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卫健委:将“互联网+护理服务”试点工作向全国拓展

2021-01-07 医谷网 医谷网

近日,国家卫生健康委印发《关于进一步推进“互联网+护理服务”试点工作的通知》,提出原明确的试点省市(北京、天津、上海、江苏、浙江、广东)按通知要求继续开展试点外,其他省份原则上

近日,国家卫生健康委印发《关于进一步推进“互联网+护理服务”试点工作的通知》,提出原明确的试点省市(北京、天津、上海、江苏、浙江、广东)按通知要求继续开展试点外,其他省份原则上至少确定1个城市开展“互联网+护理服务”试点工作。

据国家统计局数据显示,截至2019年底,我国60岁及以上人口为2.54亿人,占总人口的18.1%,65岁及以上人口为1.76亿人,占12.6%。其中失能、半失能老年人4000余万。对专业的医疗护理、康复、居家护理服务等呈现庞大而刚性的需求。

2019年1月,国家卫健委印发《关于开展“互联网+护理服务”试点工作的通知》,确定北京等6省市开展“互联网+护理服务”试点工作,重点为高龄或失能老年人、出院后患者、康复期患者和终末期患者等行动不便的人群,提供医疗护理服务。部分省市积极开展“互联网+护理服务”试点工作,在完善管理制度、防控执业风险、建立医疗服务价格和医保支付政策等方面进行了有益探索,取得一定成效。

此次通知指出,本次试点范围扩大,各省(区、市)结合实际均可开展“互联网+护理服务”试点工作。试点期限1年,2021年1月—12月。

通知强调,各地卫生健康行政部门要根据区域内群众重点是高龄、失能等行动不便老年人等迫切护理服务需求,统筹区域医疗资源,合理引导医疗机构增加护理服务供给。将“互联网+护理服务”与家庭医生签约、家庭病床、延续性护理等服务有机结合,为群众提供个性化、差异化的护理服务。充分发挥大型医院优质护理资源的帮扶带动作用,借助城市医疗集团、县域医共体、专科联盟以及远程医疗等形式,提升基层护理服务能力,让二级及以下医疗机构和基层医疗机构在“互联网+护理服务”中发挥更大的作用。

通知要求,各地卫生健康行政部门和开展“互联网+护理服务”的医疗机构要采取有效措施积极防控和有效应对风险。如对服务对象进行全面评估,核验其身份信息、病历资料、家庭签约协议、健康档案等资料;对提供“互联网+护理服务”的护士要加强培训,并对其资质、服务范围和项目内容提出要求;对“互联网+护理服务”项目的适宜性进行评估,严格项目范围并予以公开;为护士提供手机APP定位追踪系统,配置工作记录仪,配备一键报警、延时预警等装置;购买医疗责任险、人身意外伤害险等。

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国家卫生健康委办公厅关于进一步推进“互联网+护理服务”试点工作的通知

国卫办医函〔2020〕985号

各省、自治区、直辖市及新疆生产建设兵团卫生健康委:

2019年,我委开展了“互联网+护理服务”试点工作,部分省市积极开展“互联网+护理服务”试点工作,在完善管理制度、防控执业风险、建立医疗服务价格和医保支付政策等方面进行了有益探索,取得一定成效。为贯彻落实党中央、国务院积极应对人口老龄化、实施健康中国战略重大战略部署,增加护理服务供给,进一步推进“互联网+护理服务”试点工作,现将有关要求通知如下。

一、进一步扩大试点范围

各省(区、市)结合实际均可开展“互联网+护理服务”试点工作。原明确的试点省份(北京、天津、上海、江苏、浙江、广东)按本通知要求继续开展试点,其他省份原则上至少确定1个城市开展“互联网+护理服务”试点工作。试点期限1年,2021年1月—12月。

二、规范开展试点工作

卫生健康行政部门和医疗机构要按照《“互联网+护理服务”试点工作方案》有关要求,规范有序开展“互联网+护理服务”试点工作。卫生健康行政部门要制定完善“互联网+护理服务”管理制度、服务规范和技术标准,确定辖区内“互联网+护理服务”试点项目。向社会公开符合条件的试点医院,接受社会监督。加强对互联网信息平台的管理,采取有效措施防控和应对风险。积极协调有关部门建立完善“互联网+护理服务”的价格和医保支付政策。试点医疗机构要依法合规开展“互联网+护理服务”,对服务对象进行全面评估,选派符合资质和能力条件的护士提供相关服务,切实保障医疗质量和安全。

三、增加护理服务供给

各地卫生健康行政部门要根据区域内群众重点是高龄、失能等行动不便老年人等迫切护理服务需求,统筹区域医疗资源,合理引导医疗机构增加护理服务供给。将“互联网+护理服务”与家庭医生签约、家庭病床、延续性护理等服务有机结合,为群众提供个性化、差异化的护理服务。鼓励有条件的医疗机构按照分级诊疗要求,结合功能定位和实际情况,积极开展“互联网+护理服务”试点工作。充分发挥大型医院优质护理资源的帮扶带动作用,借助城市医疗集团、县域医共体、专科联盟以及远程医疗等形式,提升基层护理服务能力,让二级及以下医疗机构和基层医疗机构在“互联网+护理服务”中发挥更大的作用。

