What is integrated medical and nursing care?

Abstract: "Integration of medical and elderly care" refers to the combination of medical resources and elderly care resources to maximize the utilization of social resources. Among them, "medical" includes medical rehabilitation and health care services, specifically medical services, health consulting services, health examination services, disease diagnosis and treatment and nursing services, serious illness rehabilitation services and hospice care services; "nurturing" includes life care services, mental and psychological services, etc. Services, cultural event services. So, what are the models for integrating medical care and nursing care? Integrated medical and nursing care What is integrated medical and nursing care? What are the characteristics and models of the combination of medical and nursing care

What is the combination of medical and nursing care

The combination of medical and nursing care is a new model of elderly care that has gradually emerged in various places in recent years. Because it effectively combines modern medical service technology with the pension security model and realizes the innovation of the pension security model of "treating patients with illness and recuperating without illness", it has become a hot issue of common concern to government decision-making departments and scholars.

Characteristics of the combination of medical and nursing care

1. From the perspective of security purposes, like the traditional elderly care model, the combination of medical and nursing care aims to provide senior living services for the elderly so that they can live peacefully. Old age;

2. From the perspective of participants, it combines traditional elderly care institutions and medical institutions, aiming to provide a new type of elderly care service for the elderly through diversified participants;

3. From the perspective of service content, "medicine" refers to the treatment of diseases, and "nurturing" refers to the care and rehabilitation of chronic diseases, especially chronic diseases of the elderly.

4. From the perspective of the protection targets, it is especially suitable for disabled or semi-disabled elderly people who are in the recovery period of serious illness, chronic disease, prone to relapse, etc. who cannot receive good care in the traditional elderly care model;

5. From a humanistic perspective, it takes into account both the elderly care needs and the medical needs, and meets the basic living needs of the modern elderly in terms of “medical care and nursing care needs”.

6. Defined from a broad scope, the integration of medical care and elderly care is not only an exploration of a new elderly care method that organically combines traditional pension security with modern medical care, but also means a new leapfrog new concept of elderly care.

Integrated medical and nursing care model

1. Medical and nursing care collaboration model. The medical and nursing care collaboration model means that nursing homes and surrounding medical institutions (such as hospitals, community health service agencies, township health centers, village health clinics, etc.) form a designated counterpart service unit in the form of signing a cooperation agreement, and the medical institutions provide proactive services Provide medical and health care services to the elderly living in nursing homes in the form of , door-to-door services, and appointment services. This approach can not only fully integrate and utilize the existing medical and health resources in urban and rural areas, alleviate problems such as medical shortage and waste of resources in medical institutions, but also effectively solve the health care and medical services of the elderly living in nursing institutions, and help promote Mutual benefit and win-win situation between nursing homes and medical institutions.

2. Outsourcing entrustment model. The outsourcing entrustment model refers to the outsourcing of medical care services by nursing homes to medical institutions with strong medical service capabilities to be responsible for operation and management. This model is generally suitable for elderly care institutions that do not have the conditions to set up medical institutions or have weak medical service capabilities. Elderly care institutions outsource the medical and nursing services that they are not good at providing to professional medical institutions. They can not only fully rely on the advanced medical and health resources of medical institutions to provide relatively high-quality and professional medical and nursing services to the elderly, but also make themselves more capable. Focus more on the provision and improvement of other elderly care services, thereby continuously improving the quality of elderly care services.

3. In-hospital medical model. The in-hospital medical model refers to the setting up of medical facilities or departments such as infirmaries, health clinics (rooms), nursing stations, outpatient departments, etc. in nursing homes based on the number of people served, the scale of the site, etc. This model mainly provides higher-level nursing care services to the elderly residents by setting up corresponding medical facilities or departments within the nursing homes and staffing them with certain medical staff. Relatively speaking, this model is relatively easy to implement, and many elderly care institutions tend to use this method to improve their internal institutional settings and improve the level of medical care services.

It is worth mentioning that if the internal medical facilities or department service capabilities are relatively limited and cannot meet the needs of the elderly, the elderly care institution can also implement the "medical care collaboration" or "outsourcing entrustment" model and introduce professional services. medical service resources to improve the institution’s medical care service capabilities and levels.

4. Integrated medical and nursing care model. The integrated model of medical care and nursing care means that the elderly care institution builds itself into an institution that integrates medical care, elderly care, etc., has integrated product and service functions, and can provide personalized and all-round comprehensive services to the elderly. Specifically, this model mainly achieves professional and high-level "integration of medical and nursing care" by establishing medical institutions such as rehabilitation hospitals, nursing homes, and geriatric hospitals with independent legal personality. It should be pointed out that the implementation of this model requires strong construction funds, sufficient medical resources and high-quality medical services as backing. Therefore, it is more suitable for some large-scale new private elderly care institutions.