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[1]刘琳琳张冉蔡卫新张慧鑫张转转.职业陪诊服务发展现状及启示[J].中国卫生质量管理,2026,33(5):73-78.[doi:10.13912/j.cnki.chqm.2026.33.5.14]
　LIU Linlin,ZHANG Ran,CAI Weixin.Current Development Status and Implications of Professional Patient Accompanying Services[J].Chinese Health Quality Management,2026,33(5):73-78.[doi:10.13912/j.cnki.chqm.2026.33.5.14]

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职业陪诊服务发展现状及启示

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年5期页码: 73-78 栏目: 服务质量出版日期: 2026-05-15

Title:: Current Development Status and Implications of Professional Patient Accompanying Services

作者:: 刘琳琳张冉蔡卫新张慧鑫张转转; 首都医科大学附属北京天坛医院

Author(s):: LIU Linlin; ZHANG Ran; CAI Weixin; Beijing Tiantan Hospital, Capital Medical University

关键词:: 职业陪诊服务; 陪诊师; 患者导航员

Keywords:: Professional Patient Accompanying Services; Patient Accompanying Practitioners; Patient Navigators

分类号:: R197.1

DOI:: 10.13912/j.cnki.chqm.2026.33.5.14

文献标志码:: A

摘要:: 目的了解国内外职业陪诊服务现状，推动我国职业陪诊服务发展。方法检索PubMed、Embase、CINAHL、中国知网、万方、维普及中国生物医学文献数据库建库至2025年11月的陪诊服务相关研究。结果国外职业陪诊服务模式主要有：以美国“患者导航”为例的公益导航模式、以日本“介护保险”为例的保险整合照护模式、以韩国“一人户家庭”为例的政策驱动型普惠援助模式、以欧洲国家为例的体系整合型福利模式。我国职业陪诊服务对象以老年群体和异地就医患者为主，服务供给主体包括专注于陪诊业务的平台化公司、养老机构、家政公司以及基于自媒体平台的个体从业者，上海和成都等地探索形成了陪诊服务标准化建设的区域模式。结论我国职业陪诊服务存在专业标准与职业认定缺失、服务权责与法律边界模糊、支付与收费机制不健全等问题。建议加强专业人才培养，提高陪诊服务水平；规范行业标准，保障服务对象权益；优化收费标准与支付机制，促进服务可持续发展。

Abstract:: ObjectiveTo understand the current status of professional patient accompanying services both domestically and internationally and to promote the development of such services in China.MethodsRelevant studies on patient accompanying services from the inception of databases including PubMed, Embase, CINAHL, CNKI, Wanfang, VIP, and SinoMed up to November 2025 were retrieved.ResultsThe main models of professional patient accompanying services abroad include the public welfare navigation model exemplified by the "patient navigation" in the United States, the insurance-integrated care model exemplified by the "long-term care insurance" in Japan, the policy-driven inclusive assistance model exemplified by support for "single-person households" in South Korea, and the system-integrated welfare model exemplified by European countries. In China, the primary recipients of professional patient accompanying services are elderly individuals and patients seeking medical treatment in a different region. The main providers of these services include platform-based companies specializing in patient accompanying services, elderly care institutions, housekeeping companies, and individual practitioners based on self-media platforms. Regional models for standardizing patient accompanying services have been explored and established in cities such as Shanghai and Chengdu. Conclusion China’s professional patient accompanying services face issues such as a lack of professional standards and occupational recognition, ambiguous service rights and responsibilities with unclear legal boundaries, and an inadequate payment and charging mechanism. It is recommended to strengthen the training of professional personnel to enhance the quality of patient accompanying services, standardize industry norms to safeguard the interests of service recipients, and optimize pricing standards and payment mechanisms to promote the sustainable development of services.

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更新日期/Last Update: 2026-05-15