Nursing Services to Be Covered by Insurance in the Future
Many families face serious difficulties caring for a patient, elderly person, or child, from finding a suitable nurse to trusting them. The problem has intensified since reports repeatedly emerged of nurses' incompetence in caring for patients or the elderly.
Many families have many problems to take care of their sick, elderly and children, from finding the right nurse to trusting him. This problem has doubled since news about the incompetence of nurses in caring for patients or the elderly was published many times.
According to Ambassador Arjan, citing information, the Director General of Education and Health Promotion of Nursing Services of the Ministry of Health announced on the eve of "Nurses' Day" on the eve of the 24th of Mehr, that nursing services will be insured for the people in the near future. An issue that promises to reduce the suffering of patients and families, especially in the current difficult economic times.
It is even more unfortunate that in some cases moral issues, theft and even murder have appeared in the headlines of the country's incidents, one side of which was a nurse-like person. Another important point is the costs that home nursing services impose on families.
In such a situation, monitoring and structuring as well as service insurance seem necessary to improve the quality of nursing services; This is a problem that Dr. Khurshid Vescoui, the general director of education and health promotion of nursing services of the Ministry of Health, has mentioned and informed about the revision of the structure and insurance of nursing services.
Referring to the plans implemented for nursing insurance, Dr. Vescoui said: the insurers have promised assistance that the service companies are not the people's side of the account; Rather, be the main account party of insurance companies.
He added: If nursing services such as laboratory or imaging are insured, the patient will pay a portion of the cost as a deductible after receiving nursing services, and the original cost will be paid by the insurance company.
The Director General of Education and Health Promotion of Nursing Services pointed out the urgent need of families who have special patients and explained: both service insurance and specialist nurses are vital for patients with special conditions who need special and advanced medical services; It means patients who are admitted at home instead of hospital and it is necessary to have a nurse with knowledge and expertise by their side.
Now, many companies unrelated to nursing are operating in this field, and this is one of the problems of nursing services. Vescoui explained: Currently, authorized centers are introduced to the people by universities of medical sciences, the medical system, and comprehensive health centers across the country. If someone hires a nurse outside of this framework, on the recommendation of a doctor or another person, it is the responsibility of the person himself.
He added: The duty of authorized centers is to introduce people who provide real services. I must emphasize that the fees charged by licensed nursing service centers are lower than other centers, and at the same time, people with scientific and moral qualifications are introduced as nurses. The above offices are responsible to the nursing assistant and all the information of the nurses is recorded in the system. In the next step, we will move towards a comprehensive system where the person in need of a nurse can register in the system and choose a nurse.
Among the interventions that happen in the field of nursing services at the country level, is the sending of nurses to homes by companies providing home cleaning services. Dr. Vescoui continued with this explanation: Their license is for cleaning and cooking in homes, not taking care of patients. Because of this, many problems have arisen.
He added: The issue of nursing services at home is an important concern of many people who have the right to be sensitive about it, because in the past people were introduced for nursing and moral and side problems were created.
Vescoui continued: Our plan is to organize nurses in the form of counseling centers and nursing services, whose licenses are issued by universities of medical sciences. People who are introduced for home nursing in this way have specialized qualifications for their job. In addition, identity documents, bad background and other such things are taken from them and they are qualified before starting work. In this case, the service centers will be responsible for the nurse's actions.
Director General of Education and Health Promotion of Nursing Services, pointing out that some hospitals and medical training centers introduce nurses themselves, said: Unfortunately, for many reasons, including lack of insurance, people use other methods to invite nurses.
Among the mentioned services, nursing of the elderly and children is more important; The issue that Dr. Vescoui pointed out and said: Fortunately, a notification was issued by the Presidential Women's Affairs Office, in which the duty of authorized nursing service centers to care for the elderly and children was emphasized. Previously, the duty of taking care of the elderly and children was the responsibility of these centers, but this announcement places great emphasis on its implementation. Also, new service packages have been introduced in this notification.
He added: Apart from this, the regulation of nursing services was revised and announced by the Minister of Health. One of the problems that nursing service centers had was related to the physical location of the office, which was changed in their favor in this review.
Registered nursing offices and companies struggle with many problems, including union interference. Soraya Nemati, the manager of one of the licensed offices of home nursing services, said about this: Many centers providing nursing services are closing; Because other people or companies perform nursing related services illegally.
He added: We have two main duties, which are "care for the elderly" and "nursing the sick" at home. Despite this, most home cleaning service companies send people who have no expertise to their patients. Some doctors also introduce their nurses to the patient or the nurse herself communicates with the families in the hospital and goes to their homes for care.
Nemati clarified: In this situation, our license is pointless. We incur a lot of costs, but due to the fact that non-specialists interfere in this field, our work faces problems, while the tariffs are not related to the services provided. We are under the supervision of the Ministry of Health, we are controlled by inspectors and we have a lot of expenses, but in the end the benefits go to unqualified people.
Referring to another problem of nursing service offices, he said: Apart from all these cases, sometimes we introduce people who make an appointment with the patient after one or two sessions and do not pay 15% of the company's commission. All this has caused the offices to close.
Nemati emphasized: Tariffs have improved this year, but they are still insignificant. Nursing services are supposed to be covered by insurance, in which case the conditions of the offices will improve.
Hadi Golafrouz Shahri is also the manager of a licensed nursing service company. He called the specialization of companies the key to their success and said: If such companies provide specialized services in a specific field, for example, in nursing patients who need ICU or bed wound related services, it will be more successful.
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