四、加大护士培训力度

各地要结合“互联网+护理服务”新业态的特点,对提供“互联网+护理服务”的护士开展针对性培训。通过培训,不仅提升护士护理服务能力和专业技能,同时增强其突发状况下的紧急救治和应急处置能力。强化护士依法执业意识,规范护理服务行为,提高护理服务质量。

五、积极防范执业风险

各地卫生健康行政部门和开展“互联网+护理服务”的医疗机构要采取有效措施积极防控和有效应对风险。如对服务对象进行全面评估,核验其身份信息、病历资料、家庭签约协议、健康档案等资料;对提供“互联网+护理服务”的护士要加强培训,并对其资质、服务范围和项目内容提出要求;对“互联网+护理服务”项目的适宜性进行评估,严格项目范围并予以公开;为护士提供手机APP定位追踪系统,配置工作记录仪,配备一键报警、延时预警等装置;购买医疗责任险、人身意外伤害险等。要制定完善“互联网+护理服务”试点工作应急处置预案,有效应对处置突发情况,保障医疗安全。

六、探索价格和支付政策

各地卫生健康行政部门要主动协调有关部门,结合“互联网+护理服务”新业态的特点和服务形式,建立完善有利于“互联网+护理服务”试点工作发展的相关医疗服务价格政策和医保支付政策。

七、有关要求

(一)加强组织领导。各地卫生健康行政部门和医疗机构要高度重视“互联网+护理服务”试点工作,加强组织领导,建立联动机制,加强沟通协调,推进试点工作有序开展。

(二)支持实践创新。各地要结合实际积极开展“互联网+护理服务”试点工作,在服务模式、管理规范、信息支撑、风险防范、行为监管、价格支付等方面大胆实践、勇于创新,形成示范经验和典型做法,以点带面、逐步推广。

(三)及时跟踪评估。卫生健康行政部门要加强对辖区内医疗机构开展“互联网+护理服务”试点情况的指导,及时跟踪评估工作进展。在开展试点过程中出现新情况新问题,要积极研究解决。我委将适时对各地“互联网+护理服务”试点情况开展第三方评估。

请各省级卫生健康行政部门按照本通知要求,结合实际制订辖区内“互联网+护理服务”试点工作具体实施方案,于2020年12月底前报送我委医政医管局。

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  3. [GetPortalCommentsPageByObjectIdResponse(id=1641777, encodeId=2de11641e77ba, content=<a href='/topic/show?id=c1bf91e4162' target=_blank style='color:#2F92EE;'>#试点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91741, encryptionId=c1bf91e4162, topicName=试点)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a5522833467, createdName=ms1774076774505970, createdTime=Thu Oct 21 14:10:21 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813103, encodeId=ffdb181310395, content=<a href='/topic/show?id=4b3f91e482a' target=_blank style='color:#2F92EE;'>#试点工作#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91748, encryptionId=4b3f91e482a, topicName=试点工作)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43cb463, createdName=lfyang, createdTime=Tue Feb 23 08:10:21 CST 2021, time=2021-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949655, encodeId=0b4594965523, content=太好了,为慢性病患者,特别是留置各种管路,有伤口造口的患者提供了极大的便利。但是如何规避护理人员的执业风险也十分重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b325469781, createdName=ms9000001116758686, createdTime=Sat Mar 20 06:53:31 CST 2021, time=2021-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915114, encodeId=aefb9151144d, content=谢谢提醒, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bcff5450431, createdName=ms9000001842406327, createdTime=Sun Jan 10 00:09:36 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1258783, encodeId=615f1258e8316, content=<a href='/topic/show?id=b0ae365e02f' target=_blank style='color:#2F92EE;'>#卫健委#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36570, encryptionId=b0ae365e02f, topicName=卫健委)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cbf451, createdName=陈吴1234, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1274355, encodeId=eb2e12e4355d7, content=<a href='/topic/show?id=04fd241222d' target=_blank style='color:#2F92EE;'>#互联网#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24122, encryptionId=04fd241222d, topicName=互联网)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2726119, createdName=july_975, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1438111, encodeId=b696143811127, content=<a href='/topic/show?id=e08c2412394' target=_blank style='color:#2F92EE;'>#互联网+#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24123, encryptionId=e08c2412394, topicName=互联网+)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1554389, encodeId=629015543892c, content=<a href='/topic/show?id=9ebb55993a8' target=_blank style='color:#2F92EE;'>#护理服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55993, encryptionId=9ebb55993a8, topicName=护理服务)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f56214527680, createdName=liye789132256, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=)]
    2021-03-20 ms9000001116758686

