The reporter learned from the Shenzhen Weiren Committee yesterday that the Municipal Health Population Planning Commission and the Municipal Bureau of Human Resources and Social Security jointly issued the “Measures for the Administration of Family Beds in Community Health Service Institutions in Shenzhen (Trial)”.

Shenzhen will start September 1 and formally include the family bed service in the Shenzhen Municipal Social Health Insurance System. After the city's comprehensive medical insurance and in-patient medical insurance planners establish a hospital bed, they can be paid by Medicare. The starting line is 100 yuan. However, each built-in bed cycle cannot exceed 60 days. Part of the over 100 employees can be reimbursed 90%, and retirees can report 95%.

Last year, the city carried out a total of nearly one thousand beds of family beds. It is understood that some community health centers in Shenzhen have been providing family beds. According to incomplete statistics, in 2011, Shenzhen launched a total of 990 family-bed services. "But in the past, patients were always required to pay for their own expenses, and technical services, etc. also need to be further regulated." The person in charge of the Women's Health Office of the Municipal Health Committee pointed out.

According to the preliminary research conducted by the Weiyuan Committee, some people who are bedridden and unable to take care of themselves do have the demand for family bed services. For example, some communities with older residents, such as the community centers in Luohu and Baoan, carry out more family bed services. . The city’s home care service center is the Baowen Community Center, which is subordinate to Bao’an District Hospital. In 2011, it conducted a total of 450 bed-based family beds.

The person in charge told the reporter that the subject of the family bed must be a patient who is well-diagnosed and suitable for examination, treatment, and care under family conditions. In the past two years, there have been records of hospitalization or outpatient treatment at or above Class I hospital.

"We have also provided eight reference conditions, and patients must have at least one of them." The person in charge said that, first, because the original disease is aggravated, the second is tracheal intubation, nasal feeding or continuous catheterization, the need for regular medical care The third is combined acne, the fourth is repeated respiratory, urinary, digestive and other systemic infections, the fifth is diabetes mellitus with gangrene, the sixth is the late stage of malignant tumors, and the seventh is the treatment of patients with bed fractures and traction fixation. Eight are other serious complications.

28 Community Health Service Management Centers Can Set Up Home Beds It is reported that doctors and nurses engaged in family bed service must have more than 2 years of clinical work experience and have independent working ability, which requires a lot of manpower deployment. According to regulations, a single community health center cannot set up a family sickbed service, and must have a community health service management center with 8 or more community health centers in order to carry out the family sickbed service, and the center must be a designated medical institution for Shenzhen social medical insurance.

According to the person in charge of the Women and Community Affairs Department, there are 28 qualified community health service management centers in Shenzhen. As of March this year, 20 companies have been established, and 8 of them are still under preparation. Therefore, it is expected that Shenzhen will have more than 20 family bed service outlets.

Family bed services include the establishment of health records. Under the premise of strict safety precautions, intramuscular injection, intravenous injection, intravenous infusion, subcutaneous injection, dressing change, acne care, catheterization, oxygenation, rehabilitation guidance, and nursing Guidance, acupuncture, massage, traditional Chinese medicine services, etc., can also be carried out blood routine, urine routine, fecal and electrocardiogram, blood glucose, blood pressure and other measurement test items.

The reporter found that one of the “medical safety issues” in the document mainly involved intravenous fluid therapy projects. The responsible person stated that, in principle, intravenous fluid infusion projects are not encouraged in families. “If serious complications of intravenous fluids are encountered, small-scale community health centers are generally unable to deal with them in time, not to mention family.”

There are indeed needs that should be carried out under the premise of ensuring medical safety, but drugs such as penicillins, chemotherapeutics, biological products, boosters and antihypertensives, Chinese medicine preparations, and other drugs that are clinically prone to adverse reactions cannot be used in family beds. use.

Health care workers need to pay 15 yuan for each clinic visit. The reporter learned that the fee for the family bed service is a bed building fee of RMB 20 per bed, including the establishment of health records (that is, medical records) and the first comprehensive inspection (excluding physical and chemical Check) costs, as well as three visits and treatment costs.

According to reports, the visit fee includes a visit fee of 17 yuan/person and a visit fee of 15 yuan/person (including emergency). Visits refer to the responsible doctors checking the bed once a week, or once every two weeks. If the patient's condition is needed or the condition changes, the number of beds can be increased. On the other hand, the visit includes the visit of the medical staff to the patient for treatment or inspection service. "Family bed injections, care and other charges are the same as those of the community health center." The person in charge said that the only difference is that each time the patient needs to pay for a visit to the medical staff.

In addition, the family ward must be applied by the patient or family member before the establishment of the patient's condition. If the patient's condition is aggravated, the responsible physician will inform the timely transfer of the ward.

The social security department requires that the period for each bed of a family bed be 60 days, and the procedures for evacuation should be completed and the fee must be cleared after 60 days. "If you are a self-paying patient, you can continue to build a bed and you don't need 60 days to settle."

When the medical insurance patients in this Municipality use the family bed service, they must first pay cash, have their expenses booked, and settle after evacuating their beds. "For example, a patient had a total of 300 yuan in costs, an individual needed to pay 100 yuan, the remaining 200 yuan was reimbursed by the social security, the working staff reported 180 yuan, and the retirees reported 190 yuan. But the patient could not enjoy other forms of hospitalization at the same time. Medical insurance benefits, and other out-patient social medical insurance benefits except for special out-patient visits, if they are cancer patients, they need other special cancer treatment drugs, they can take medicines in the special disease outpatient clinics, and refer to the social security regulations for reimbursement.