陪诊员这一新兴服务职业正式进入标准化时代。国家市场监督管理总局和国家标准化管理委员会近日发布了首份陪诊行业国家级标准《社会化陪同就医服务基本要求》，将于2026年11月1日起正式实施[1]。这一标准标志着陪诊服务从过去的模糊身份逐步发展为正规化专业服务。
陪诊服务职业在过去五年内经历了快速演变。最初仅限于简单的"陪伴"功能，如今已扩展至诊前咨询、就诊规划、诊后小结等多层次服务体系[1]。行业曾经历野蛮生长阶段，市场竞争激烈导致价格战频发，陪诊费用一度从二三百元跌至几十元[1]。随着市场洗牌，行业逐步走向规范[1]。
规范化建设已取得阶段性成果。2025年5月，全国首部《老年陪诊服务规范》团体标准发布[1]。同年1月，上海市民政局、市卫健委印发《上海市老年人助医陪诊服务试点方案》，到2025年6月底，首批1203名陪诊师完成培训并持证上岗[1]。
陪诊行业在发展过程中也暴露出管理漏洞。北京三中院曾处理一起案件，陪诊员弄丢癌症患者26片病理切片，被判赔偿2.2万元[1]。上海闵行警方还破获了一起犯罪团伙以陪诊名义倒卖号源的案件，涉案金额达650万元[1]。这些事件凸显了行业亟需规范监管的必要性，而国家级标准的出台将有助于确立陪诊服务的职业边界和专业要求。
China's State Administration for Market Regulation and the National Standardization Administration have released the first national-level standard for medical companion services, titled "Basic Requirements for Socialized Medical Companion Services," which will take effect on November 1, 2026.[1]
The medical companion service industry has evolved significantly over the past five years, transitioning from an informal profession into a regulated service sector.[1] Services have expanded beyond basic accompaniment to include pre-visit consultation, appointment planning, and post-visit summaries.[1] The sector previously experienced rapid expansion followed by price competition and consolidation, with companion fees dropping from several hundred yuan to as low as tens of yuan during industry upheaval.[1]
Shanghai has taken a leading role in standardization efforts. In January 2025, the Shanghai Municipal Bureau of Civil Affairs and Health Commission issued the "Shanghai Elderly Medical Companion Service Pilot Plan."[1] By June 2025, the city's first batch of 1,203 certified medical companions completed training and entered service.[1] In May 2025, the nation's first sectoral standard, "Elderly Medical Companion Service Specification," was published.[1]
The industry has faced significant challenges as it professionalized. A Beijing court case involved a medical companion who lost 26 pathology slides belonging to a cancer patient, resulting in a compensation ruling of 22,000 yuan.[1] In Shanghai, police dismantled a criminal network that used medical companion services as cover for illegally reselling appointment slots, generating unlawful profits of 6.5 million yuan.[1] Despite such incidents, earnings in the field can be substantial, with some practitioners reporting monthly income exceeding 20,000 yuan at peak periods.[1]