Abstract
The rapidly aging society gives rise to sizable demands for chronic disease nursing care.With IT development as backup, the hospital has developed a platform for regional collaborative nursing informationization within a medical alliance and a health management platform for home care of the elderlies.This practice can build an extended nursing care model, featuring the three main service lines of hospital-family, hospital-medical alliance and hospital-community hospital-family . The model provides diversified, personalized, disease specific, informationization and multi-disciplinary coverage for nursing care, providing the primary level with high quality nursing resources.Medical alliances and corresponding communities share information, for a full-range, full region and full timeframe coverage of nursing health supervision and scientific guidance, thus effectively minimizing the rate of revisit to upper-level hospitals by patients and implementing the hierarchical medical system. Key words: Informationization services; Social needs; Extended nursing care; Medical alliances
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