ward to accompany and attend to and popularize and meet the bottleneck Charge too low and perplex the hospital
Ministry of Public Health launched in the national hygiene system in March of 2010 " The demonstration project of the high-quality care " The activity, Gansu Province several dozen hospitals becomes the pilot hospital, has begun " not accompanying and attending to " Attempt of the ward. Nowadays, several months passed by, how about this job is launched, what kind of service the patient gets on earth, what demands do they have? Recently, reporters visited several pilot hospitals in the provincial capital, listen attentively to the expectation and feeling of patient and nursing staff. A nurse returns to the patient for a long time, our hospital has been following " the function is being made " all the time Nursing mode,nurse dividing by pieces of function group into,just like assembly line homework, have ones that are responsible for making up a prescription, have the one that is responsible for taking medicine, have the one that is responsible for having an injection This is a kind of work pattern of saving manpower most. On condition that double constantly in work load of the hospital, this kind of work pattern is nearly " closed" Basic nursing. Launch in the whole country with Ministry of Public Health " The demonstration project of the high-quality care " ,Return time to a nurse, return the nurse to the patient, basic nursing is included in nurse's duty again. The return of basic nursing, has let patients feel warmth. The reporter sees in the pilot inpatient area, there is much nurse time in the ward; The impatient all have full-time nurses to dower to check, test; The patient who can't take care of oneself, nurses will help to wash the face and wash the foot, wash hair once every week every day; Stand up, scrub, originally need to accompany and serve the thing that people do, now are all helped to do by the nurse; Has not accompanied and attended to or accompanied without protecting, a new nursing way is changing quietly. 2 nurses show consideration for the daughter by October 16, the reporter comes to peaceful branch of general hospital of Lanzhou of Military Area Command of Lanzhou to recover in the department, experience the high-quality care. "Show consideration for more yet than the blood girl. " The old man of Wen LianGong of 23 beds appraises the nurse's service like this. It is always said that warm: "Nurse give wash hair, trim the nails, get food, rub one's body with a towel, let me afford to move really. In hospital less than one week, at all the nurse's nameses I can ask. " Head nurse Liang Hui introduces, 40 berths of Corey, 15 nurses assign and work in three shifts to attend to the patient for 24 hours. The nurses get the hillock at half past 7 every morning, fetch water, having gargling, getting food,etc. for the patient, rub one's body with a towel, wash the foot etc. for the patient before going to bed in the evening. Basic nursing has occupied most time, though is tiring and tedious, some should not be careless, this is all examination contents of a demonstration project of high-quality care. The reporter sees that there are a lot of service items from basic nursing calendar: Have a bath for the patient on Tuesday; Weigh on Wednesday, health education; Sweep ward,etc. completely on Friday, offer for the fact that the patient wash hair, trim the nails, accompany and attend to checking, room sercive at any time. 3 hospitals meet the bottleneck reporter of the cost to know, because of launching " demonstration project of the high-quality care " ,The manpower, material resources of the hospital are put into increasing greatly, it is the overall bottleneck implementing high-quality care to attend to and charge too low. A Zhang CaiYun, head of the nursing department of institute, Lanzhou University says: "Hospital 3 the intersection of department and 127 berth launch, the nursing staff has increased 30 people, the fund input of personnel is up to several tens of thousands of yuan every month alone. The hospital has also allocated apparatuses such as the washing hair machine, microwave oven,etc. for the pilot department, liquid, towel,etc. are consumed very fast, has increased and attended to the cost to still wash hair. " "In addition, the nurses' labour intensity has increased greatly. " Zhang CaiYun says: "Pilot nurse of department must on duty in o'clock in 7 morning, one class get off, so tired that even want, say. But salary, bonus and other department counterpart's nothing differences. If things go on like this, it is very difficult for someone to persevere. " It is reported, the cost of the nurse of increase is all paid first by the hospital. An anonymous hospital administrator says: "Though the useful to patient reform, 10 first grade for one day attend to how far does it can move? Can the reform lost without earning be for a long time? " 4 can afford much high charge Have not " accompanied and attended to " The ward is a good thing, is the first response of a lot of patients' whether " charged? " . The reporter is when the department of cardiac surgery of the People's Hospital of the province interview, a patient's expression in hospital: "It is certainly a good thing not to accompany and attend to, the more important thing is whether the expenses are expensive? " After he is in hospital, have added to family greatly troublesomely, has asked one to be partial to workers, it costs 50 yuan every day, a little expensive. In the interview, many patients say, the hospital cares for thoughtfully, family needn't take a lot of trouble, it is fair and sensible too to increase by some expenses. But it is suitable how much expenses standard is ordered to, really not OK, high, the patient can not bear; Low, the hospital can not bear either. The reporter knows, " demonstration project of the high-quality care " at present Not still charging extraly in the pilot project, with " the first, second and third " The hospital is the example, it is 11.5 yuan per day to still first grade attend to the charge, second attends to 8 yuan per day, it is 4.6 yuan per day to attend to the fee ordinarily. At home, some cities have already made " not accompanying and attending to the ward" Charge,such as Nanjing city, last 90 yuans of every day, second 60 yuans, a tertiary 30 yuans. Lower area of a per capita income such as Lanzhou, " high-quality care " Charge how should get one of standards definitelied,it need listening to by the opinions of patient more. In addition, the reporter is from the news which the social insurance department gets, according to the present medical insurance level, the medical insurance at all levels is not to attend to and charge to bury the single one �{'s standard. Should say, it is not a task that a hospital can be finished to implement the high-quality care, involve the government policy, involve the medical insurance, involve people's idea too. It seems to be to be one care of hospital, it walks to be but whole system engineering of health care reform in being dark. (Tian XiaoDong)


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