Click the mobile phone to place an order, and the nurse can provide on-site service. In many places, there is the phenomenon of network appointment nurses. What can network appointment nurses do? How to charge? In fact, for families with patients at home, you can pay attention to it.
In recent years, the emergence of "online nurse appointment" in Beijing, Shanghai, Guangzhou, Fuzhou, Xi'an, Jinan and other cities has attracted the attention of all parties in the society: how much is the service charge? Is it safe? Will it seize public medical resources? Will this service like many "shared applications" flash in the pan, or will it become an inevitable trend of medical resource integration?
Recently, the head of the national health and Health Commission said that the current service price of "online nurses" is determined by the market, and nurses mainly use their spare time to provide services. Relevant departments are working hard to study and formulate policies, improve relevant regulatory measures, promote the protection of the rights and interests and safety of "network nurses" and patients, and standardize the development of the industry.
Mobile phone orders, nurse comes directly
Since the end of last year, more than 10 mobile apps providing "nurse appointment service" have been launched. After the patient registers and authenticates his / her identity on the mobile phone, he / she can select the required service, upload the prescription, medicine and case certificate issued by the medical institution, and wait for the nurse to receive the order. After the order is approved, the nurse can make an appointment with the patient to provide on-site service.
Reporters log into the "medical home" app to see that, including infusion, injection, venous blood collection and other services, there have been more than 10000 purchase records.
Similar Internet medical treatment is becoming the hotspot of mobile phone application development. "Jianhubao" is an innovative project carried out by students of Fujian Vocational and Technical College of health. Li qikeng, director of the innovation and entrepreneurship center of Fujian Vocational College of health and the founder of "jianhubao" app, said that relying on the school's teaching resources, "jianhubao" was launched in April this year. At present, the platform has thousands of registered users. Many of the registered nurses in "health care treasure" come from the students who have obtained the corresponding qualifications in the health school. They sometimes carry out services under the online guidance of the teachers.
Many people in the industry believe that 'net nurses' meet the needs of the masses for diversified medical services, and achieve the "precise docking" of the fragmented nursing needs and nurses' resources in the community, which is an active exploration of "Internet + medical care".
How to set the price? Who can guarantee the safety?
How to set the service price of "network appointment nurse"? The reporter learned that there is no relatively uniform pricing standard for each major platform at present. The general charging standard includes nursing service fee and transportation fee. Take "medical care home" as an example. The service charge for home injection, thread removal and other services is 139 yuan a time, and the service charge for nurse accompany is 198 yuan to 208 yuan a time. In the service fee of "health care treasure", the nurse's transportation fee is about 100 yuan, and the nursing fee varies from dozens of yuan to more than 100 yuan according to the service type.
Although some people on the internet think that the nursing cost of "online nurse appointment" is high, some patients interviewed said that the time and transportation cost for nurses to visit the hospital were saved, which is generally cost-effective.
More and more nurses are willing to join the platform. In Jinan, about 300 nurses have been registered in "medical home"; in Fuzhou, there are more than 500 registered nurses in the "health care treasure" platform.
"Network appointment nurse" provides services outside the affiliated hospital. Who will guarantee the medical safety of patients? According to the relevant regulations on nurse practice issued by the competent department of health, nurses should register in the hospital and serve in the designated hospital. It is reported that at present, there are only a few breakthroughs in the practice of multi-point nurses in Beijing, Guangzhou and other places, and the pilot has been opened up. The "network appointment of nurses" is still in a regulatory blank area.
Li qikeng and others told reporters that app platform is very cautious when setting up nursing service projects. At present, it undertakes more simple home-based nursing services, mainly including non-invasive and low medical risk projects, which can only provide door-to-door services under the condition of ensuring medical safety. When encountering some high-risk nursing projects, patients will be advised to visit the medical institutions. The hospital has complete departments and strict drug testing, preparation procedures and rescue equipment, which is not available at present. "Li qikeng said.
At present, there is no uniform service standard for the "network nurse" platform. In order to avoid the risk of medical disputes, some nurses will use a recorder or mobile phone to record and record the whole process when they come to the door. "This is the protection of the rights and interests of both patients and nurses. 'said Zhao Fei.
Nurses are mostly young women. How to ensure personal safety in door-to-door service? Li qikeng introduced that when patients register for platform users on the "health care treasure" platform, they must hold identity cards for verification, and they can pass only when they have the same person and card. In addition, the order submitted by the patient must also have a prescription issued by a regular medical institution. The platform will also review each order. If it does not meet the requirements, the platform will automatically cancel the order and call the user to inform the reason. However, some consumers reported that the verification of uploaded materials on some platforms was not detailed and there were management loopholes.
How far can I go?
Many platform investors and medical professionals believe that "network nurse" meets the diversified and multi-level health needs of the people, and has great market potential. However, in the process of development, the supporting policies and behavioral norms will determine the future direction of the industry.
Some experts believe that we should gradually and cautiously open up the practice of multi-point nurses, and bring "network nurse appointment" into the supervision of the health administrative department. The sentence "three points for treatment and seven points for nursing" shows the importance of nursing. At present, the policy of doctors' multi-point practice is more open, but the breakthrough of nurses' multi-point practice is still limited.
As a new thing, experts believe that the operation law of "network appointment nurse" is different from the traditional medical treatment. The relevant departments should intervene as soon as possible, regulate the relevant behaviors, and avoid the rush up and management lag.
In addition, the management of "network appointment nurses" also needs to be divided into different levels and categories. Lin Xingfeng, director of the nursing department of the second hospital of Shandong University, thinks that at present, nurses in the hospital are classified, such as clinical nurses and outpatient nurses. At the same time, it is also managed at different levels, such as assistant level and deputy high level. In the future, with the development of "network nurse appointment", more and more services are provided, so it is necessary to manage them by classification and level.