Analysis on the Current Situation of Family Sickbed Service in a Community Health Service Center in New Pudong Area of Shanghai
OBJECTIVE To investigate the service status of the family sickbed in Huinan Community Health Service Center,in order to bring better quality home bed service for elderly patients.METHODS It analyzed the age,gender,payment method,disease composition,disease outcome,family doctor contract and other information of the patients who established family sickbeds in the center from January to December 2023,a total of 753 people.RESULTS 98.41%of 753 patients were 60 years old and above,with an average age of 74.0±8.8 years.In terms of payment methods,86.99%were basic medical insurance for urban workers,followed by basic medical insurance for urban residents(10.89%)and other payment methods.In terms of disease structure,the patients with home bed were mainly chronic diseases,among which hypertension(75.96%),diabetes(20.72%)and coronary heart disease(18.99%)were the top three diseases.At the same time,patients with home bed also had multiple diseases,and patients with 1,2 and 3 diseases were 60.60%,22.60%and 11.00%,respectively.Among the discharge outcomes of patients at home,94.90%of patients were discharged because their condition was stable or improved.CONCLUSION Family sicked service effectively promotes the rational use of medical resources,and the support of medical insurance policies plays an important role in promoting patients'choice of family sickbed service.However,the publicity of Family sickbed lacks the coordination of other departments,and it is hoped that the following efforts can be made through policy guidance,medical insurance support,and more publicity.Further promote the development of family sickbed services.
family sickbedcoexistence of multiple diseasescommunity health servicegeneral practice