Objective To investigate and analyze the situation of family beds for patients who receive home care services of community health service centers in suburban of Shanghai in 2017, and provide suggestions for further improving the service model.
Methods A retrospective investigation was performed among 164 community health service agencies in 9 suburbs of Shanghai to investigate the service status of family sickbeds and the basic situation of the main patients admitted.
Results ①Bed-building rate: 8 762 beds were there at the beginning of 2017, and 22 229 new beds were built during 2017. The average bed-building rate of each community center was 3.728‰ and 124 beds were built for the elderly over 60 years old. ②In-bed patients in family beds: 24 014 patients were in bed, the proportion of men is greater than that of women, with elderly patients over 60 years old accounting for 94.058% of the total, with elderly patients over 80 years old accounting for 45.544%. ③Family health services: Total family health services were 263 280, with an average of 1 605 family health services per center; ④Disease types of newly built beds: Cardiovascular patients accounted for 55.312%, and stroke patients accounted for 23.423%. ⑤Outcomes of patients who have been discharged from bed: 89.971% of patients were cured, stable and improved; ⑥ Family Bed-building rate of Traditional Chinese Medicine: The family beds of Chinese medicine accounted for 13.691% of the family beds.
Conclusion The government should further strengthen the construction of family beds in the suburbs to play its important role in medical care for the elderly, promote family doctors'signing services and improve the quality of family bed services. We should also pay more attentions to Chinese medicine services and improve the application of traditional Chinese medicine in family beds.
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