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Xiangying BAO; Meijuan LAN; Jianping SONG; Xiuqin FENG; Qiaomin TANG; Leiwen TANG; Haiyan ZHENG; Chenling ZHU

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Practice of " no-accompany" services through multi-department collaboration in public hospital

VernacularTitle:公立医院多部门联动开展"无陪护"服务实践
Author: Xiangying BAO ¹ ; Meijuan LAN ¹ ; Jianping SONG ¹ ; Xiuqin FENG ¹ ; Qiaomin TANG ¹ ; Leiwen TANG ¹ ; Haiyan ZHENG ¹ ; Chenling ZHU ¹
Author Information

1. 浙江大学医学院附属第二医院护理部，杭州　310009
Publication Type:Journal Article
Keywords: Health services administration; "no-accompany" ward; Multi-department collaboration; Medical caregivers; Hospitals, public
From: Chinese Journal of Hospital Administration 2025;41(2):133-138
CountryChina
Language:Chinese
Abstract: The " no-accompany" service is an important measure to meet the patients′ needs for comprehensive, continuous, and high-quality diversified care and to enhance their medical experience. Starting in March 2024, the Second Affiliated Hospital of Zhejiang University School of Medicine launched a pilot " no-accompany" service in the breast surgery and dermatology wards. The hospital established a working team led by the nursing department and involving multiple administrative departments such as the medical affairs department, medical insurance office, and logistics management department. And the hospital has successfully advanced the implementation of the " no-accompany" ward program by establishing a multi-department collaborative management mechanism, standardizing the management of medical caregivers, developing a tiered fee scheme for the " no-accompany" service, and improving relevant service measures. The acceptance of the " no-accompany" service by patients increased from (3.93±0.83) in the second quarter of 2024 to (4.69±0.59) in the fourth quarter, and overall satisfaction rose from (4.18±0.73) to (4.50±0.54) (all P<0.001). The job competency of medical caregivers also improved significantly from (64.80±3.49) before starting work in March 2024 to (94.00±2.40) in the fourth quarter ( P<0.001). These findings provide a reference for the implementation of " no-accompany" services in public hospitals.