医养随访一体机打通医养结合“一公里”

“医养结合”，关键在“结合” 。长期以来，医疗与养老“两张皮”是困扰养老服务的一大难题——养老机构缺乏医疗资源，医疗机构缺乏养老服务。2025年五部门联合发文要求到2027年底基本实现医养结合服务县域全覆盖。医养随访一体机正是打通“医”与“养”之间壁垒的关键桥梁。

The key to the integration of medical care and elderly care lies in the combination. For a long time, the "two skins" of medical care and elderly care have been a major challenge for elderly care services - elderly care institutions lack medical resources and medical institutions lack elderly care services. In 2025, five departments jointly issued a document requiring the basic realization of full coverage of medical and elderly care services in counties by the end of 2027. The integrated medical and nursing follow-up machine is the key bridge to break down the barrier between "medical" and "nursing".

在数据互联层面，医养随访一体机实现了医疗数据在医养场景中的无缝流转。设备支持4G/5G、WiFi多方式联网，检测数据可直接同步至国家基本公卫系统、县域医共体平台及居民电子健康档案。内置的二代身份证、社保卡识别功能，让养老机构能快速为老人建立动态健康档案。在荣成，5家养老机构和4个社区部署了9台健康查体一体机，老人随时都可以进行健康体征信息监测，健康体征监测信息实时上传到智慧养老平台。这种“一次检测、全域共享”的数据模式，让老人的健康信息不再孤立于养老机构内部，而是汇入整个医疗服务体系之中。

At the level of data interconnection, the integrated medical and nursing follow-up machine has achieved seamless flow of medical data in the medical and nursing scene. The device supports 4G/5G and WiFi multi-mode networking, and the detection data can be directly synchronized to the national basic public health system, county-level medical community platform, and residents' electronic health records. The built-in second-generation ID card and social security card recognition function allows elderly care institutions to quickly establish dynamic health records for the elderly. In Rongcheng, 9 health check-up all-in-one machines have been deployed in 5 elderly care institutions and 4 communities. Elderly people can monitor their health signs at any time, and the health sign monitoring information is uploaded in real-time to the smart elderly care platform. This data model of "one-time detection and global sharing" enables the health information of the elderly to no longer be isolated within the nursing home, but to be integrated into the entire medical service system.

在服务下沉层面，医养随访一体机让专业医疗服务真正延伸到了老人的床边。设备体积小巧、双面收纳配件，内置大容量电池，基层医生、养老护理员可轻松携带上门巡诊。为行动不便的独居老人、失能老人提供床边检测服务，让“居家医养”不再是口号。在山东邹平，家庭医生团队广泛应用移动随访包等数字化工具，实现健康数据实时上传与智能分析。在颍泉区，家庭医生上门签约履约服务老年人超过一万人。医养随访一体机让“医”主动走进“养”的场景，实现了服务模式从“等客上门”到“主动上门”的根本转变。

At the level of service sinking, the integrated medical and nursing follow-up machine truly extends professional medical services to the bedside of the elderly. The device is compact in size, with double-sided storage accessories and a built-in large capacity battery. Grassroots doctors and elderly care workers can easily carry it for home visits. Provide bedside testing services for elderly people living alone and disabled with limited mobility, making "home-based medical care" no longer a slogan. In Zouping, Shandong, family doctor teams widely use digital tools such as mobile follow-up packages to achieve real-time uploading and intelligent analysis of health data. In Yingquan District, over 10000 elderly people have signed contracts with family doctors to provide contract services. The integrated medical and elderly care follow-up machine enables "doctors" to actively enter the "elderly care" scene, achieving a fundamental transformation of the service model from "waiting for customers to come to the door" to "actively coming to the door".

在能力提升层面，医养随访一体机有效缓解了养老机构专业医疗人才短缺的困境。专业医护人才短缺是绝大多数康养机构的共性痛点——没有专业医生的诊断支撑，即便完成了检测，也难以及时识别健康风险。AI-ECG人工智能心电图诊断系统能为照护师和医生提供可靠的辅助判断依据。房颤识别准确率高达99.9%。这意味着，即使养老机构没有全职医生驻守，照护人员也能借助AI的力量，及时发现老人的健康风险并采取干预措施。

At the level of capacity enhancement, the integrated medical and elderly care follow-up machine effectively alleviates the shortage of professional medical talents in elderly care institutions. The shortage of professional medical personnel is a common pain point for the vast majority of healthcare institutions - without the diagnostic support of professional doctors, even if testing is completed, it is difficult to identify health risks in a timely manner. The AI-ECG artificial intelligence electrocardiogram diagnostic system can provide reliable auxiliary judgment basis for caregivers and doctors. The accuracy of identifying atrial fibrillation is as high as 99.9%. This means that even if there are no full-time doctors stationed in elderly care institutions, caregivers can leverage the power of AI to promptly detect health risks in the elderly and take intervention measures.

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