How will the “14th Five-Year Plan” improve the level of care services for the elderly? Ministry of Civil Affairs: Energetically develop community care at home and strengthen the combination of medical and health care |



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Daily economic news

2021-02-23 22:34:46

Every time the reporter Zhang Huaishui Beijing Photo Report Every time the editor Chen Xing

On February 23, the State Information Office held a press conference on the reform and development of civil affairs. The “Daily Economic News” reporter noted at the press conference that as the aging rate of my country continues to deepen, the issue of caring for the elderly has attracted social attention.

According to the pertinent predictions, during the period of the “XIV Five-Year Plan”, the elderly population of the country will exceed 300 million and it will go from mild to moderate aging. In 5 to 10 years, the first generation of parents with an only child in the country will enter middle and senior years, and elderly care services will face greater challenges and trials.

Civil Affairs Minister Li Jiheng said there is a need to comprehensively improve the level of care services for the elderly to support the implementation of the national strategy to actively respond to the aging population. Energetically develop community care services for the elderly at home, so that all elderly people can enjoy community services for elderly care at home “next to, bedside and around” , and improve the accessibility and diversification of services.

Promote the coordinated development of the elderly care industry.

According to data released by the Ministry of Civil Affairs, during the period of the “Thirteenth Five-Year Plan”, my country has invested 5 billion yuan in 203 regions to carry out pilot reforms of home care services for the elderly. and the community to create distinctive regional care for seniors. Models. Continue to increase the number of beds in institutions for the elderly, implement renovation and improvement projects for nursing homes, and improve service assurance capabilities.

At the end of 2020, there were 38,000 care institutions for the elderly nationwide, an increase of 10.4% year-on-year and an increase of 37.2% year-on-year; there were 8,238 million care beds for the elderly in various institutions and communities. , an increase of 7.3% year-on-year and an increase of 22.5% year-on-year.

Li Jiheng said that, entering a new stage of development, it is necessary to vigorously develop community care services for the elderly at home, so that all elderly can enjoy community care services for the elderly at home “by your side, by the bed and around you” and improve accessibility and diversification of services.Optimize institutions for the elderly, prioritize the development of nursing beds, strengthen the combination of medical care, health care and meet the most urgent needs of the elderly for disability care to the extent possible.. Vigorously develop the new “elderly care +” business model, promote the coordinated development of the elderly care industry, meet the needs of different levels of elderly care services, strengthen the supervision of elderly care services elderly and ensure the quality of elderly care services. .

“Daily Economic News” reporter combed and found that the state has introduced a series of measures to promote the development of the elderly care industry.

On February 1, the “Notice on Establishing a Mechanism to Actively Respond to Key Cities of Aging Population” was published.

The “Notice” noted that by 2022, we will strive to develop a series of innovative and active areas in the country that are compatible with the process of economic and social development and the aging of the population, and cultivate a series of care industries. of elderly and healthy people. Clusters with a strong driving force and excellent economic and social benefits, and form a unified model Endorse innovative models and typical experiences with distinctive characteristics and proven efficacy, and explore a set of universally applicable, pragmatic and effective policy measures to tackle aging populations the population.

The “Notice” also stated that older people should be included in the general national economic and social development plan, and a special plan or implementation plan has been formulated for the construction of the “14th five-year period” of the service system for older people. . Establish a basic care system for old age and improve the basic care system for old age.

In an interview with the “Daily Economic News” reporter, Professor Zhu Lijia from the National School of Management said that under the influence of family planning and other policies, my country’s aging is unique, showing the characteristics of “getting old before you get rich. ” . Aging is inevitable. As the elderly population base continues to grow, the elderly will also bring economic need and potential purchasing power. “To alleviate the pressure on the demand for care for the elderly, it is necessary to continuously innovate systems and mechanisms, reduce the costs of care for the elderly and optimize the environment of care for the elderly.”

In recent years, the elderly population aged 60 years and over in my country and its proportion in the total population of the country

(Image description: At the end of 2019, there were 253.88 million people aged 60 and over in the country, representing 18.1% of the total population, of which 170.03 million people of 65 years and over, representing 12.6% of the total population. Source: Ministry of Civil Affairs)

The initiative “Family bed for the elderly” is well received

Gao Xiaobing, Vice Minister of the Ministry of Civil Affairs, said that there are currently three main types of care services for the elderly: home care, community care and institutional care. Most older people are even more willing to choose home care. However, with the deepening degree of aging and the increase in disabled elderly, family care for the elderly is faced with the challenges of energy, time and professional capacity of care. There is also a phenomenon that a disabled old man in the family will bring down a family.

Gao Xiaobing noted that, in response to these issues, during the period of the 13th Five-Year Plan, the Ministry of Civil Affairs and the Ministry of Finance jointly carried out pilot reforms for the elderly in residential communities in 203 regions. Many good practices in keeping with the current grassroots situation have emerged in the reform, including this innovative measure of home care beds.

The so-called “family elderly care beds” refer to the extension of professional elderly care services from elderly care institutions to families based in elderly care institutions and community elderly care service centers, and the provision of age-appropriate reforms and professional care for families. Care services for the elderly, such as remote control, have greatly alleviated the difficulties of family care for the elderly and have been well received by the elderly.

The “Daily Business News” reporter learned from the press conference that the innovation of home care beds is an innovative measure produced under the guiding ideology of “coordination of domestic and community institutions for the care of the elderly”, and good results have been achieved in all aspects. Relevant pilot cities found thatWhen it reaches a certain scale, the cost of investing in a family pension bed is 1/5 of the investment in an institutional pension bed.. Take Nanjing City in Jiangsu Province as an example. In the last year or two, the city has developed 6,000 nursing homes, which is equivalent to the construction of 50 medium-scale nursing homes.

The journalist combed his hair and found that the innovative model of “family beds for the care of the elderly” in some areas has been widely practiced. For example, Guangzhou City Haizhu District Civil Affairs Bureau, based on the original home care bed service, explores a new model of home care bed delivery services, combines the care services of institutions care for the elderly with the medical services of tertiary hospitals, and uses the Internet health care complex. Provides services such as remote diagnosis and treatment, outpatient visits, and medical distribution for the elderly.

Hangzhou City has introduced the “Hangzhou City Family Care Beds Pilot Work Plan”. For seniors who have reached their 60th birthday and whose capacity assessment has reached a moderate or severe disability, seniors who have built beds can be paid according to the service. contract. 50% of the cost will be subsidized for nursing care, with a maximum of 600 yuan per person per month.

Gao Xiaobing said the next step is to formulate the norms and standards for home care beds and include them in the scope of supervision of care services. It is also necessary to design care service agencies as points of support and introduce policies to support the construction of home care beds, so that they are effective Serving the family for the elderly.

Cover Image Source: Photography

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