Zhongxin Finance, January 18. Recently, the National Health and Health Commission, the National Aging Office, and the State Administration of Traditional Chinese Medicine jointly issued the "Notice on Comprehensively Strengthening Health Services for the Elderly" (hereinafter referred to as the "Notice"), proposing to improve disability, The coverage rate of family doctor contracts for elderly people with special difficulties such as the elderly and the disabled shall not be lower than 80% by 2025.
In terms of doing a good job in elderly health services, the "Notice" also contains more than ten items as follows:
Strengthen the health education of the elderly
Strengthen the publicity and education of elderly health knowledge in urban and rural communities, and use various methods and media to widely disseminate nutritious diet, exercise and fitness, mental health, injury prevention, disease prevention, rational drug use, rehabilitation nursing, life Education, fire safety and Chinese medicine health care and other popular science knowledge.
Organize the implementation of health literacy promotion projects for the elderly, strengthen health education in a targeted manner, and improve the health literacy of the elderly.
Taking advantage of opportunities such as the Elderly Health Promotion Week, Respect for the Elderly Month, Double Ninth Festival, and World Alzheimer's Disease Day, actively publicize the "Core Information on Elderly Health", "Core Information on Prevention of Falls in the Elderly", "Core Information on Disability Prevention" and "Alzheimer's Disease" Prevention and Intervention Core Information" and other elderly health scientific knowledge and elderly health service policies.
Integrate health education for the elderly into clinical diagnosis and treatment, and encourage localities to include it in the performance appraisal of medical institutions.
Provide basic public health services for the elderly
Implement the national basic public health service elderly health management project, provide lifestyle and health status assessment, physical examination, auxiliary examination and health guidance services, by 2025, the urban and rural community standard health management service rate for the elderly aged 65 and over reaches 65% above.
Use a variety of channels to dynamically update and improve the content of the health records of the elderly, including basic personal information, health examination information, health management records of key groups and other medical and health service records, and promote the pragmatic application of health records.
All localities carry out elderly health and medical care combined service projects based on actual conditions, focusing on providing health assessment and health services for disabled elderly people, and providing combined medical care and elderly care services for the elderly at home. Where conditions permit, the coverage of services should be gradually expanded.
Strengthen the functional maintenance of the elderly
Strengthen the early screening, intervention and classification guidance of key chronic diseases in the elderly, actively carry out early screening and health guidance for neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease, and improve the public's awareness of Alzheimer's disease prevention and treatment.
Encourage places where conditions permit to carry out cognitive function screening of the elderly, identify mild cognitive impairment early, and prevent and reduce the occurrence of dementia.
Organize and carry out pilot work on the prevention and intervention of disability (dementia) in the elderly, and encourage qualified provinces (autonomous regions and municipalities) to organize pilot work at the provincial level to reduce the occurrence of disability (dementia) in the elderly.
Strengthen the prevention of injuries among the elderly and reduce the occurrence of injuries.
Encourage places where conditions permit to carry out the evaluation and screening of the elderly's visual, auditory and other sensory abilities to maintain the intrinsic function of the elderly.
Organize and carry out oral health actions for the elderly, and combine the popularization of oral health knowledge with the prevention and treatment of oral diseases, so as to reduce the incidence of oral diseases in the elderly.
Organize and implement elderly nutrition improvement actions to improve the nutritional status of the elderly.
Develop mental health services for the elderly
Pay attention to the mental health of the elderly, carry out mental health assessment and follow-up management for common mental disorders and psychological behavior problems such as depression and anxiety, and provide psychological counseling, emotional relief, and grief comfort for the elderly, especially those with special difficulties. Psychological care services.
Summarize and promote the experience of psychological care projects for the elderly, and each province (autonomous region, city) should organize the implementation of provincial-level projects.
By 2025, the psychological care project sites for the elderly will cover all counties (cities, districts) in the country.
Do a good job in the contract service of family doctor for the elderly
Strengthen the publicity and promotion of family doctor contracted services, and provide the elderly with services such as basic medical care, health management, health education and consultation, appointment and referral, medication guidance, and traditional Chinese medicine "preventive treatment".
