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some hospitals do not allow caregivers to bring their own beds? experts: there is no hard and fast rule

2024-09-21

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original title:
some hospitals do not allow caregivers to bring their own beds? experts: there is no hard and fast rule
china national radio, beijing, september 20 (reporter li hongpeng) recently, a netizen posted a video saying that security guards in the south district of the first affiliated hospital of anhui medical university confiscated the folding beds brought by accompanying personnel and required them to rent folding beds provided by the hospital.
on september 20, a reporter from china national radio called the south district security office of the first affiliated hospital of anhui medical university. a staff member said that the hospital does have regulations that do not allow accompanying personnel to bring their own folding beds. the purpose is to facilitate unified management and avoid safety hazards.
on the same day, the reporter contacted several hospitals in hebei, henan and other places in the name of the patient. some hospitals said that accompanying personnel are not allowed to bring their own accompanying beds, and the accompanying beds provided by the hospital cost from a few yuan to dozens of yuan per night, with the highest price not exceeding 20 yuan per night. however, a hospital in cangzhou, hebei said that when accompanying patients, family members can sleep on the floor, but before 7 a.m., the accompanying personnel need to put away the bedding and cannot affect the medical order of the hospital.
deng yong, director of the health and health legal research and innovation transformation center of beijing university of chinese medicine, told the reporter of china national radio that at present, relevant departments have no rigid regulations on whether hospitals allow self-brought accompanying beds. in order to avoid "one-size-fits-all" management, hospitals can classify and manage self-brought accompanying beds. accompanying beds that meet safety and hygiene standards can be allowed to be brought in, but they must be registered and managed. in addition, the cost of renting hospital accompanying beds can be adjusted according to the length of hospitalization, or some preferential policies can be provided to reduce the financial burden on the families of long-term hospitalized patients.
patient family members: accompanying patients cannot bring their own accompanying beds
in fact, it is not an isolated case that the first affiliated hospital of anhui medical university does not allow patients to bring their own accompanying beds. the reporter found that in october 2023, some netizens reported in hunan media that the four hospitals had taken away all the previously cheap accompanying beds, and there were no service desk staff, so they put out a few shared accompanying beds, and charged 2 yuan per hour for a deposit of 299 yuan. in response to this, in january this year, the changsha municipal health commission responded: "listen to the opinions and suggestions of patients and their families from all sides, and meet the needs of patients and their families in a timely manner. from october 9, 2023, the scanning code rental service of the yuelu campus has been cancelled, and the hospital will provide accompanying beds to patients' families free of charge."
in march 2023, a netizen reported on the luoyang.com 12345 government service hotline that the local bone setting hospital did not allow patients to bring their own folding beds. after the beds were forcibly taken away, they had to pay to use the hospital's folding beds. in response, the luoyang municipal health commission replied: "there are many patients and caregivers in the hospital wards. in order to strengthen ward management, the hospital has configured shared caregiver beds. patients can scan the code to use them as needed, or they can bring their own caregiver beds of appropriate size. however, beds that are too wide and too large will block the passage and affect the passage of treatment vehicles."
a family member of a patient said that the rental of the accompanying bed provided by the hospital is much higher than similar products on the market, and the rental procedures are cumbersome, which has invisibly increased the already heavy financial burden. another family member of a patient said that he was "deprived" of the right to use his own bed without being fully informed by the hospital, which was emotionally difficult to accept.
in this regard, mr. jin, a resident of hebei province, believes that the patients' families bring their own accompanying beds to save money. because the accompanying beds provided by the hospital cost from a few yuan to dozens of yuan per night, although the unit price is not expensive, the family has already spent a lot of money during the hospitalization. if the hospitalization time is long, the cost of renting an accompanying bed is not low, so it is better to save as much as possible.
hospitals: avoiding safety hazards
a video posted publicly by a netizen showed that in the south district of the first affiliated hospital of anhui medical university, a security guard confiscated the folding bed brought by the accompanying personnel. it was suspected that the patient's family member negotiated with the hospital security guard: "it is illegal for you to take the patient's accompanying folding bed. you are forcing the sale." the video also said that it costs 15 yuan per night to rent a folding bed in the hospital.
in this regard, a staff member of the south district security office of the first affiliated hospital of anhui medical university told reporters that the hospital does have regulations that do not allow accompanying personnel to bring their own folding beds, mainly to facilitate unified management and avoid safety hazards.
