? First of all, think about what kind of problems home-based care is to solve. China's social environment will usher in "aging", and some elderly people lying in hospital beds for a long time need some professional care, such as "replacing indwelling catheters and gastric tubes regularly". If there is no nursing staff, it is very troublesome to send the elderly to the hospital for care. Basically, the whole family will go out. If you carry an old house without an elevator downstairs, you have to rent a car. It's really time-consuming and laborious to wait in line at the hospital and hire a car to pull it back after nursing.
For example, some burn patients need to treat their wounds regularly, and for example, maternal and child care needs breast dredging, breastfeeding guidance and so on. If these nurses can have on-site service, it is really worry-free, time-saving and labor-saving for patients. To some extent, it is a social demand to carry out "home-based care for the aged" service.
? Why is "home-based care for the aged in internet plus" subversive? In fact, the answer can be found by comparing the difference between "home care for the aged in internet plus" and traditional care for the aged.
The first difference is that the nursing staff came to the door. Isn't this nonsense? You don't have to tell me. So you are waiting for the patient to come to the hospital. In a sense, this is a kind of "passive service". Now you take the initiative to come to the hospital, in a sense, it is "active service." What's the difference between "passive" and "active"? Let's take an example to find out, if your refrigerator is broken, do you want to send it to the after-sales store for repair and toss it around, or do you want to call a maintenance master to repair it at home? Generally, of course you choose "the latter". People naturally like the "active" service of "you come to me, I don't want to come to you".
The second difference is that the labor value of nursing staff is reasonably reflected. I found out from the information released by Shunde Hospital affiliated to Guangzhou Medical University that the service price includes door-to-door service fee, transportation fee, nursing service item fee and consumables fee, of which the door-to-door service fee is about 150-300. Some people may ask whether 150-300 is a bit expensive. Usually, people who think like this will not "settle accounts", but will only see one dimension, "money". You should at least look at this problem from three dimensions: time cost, labor cost and economic cost.
I still take an old man who is ill in bed to go to the hospital as an example. Time cost = time on the road+waiting time in line+nursing time+time on the way back. You need at least half a day. Labor cost = several people, you can't do it alone, at least 2 or 3 people; Economic cost = transportation fee+nursing service fee+consumables fee. Add up the time cost, labor cost and economic cost, and find that on-site service is a very cost-effective thing. Of course, we should also consider those who have financial difficulties, such as financial subsidies.
? The above is from the patient's point of view and then from the nurse's point of view. A nursing service can charge 150-300, which is a reasonable embodiment of the value of nurses' work and several times more expensive than traditional nursing. These skilled people are not "low-cost waiters".
? The third difference is that the professional identity of nursing staff is strengthened. We in China often say that "visitors are guests", but when you go to other people's homes, you will have different feelings. Moreover, the "one-on-one" service environment will make the work more concentrated and the communication between doctors and patients will be much more harmonious. Compared with traditional nursing, serving more than a dozen people at the same time usually "takes care of one thing and loses another". In the "one-on-one" service environment, it is easy to hear their praise. Everyone's ears are "soft roots". The patient inadvertently said "thank you" and "praise with both hands". The speaker has no intention, but the listener has intention. Every positive and timely feedback will increase the professional identity of nursing staff.
? The internet is connected with "demand" at one end and "supply" at the other. The essence of the Internet is an efficient connector. So the focus is not on "Internet", but on how to develop business based on "home care for the aged in internet plus".
First of all, the "home-based care for the aged" business needs to be standardized, which is similar to the "US group take-out" model, "customers place orders and merchants provide services". Only by keeping it simple enough can it be easily popularized and used.
Some people say that medical insurance should consider the convenience of patients. Personally, it is not a good thing to access medical insurance too early. Why, in fact, products like "Meituan Takeaway" have strong vitality and have been carefully designed by "gamification". This is not my "wild guess". Wang Xing, the founder of Meituan, strongly recommended a book, Games Change the World. Nowadays, many Internet products have the shadow of "gamification".
Let's talk about a feature of gamification, which is called "timely feedback". What is "timely feedback"? If you are a rider of the US group take-out, you can see how much money you earn for each delivery, and once the order is completed, it will arrive immediately. For example, when I was in high school, there was a very popular online game called Legend (haha, accidentally exposed my age). Some students are playing, and I often discuss how to kill a "boss" during recess, get a "device" and how many levels it has risen. The content is so colorful that I can't get in a word. Is it really that funny? Once, I simply went to an Internet cafe and opened an account. I tried 15 minutes and it didn't feel interesting at all. At that time, I couldn't figure out what was interesting about this thing. Later, I learned that the most important design of the game is "timely feedback". In the game, you "cut monsters with a knife", and+100 experience value appears above the characters. The more you play, the more feedback you get, and the more addictive you are.
With the above analysis, you will know why I said that premature medical insurance intervention is not a good thing, which will undermine "timely feedback", because after medical insurance settlement, it will not arrive until at least next month. If "Internet plus home-based care for the aged" is to operate well, it is best to have a "gamification" design with the characteristics of "timely feedback". "Timely feedback" how much money the nurse has for each service and whether she can receive it immediately after completing the order.
Personally, I suggest to build a "home-based care" platform in areas where medical institutions are mature, and it is not necessary for each hospital to build it itself. The first benefit can reduce the cost; The second benefit is to optimize the dynamic allocation of nursing staff resources, such as who is assigned to patients near the hospital.
The first problem is that the income of each nursing service has shrunk seriously. It could have been 100 yuan, and after deducting various expenses, it was finally given to 30 yuan. Can you imagine how enthusiastic and motivated the nursing staff will be?
The second question, some people say "home care", the personal safety of nursing staff, in case of accidents in the nursing process, it is necessary to clarify the legal liability risk management.
Admit that these problems definitely exist, but this is a low probability event, and most of them are safe and controllable. For example, you read the news about "plane crash" and you are afraid of flying. I once had the experience of flying in fear. From takeoff to landing, I was nervous and scared, thinking of landing quickly. However, with the first flight experience, flying in the future will not feel so terrible. Don't stop promoting "home-based care for the elderly" because of "low probability events", which is not wise.
In short, "Internet plus home care" is a service that society just needs and cannot be ignored. If the operation is done well, both patients and nurses will benefit, otherwise it will be a "half-tone" project.
I would also like to add that if the problems just needed by this society cannot be solved in a normal way, there will be "personal care", "cat care" and "dog care" in the market to fill them. Just like the "free ride" business before Didi, it is really convenient. Then there was a security incident and it stopped for a while, and there was a "vacuum" in the market. Once the demand is stimulated, something like "hello free ride" will appear to fill it immediately.