    太好了,为慢性病患者,特别是留置各种管路,有伤口造口的患者提供了极大的便利。但是如何规避护理人员的执业风险也十分重要

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1641777, encodeId=2de11641e77ba, content=<a href='/topic/show?id=c1bf91e4162' target=_blank style='color:#2F92EE;'>#试点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91741, encryptionId=c1bf91e4162, topicName=试点)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a5522833467, createdName=ms1774076774505970, createdTime=Thu Oct 21 14:10:21 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813103, encodeId=ffdb181310395, content=<a href='/topic/show?id=4b3f91e482a' target=_blank style='color:#2F92EE;'>#试点工作#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91748, encryptionId=4b3f91e482a, topicName=试点工作)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43cb463, createdName=lfyang, createdTime=Tue Feb 23 08:10:21 CST 2021, time=2021-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949655, encodeId=0b4594965523, content=太好了,为慢性病患者,特别是留置各种管路,有伤口造口的患者提供了极大的便利。但是如何规避护理人员的执业风险也十分重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b325469781, createdName=ms9000001116758686, createdTime=Sat Mar 20 06:53:31 CST 2021, time=2021-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915114, encodeId=aefb9151144d, content=谢谢提醒, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bcff5450431, createdName=ms9000001842406327, createdTime=Sun Jan 10 00:09:36 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1258783, encodeId=615f1258e8316, content=<a href='/topic/show?id=b0ae365e02f' target=_blank style='color:#2F92EE;'>#卫健委#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36570, encryptionId=b0ae365e02f, topicName=卫健委)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cbf451, createdName=陈吴1234, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1274355, encodeId=eb2e12e4355d7, content=<a href='/topic/show?id=04fd241222d' target=_blank style='color:#2F92EE;'>#互联网#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24122, encryptionId=04fd241222d, topicName=互联网)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2726119, createdName=july_975, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1438111, encodeId=b696143811127, content=<a href='/topic/show?id=e08c2412394' target=_blank style='color:#2F92EE;'>#互联网+#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24123, encryptionId=e08c2412394, topicName=互联网+)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1554389, encodeId=629015543892c, content=<a href='/topic/show?id=9ebb55993a8' target=_blank style='color:#2F92EE;'>#护理服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55993, encryptionId=9ebb55993a8, topicName=护理服务)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f56214527680, createdName=liye789132256, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=)]
    2021-01-10 ms9000001842406327

    谢谢提醒

    0

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  6. [GetPortalCommentsPageByObjectIdResponse(id=1641777, encodeId=2de11641e77ba, content=<a href='/topic/show?id=c1bf91e4162' target=_blank style='color:#2F92EE;'>#试点#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91741, encryptionId=c1bf91e4162, topicName=试点)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4a5522833467, createdName=ms1774076774505970, createdTime=Thu Oct 21 14:10:21 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1813103, encodeId=ffdb181310395, content=<a href='/topic/show?id=4b3f91e482a' target=_blank style='color:#2F92EE;'>#试点工作#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91748, encryptionId=4b3f91e482a, topicName=试点工作)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43cb463, createdName=lfyang, createdTime=Tue Feb 23 08:10:21 CST 2021, time=2021-02-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949655, encodeId=0b4594965523, content=太好了,为慢性病患者,特别是留置各种管路,有伤口造口的患者提供了极大的便利。但是如何规避护理人员的执业风险也十分重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b325469781, createdName=ms9000001116758686, createdTime=Sat Mar 20 06:53:31 CST 2021, time=2021-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=915114, encodeId=aefb9151144d, content=谢谢提醒, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bcff5450431, createdName=ms9000001842406327, createdTime=Sun Jan 10 00:09:36 CST 2021, time=2021-01-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1258783, encodeId=615f1258e8316, content=<a href='/topic/show?id=b0ae365e02f' target=_blank style='color:#2F92EE;'>#卫健委#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36570, encryptionId=b0ae365e02f, topicName=卫健委)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cbf451, createdName=陈吴1234, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1274355, encodeId=eb2e12e4355d7, content=<a href='/topic/show?id=04fd241222d' target=_blank style='color:#2F92EE;'>#互联网#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24122, encryptionId=04fd241222d, topicName=互联网)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2726119, createdName=july_975, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1438111, encodeId=b696143811127, content=<a href='/topic/show?id=e08c2412394' target=_blank style='color:#2F92EE;'>#互联网+#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24123, encryptionId=e08c2412394, topicName=互联网+)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1554389, encodeId=629015543892c, content=<a href='/topic/show?id=9ebb55993a8' target=_blank style='color:#2F92EE;'>#护理服务#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=55993, encryptionId=9ebb55993a8, topicName=护理服务)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f56214527680, createdName=liye789132256, createdTime=Sat Jan 09 14:10:21 CST 2021, time=2021-01-09, status=1, ipAttribution=)]
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