the above staff member said that some family members of patients lie in the ward or corridor, affecting traffic. in addition, folding beds are not allowed to be placed in places such as fire exits and fire hydrants, because evacuation is difficult in an emergency. previously, because the accompanying staff placed folding beds at will, the ward was messy and the emergency response efficiency was slowed down. if the patient needs a companion bed, the inpatient department has a folding bed rental point on each floor, and the accompanying staff can scan the code to rent it by themselves.
deng yong said that at present, relevant departments have no rigid regulations on whether hospitals allow accompanying personnel to bring their own accompanying beds, but hospitals have the right to manage accompanying beds to a certain extent. for safety considerations, management regulations and hygiene requirements, hospitals can prohibit accompanying beds brought by themselves. as a special public place, hospitals need to ensure medical order, patient safety and a clean environment. if accompanying personnel bring their own accompanying beds, there are safety hazards, affect medical order or do not meet the management requirements of the hospital, the hospital can take corresponding management measures, including prohibiting accompanying beds brought by themselves.
in deng yong's opinion, the accompanying beds brought by the accompanying staff may have uneven quality, and may have problems such as poor stability and easy damage, which may not only easily cause injuries to the accompanying staff, but also affect the normal medical order of the hospital. even some accompanying beds may not meet the fire safety requirements, increasing the risk of fire. therefore, the uniformly managed accompanying beds can better plan the ward space, avoid the messy wards, affect the work efficiency of medical staff and the patient's rehabilitation environment, and facilitate the hospital to manage the accompanying staff, such as counting the number of people and ensuring the safety of the ward. in addition, the accompanying beds provided by the hospital can be uniformly cleaned and disinfected to reduce the risk of cross infection. however, the hygiene of the accompanying beds brought by the hospital is difficult to guarantee.
lawyer: there is a risk of infringing the legal rights and interests of accompanying personnel
li na, senior partner of yingke law firm in beijing, said that according to article 43 of the basic medical and health care and health promotion law of the people's republic of china, medical and health institutions shall establish and improve internal quality management and control systems and shall abide by laws, regulations and rules, that is, the internal management regulations formulated by medical institutions shall not violate or exceed the scope of authorization of laws, regulations and rules. in order to prevent corresponding risks and provide better medical services, it is understandable that hospitals strengthen the management of accompanying beds. however, laws and regulations do not give hospitals the right to prohibit accompanying personnel from bringing their own accompanying beds, and the hospital's prohibition of bringing accompanying beds is obviously an internal management regulation.
li na believes that the hospital's decision not to allow caregivers to bring their own beds on the grounds of facilitating management and eliminating safety hazards seems "reasonable" but carries the risk of infringing on the legal rights and interests of caregivers.
she said that the hospital prohibits accompanying personnel from bringing their own accompanying beds and can only rent the hospital's accompanying beds, which may be suspected of forced transactions and may infringe on the accompanying personnel's right to choose independently. according to article 9 of the "consumer protection law of the people's republic of china", consumers have the right to choose goods or services independently; consumers have the right to independently choose the operators who provide goods or services, independently choose the types of goods or service methods, and independently decide to buy or not buy any kind of goods, accept or not accept any service; when consumers choose goods or services independently, they have the right to compare, identify and select. in addition, only renting the hospital's accompanying beds also involves whether the quality of the services provided and the rent are fair and reasonable. in addition, the accompanying personnel's own folding beds are their personal property, and the hospital's "confiscation" of the folding beds they brought violates the legitimate rights and interests of the accompanying personnel.
expert: hospitals can consider providing multiple types of accompanying beds
regarding the hospital's prohibition on accompanying personnel bringing their own beds, deng yong believes that this practice may be a "one-size-fits-all" management, because the needs of different patients and their families are diverse, and for some families of long-term hospitalized patients, the cost of renting a hospital bed is indeed a considerable burden. if some accompanying personnel bring their own beds of good quality and meet safety and hygiene requirements, it is not reasonable to completely prohibit them.
in this regard, deng yong said that hospitals can classify and manage self-brought accompanying beds. accompanying beds that meet safety and hygiene standards can be allowed to be brought in, but they must be registered and managed. folding beds that do not meet the requirements are prohibited from being brought in. in addition, the cost of renting a hospital accompanying bed can be adjusted according to the length of the patient's hospitalization, or some preferential policies can be provided to reduce the financial burden on the families of long-term hospitalized patients. hospitals can consider providing a variety of types of accompanying beds to meet the needs of different patients and their families. for example, foldable and lightweight accompanying beds can be provided to facilitate the patient's family to carry and use.
li na said that medical disputes have always been a problem of public concern and a "gulf" between doctors and patients. as long as the two sides strengthen communication and mutual understanding, some disputes can be avoided.
source: cnr
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