Increase the coverage rate of family doctor contracts for the elderly with special difficulties such as disability, advanced age, disability, etc., to no less than 80% by 2025.
Further strengthen service performance and adopt a more flexible contract cycle to facilitate the elderly to receive contract services.
Family doctors should actively contact the contracted elderly on a regular basis to understand their health status, provide targeted health guidance, and effectively improve the sense of acquisition and satisfaction of the contracted elderly.
Improve the ability of multi-disease co-treatment in geriatric medical care
Strengthen the establishment and management of national geriatric medical centers and national geriatric regional medical centers, and encourage the construction of provincial geriatric regional medical centers.
Strengthen the construction of geriatric medicine departments in general hospitals. By 2025, the proportion of geriatric medicine departments in second-level and above general hospitals will reach more than 60%.
Medical institutions should actively carry out comprehensive assessment of geriatrics, diagnosis and treatment of geriatric syndromes, and multidisciplinary diagnosis and treatment, and actively carry out high-risk screening for falls, pulmonary embolism, aspiration, and bed fall in hospitalized elderly patients, so as to improve the ability to treat multiple diseases together.
Encourage all localities to strive for resources to strengthen the construction of elderly health service departments in grassroots medical and health institutions, give full play to the supporting and leading role of large hospitals, and help and guide grassroots health care institutions to carry out elderly health services by means of medical consortia and other forms, so as to benefit more elderly people.
Strengthening home medical services for the elderly
Implement the requirements of the "Notice on Strengthening Home Medical Services for the Elderly", increase the supply of home medical and health services, and focus on the elderly or disabled seniors with inconvenience at home, chronic diseases, convalescent or terminal diseases, and still need medical treatment after discharge from hospital The elderly patients served provide diagnosis and treatment services, medical care, rehabilitation therapy, pharmacy services, and palliative care.
Expand the scope of home medical services provided by medical institutions such as hospital beds and door-to-door visits, encourage medical associations to provide home medical services, reimburse relevant medical expenses according to regulations, and collect door-to-door service fees based on costs.
Strengthen the security of medication for the elderly
Improve the system related to community drug use, ensure the provision of drugs for chronic diseases and common diseases of the elderly, facilitate the elderly to obtain medicines nearby, and improve the availability of drugs for common diseases of the elderly.
Encourage medical institutions to open pharmacy clinics, develop home-based community pharmacy services and "Internet + pharmacy services", provide medication information and pharmacy consulting services for long-term drug users, and carry out personalized rational drug use publicity and education guidance.
Implement the relevant requirements of the long-term prescription system for chronic diseases, provide "one-stop" long-term prescription services for elderly patients with various diseases, reduce the number of elderly patients going to and from the hospital, and solve the problem of multi-department medical treatment.
Encourage medical institutions to carry out monitoring of drug use in the elderly, and apply the results to the daily health management of the elderly, so as to improve the level of safe and rational drug use of the elderly.
Strengthening age-friendly medical services
Implement the requirements of the "Notice on the Construction of Elderly-Friendly Medical Institutions" and "Notice on Implementing Measures to Further Facilitate Medical Treatment for the Elderly", and accelerate the construction of elderly-friendly medical institutions in terms of culture, management, service, and environment to facilitate the elderly to see a doctor Seek medical treatment; continuously optimize the medical service process and improve the medical treatment experience of the elderly.
Fully implement the preferential treatment policy for medical services for the elderly, improve various appointment registration methods such as clinics, telephones, self-service machines, Internet, and on-site appointments, and retain a certain percentage of on-site number sources.
Various signs in medical institutions should be eye-catching, concise, easy to understand, and appropriate in size, and public facilities should be retrofitted for aging and equipped with necessary barrier-free facilities that meet the national barrier-free design standards.
Encourage medical institutions to set up volunteer service posts, identify service personnel who guide and accompany patients, and provide facilities and equipment such as wheelchairs and flat cars.
By 2025, more than 85% of general hospitals, rehabilitation hospitals, nursing homes and primary medical and health institutions will become elderly-friendly medical institutions.
