Family sickbed social security approval process

Family sickbed is to take the family as the nursing place, choose diseases suitable for medical treatment or rehabilitation in the family environment, and let patients receive medical treatment and care in a familiar environment, which is not only conducive to promoting the recovery of patients, but also reducing the economic and human burden of families. The establishment of family sickbeds enables medical staff to walk out of the hospital door, meet the requirements of social medical treatment to the greatest extent, and expand their services day by day, including disease general survey, health education and consultation, to prevent and control the occurrence and development of diseases; From treatment to prevention, from in-hospital to out-of-hospital, a perfect medical and health care system has been formed; Family sickbed is a new medical form that conforms to social development.

Edit paragraph 2. Who can apply for a family bed?

Insured residents with sequelae of cerebrovascular accident, advanced malignant tumor and fracture traction can set up family beds for treatment after the first visit by designated medical institutions. Insured residents in the setting of family beds, must hold the first diagnosis of designated medical institutions family beds admission notice, fill in the "approval form for family beds of insured residents", after the approval of the medical insurance department of designated medical institutions, for family beds admission procedures. Each course of treatment shall not exceed two months. If it is necessary to continue treatment within the time limit, the relevant procedures shall be re-handled. During the period of living in a family bed, you may not be hospitalized in a designated medical institution at the same time. The Regulations on Temporary Work of Family Beds (Ministry of Health 1984) stipulates: ..... Article 7 Generally, hospitals only set up family beds in their responsible areas. The scope of family beds should be determined by medical units at all levels according to their own medical conditions and technical level. Generally: 1. The condition is suitable for elderly patients, common diseases and frequently-occurring diseases in family medicine. Second, patients who still need treatment and rehabilitation during the recovery period after discharge. Third, the elderly, the weak, the sick and the disabled go to the hospital for continuous treatment of patients with difficulties. Four, suitable for some obstetrics and gynecology, infectious diseases, occupational diseases, mental patients in the family bed treatment. 5. Patients with advanced cancer who need supportive treatment and pain relief. For long-term patients with chronic diseases who are difficult to see a doctor out of the clinic and do not need to be hospitalized, it is necessary to do a good job of visiting without building a bed.

Edit paragraph 3. Present situation of family sickbeds in China

Since 1970s, family sickbeds have been initially established in all parts of China, and specialized family sickbeds have begun to appear. Family sickbed has become the main form of community nursing. Nurses account for a certain proportion in the opening of family beds and undertake important tasks. After decades of development, it is still far from meeting people's needs. In the next few years, developing family sickbeds will remain the goal and direction of community nursing development.

Edit paragraph 4. Social function of family sickbed

(1). Reduce the economic burden of society and families. (2) It is beneficial to the rehabilitation of diseases. (3) Provide convenience for patients to seek medical treatment. (4) Rational utilization of health resources. (5) Provide more nursing services to the society. (6) Disseminating health knowledge to the society. (7) The embodiment of social value of nurses.

Edit paragraph 5. Family sickbed management information system

According to historical records, family sickbeds first appeared in Tianjin in the 1950s. 1984 In September, the Ministry of Health held a national experience exchange meeting on family sickbeds in Tianjin, summed up the experience of developing family sickbeds, and revised and discussed the Provisional Regulations on Family sickbeds. It is clearly stipulated in the regulations: "Family sickbed refers to the sickbed for examination, treatment and nursing set up by medical units in their homes for some patients suitable for family conditions, and adheres to the principle of combining popularization with improvement, combining traditional Chinese and western medicine, medical treatment, prevention, health care and rehabilitation." The "Regulations" also clearly put forward the task and scope of family sickbed service, which has been followed by community health institutions for many years. According to the regulations, the main task of family sickbeds is to "do a good job in medical services for patients who build beds;" Expand prevention, carry out health examination, disease investigation and disease prevention; Carry out rehabilitation medical treatment under family conditions; Publicity and popularization of disease prevention and family medical care knowledge; Select appropriate diseases for curative effect observation, study treatment, prevention and rehabilitation measures, and constantly summarize. " It is not difficult to see that the competent authorities have clearly defined the service principles of family beds from the beginning, such as emphasizing that "hospitals generally only set up family beds in their own areas". Family sickbed and community nursing are trinity forms of medical institutions, patients and families. In the process of family sickbed service, the concept of community nursing has been deeply rooted in people's hearts. On-site service of medical staff is beneficial to the treatment and rehabilitation of patients, because most of them are elderly patients, who want to receive treatment in a comfortable family environment, with little psychological pressure and no fatigue due to travel. Through targeted health knowledge education and follow-up observation of patients, residents are taught self-care while carefully nursing.

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