Abstract:Objective To guide the community medical staff to provide high-quality nursing service with payment for home-dwelling patients. Methods We constructed a primary medical institution-centered, regional medical center-led nursing consortium platform that allows the patient to request an appointment online, then nurses from the regional medical center collaborated with the community nurses to provide nursing service at patient′s home. The effect was evaluated after one year of practice. Results A total of 107 nurses from the regional medical center guided community nurses to provide 14 types of nursing services, including removal and replacement of feeding tubes, PICC maintenance, removal and replacement of urinary tubes, wound/stoma care, and pressure ulcer care, etc. The blockage rate of replaced feeding tube (73 cases) and the incidence of phlebitis after PICC maintenance (97 cases) in patients receiving home service were significantly lower compared with those who came back to hospital for service (53 cases of feeding tube replacement and 80 cases of PICC maintenance before running the nursing consortium), and patient satisfaction was significantly enhanced (P<0.05, P<0.01). None of nursing adverse events and disputes occurred in the two nursing modes. Conclusion The delivery of "Internet plus nursing service" based on the nursing consortium model can meet nursing needs of home-dwelling patients to a certain extent, and both nurses and patients have better security.