Vigorously develop elderly care and rehabilitation services
Implement the requirements of the "Notice on Strengthening Elderly Nursing Services" and "Opinions on Accelerating the Development of Rehabilitation Medical Work", encourage some first-level and second-level hospitals in areas with rich medical resources to transform into nursing homes, rehabilitation hospitals, etc., and strengthen continuity The construction of medical institutions, and the smooth two-way referral channel.
Through new construction, renovation (expansion), and transformation and development, encourage multi-party financing to build community-based, chain-based rehabilitation centers and nursing centers.
Encourage qualified primary medical and health institutions to set up and increase beds providing elderly care and rehabilitation services as needed.
Encourage qualified regions and medical institutions to carry out "Internet + nursing services".
General hospitals at level two and above are encouraged to provide rehabilitation medical services.
Promote the functional recovery of elderly patients by providing them with early, systematic, professional and continuous rehabilitation medical services.
Strengthening health care services for disabled elderly
Improve the health care service model for the disabled elderly from professional institutions to communities and at home.
Encourage the construction of nursing homes (centers) with disabled elderly as the main service objects.
Encourage second-level and lower hospitals, grass-roots medical and health institutions and nursing stations to establish contractual cooperative relations to jointly provide health care services for the disabled elderly at home.
Carry out nursing skills training for the caregivers of the disabled elderly at home to improve the care ability and level of family caregivers.
With the help of information technology, the medical security, health care and other conditions of the disabled and low-income seniors and the risk of returning to poverty due to illness are dynamically monitored, so as to maintain the physical and mental health of the disabled and low-income seniors.
Accelerate the development of palliative care services
Promote medical institutions to open palliative care wards or beds and carry out palliative care services according to their own functions and positioning.
Promote the active development of community and home palliative care services in places where conditions permit, and explore the establishment of a working mechanism that combines institutional, community and home palliative care.
Establish and improve the multidisciplinary service model of palliative care, provide pain and other symptom control, comfortable care and other services for patients with terminal diseases, and provide psychological support and humanistic care for patients and their families.
Strengthen publicity and education to the public, and promote the concept of palliative care to be widely recognized and accepted by the society.
Strengthening Traditional Chinese Medicine Health Services for the Elderly
Second-level and above traditional Chinese medicine hospitals should set up "pre-disease treatment" departments, encourage the establishment of geriatric medicine departments, increase the number of geriatric beds, and carry out prevention and rehabilitation of common diseases and chronic diseases in the elderly.
Improve the service capacity of traditional Chinese medicine in medical institutions such as rehabilitation, nursing, and palliative care, and promote the use of comprehensive treatment of traditional Chinese medicine.
By 2025, the proportion of rehabilitation departments in tertiary TCM hospitals will reach 85%.
Actively play the role of urban and rural community-level medical and health institutions in providing high-quality and standardized Chinese medicine services for the elderly, promote community and home-based Chinese medicine health services, and promote the extension of high-quality Chinese medicine resources to communities and families. By 2025, the elderly aged 65 and over will be The health management rate of traditional Chinese medicine has reached more than 75%.
Encourage traditional Chinese medicine physicians to join the geriatric medicine working team and the family doctor signing team.
Actively carry out activities such as the popularization of traditional Chinese medicine dietary therapy, promote traditional Chinese medicine sports, and strengthen the publicity of traditional Chinese medicine health care and pension culture.
Do a good job in the prevention and control of infectious diseases in the elderly
Medical and health institutions should inoculate the elderly with relevant vaccines in a timely manner in accordance with the deployment of infectious disease prevention and control.
Where conditions permit, vaccination against influenza and pneumonia should be done to reduce the risk of the elderly suffering from related diseases.
In the vaccination work, special attention should be paid to the elderly living alone, elderly, disabled or disabled, etc., and considerate services should be provided.
Strengthen the prevention and treatment of tuberculosis in the elderly, and do a good job in the designated treatment of elderly tuberculosis patients.
Actively carry out publicity and education on AIDS prevention knowledge among the elderly, and provide AIDS testing services in areas where conditions permit.
Establish an emergency response mechanism and plan for public health emergencies among the elderly, and fully consider the characteristics of the elderly during major public health events such as infectious diseases, and ensure the supply of emergency supplies and medical and health services for the elderly.
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