International Journal of Nursing Research

Objective To analyze the effectiveness of the sustainable operation mode of unaccompanied ward in secondary hospitals under the background of medical insurance payment reform. Methods The subjects of this study were 80 patients admitted to our hospital from January 2024 to June 2024. They were randomly divided into an observation group (40 cases) and a control group (40 cases) using a random number table method. The control group adopted the traditional care mode, while the observation group adopted the unaccompanied ward mode. The nursing quality score, medical cost composition, and patient satisfaction were evaluated for both groups. Results Compared with the control group, the observation group had significantly higher qualification rates for basic nursing and specialized nursing (P<0.05); The per capita reimbursement ratio of medical insurance for patients was significantly higher (P<0.05), and the out of pocket expenses were significantly lower (P<0.05); And the satisfaction of the observation group was higher than that of the control group (P<0.05). Conclusion Under the background of medical insurance payment reform, the absence of accompanying wards in secondary hospitals can improve nursing quality and patient satisfaction, and reduce the economic burden on patients.

Reform of medical insurance payment; Secondary hospital; No accompanying ward; Sustainable operation; Quality of nursing care