Pension topic

  Community rental of rehabilitation assistive devices in 13 pilot locations provides proportional subsidies to benefit the elderly in distress

  [Realistic Challenge] The disabled and the elderly have an urgent need for rehabilitation assistive devices. How can they be "affordable" and "used well"?

  [Response strategy] The pilot community in 13 regions across the country has been renting for two years, the product catalog is dynamically updated, the government subsidizes the rent, and explores to be included in the insurance system

  Rehabilitation assistive devices for the covered population, including disabled and semi-disabled elderly people, are being piloted in 13 regions across the country to provide rental services by communities.

After two years, various regions have gradually established a community rental service network of rehabilitation assistive devices that covers urban and rural areas and is easily accessible.

The rental price is moderately inclusive, and a certain percentage of government subsidies make it "affordable" and "good for the elderly."

  It is worth noting that with the deepening of the pilot work, the catalog of rental products in various regions has also been dynamically adjusted, and some intelligent and lightweight new products have been appropriately added.

  Nursing bed walkers are included in the catalog and can be leased in the community

  Rehabilitation assistive devices are products that improve, compensate, replace human functions, implement auxiliary treatments, and prevent disability. They can enhance the self-care ability of the elderly and improve the quality of life of the disabled.

  In June 2019, in accordance with the "Notice of the Development and Reform Commission of the Ministry of Civil Affairs, the Ministry of Finance and the China Disabled On this basis, after expert review and public announcement, it is determined that Shijingshan District, Beijing, Qinhuangdao City, Hebei Province, Jilin City, Jilin Province, Shanghai, Changzhou City, Jiangsu Province, Jiaxing City, Zhejiang Province, Anqing City, Anhui Province, Ganzhou City, Jiangxi Province, 13 districts including Jiaozuo City in Henan Province, Xiangtan City in Hunan Province, Guangzhou City in Guangdong Province, Chengdu City in Sichuan Province, Lanzhou City in Gansu Province (Lanzhou New District) are pilot areas for community rental services of rehabilitation assistive devices.

  What are the rental products?

According to the "China Rehabilitation Assistive Devices Catalogue" promulgated in 2014, the Ministry of Civil Affairs has publicly tendered or solicited opinions from the public, and comprehensively formulated various pilot product catalogs and rental guidance prices, with product types ranging from dozens to hundreds.

  The product catalog launched in the first phase of Shanghai includes 45 products, such as nursing beds, smart mattresses, walking aids, wheelchairs, household oxygen generators, and household upper and lower limb rehabilitation training equipment.

Not long ago, the product catalog was revised, and appropriate adjustments were made while maintaining a relatively stable total number of shortlisted products.

The assistive devices provided by Chengdu include more than 80 kinds of assistive devices such as mobility assistance, bathing assistance, and function monitoring. You can find suitable assistive devices for people in need through screening at stores and door-to-door services.

  In response to the problem of low awareness of rehabilitation assistive devices and low consumption intentions for renting, most pilot areas have established popular science exhibition halls and product experience centers to showcase the categories and functions of rehabilitation assistive devices, and hold interactive experience activities.

Many regions also support cross-regional leasing.

  Proportionally subsidize rent to make special groups "affordable"

  Taking care of her 90-year-old severely disabled mother-in-law alone, Han Wenhua, a resident of Shijingshan District, Beijing,’s most important helper is the electric nursing bed at home. The project is for the elderly.

  According to the "Administrative Measures for the Community Rental Service of Rehabilitation Assistive Devices in Shijingshan District", senior citizens aged 80 years and above; elderly people in difficulties such as subsistence allowances, low-income, family planning special families, etc.; 60-year-olds and 60-year-olds with severe disability as assessed by comprehensive assessment of ability The above-mentioned senior citizens and other special groups can enjoy a 60% subsidy of rental service rent, not exceeding 3,000 yuan per person per year.

For other groups of people, the subsidy standard is 30% of the rental service rent, not exceeding 3,000 yuan per person per year.

  If the elderly lease rehabilitation aids for a long period of time, and the output cost exceeds the value of the product itself, a special policy of "subletting for sale" will be implemented, and the product will be delivered directly to the elderly.

  In fact, in order to make service targets not only “usable”, but also “affordable” and “good”, in the process of the introduction of rehabilitation assistive devices into families and communities, all pilot regions across the country have adopted proportional subsidies. Or differentiated subsidy policy.

  Among them, Shanghai 60 to 74 years old subsistence allowance, low-income elderly, the subsidy amount for the elderly over 75 years old (inclusive) is 50% of the rental price, and the maximum subsidy per person is 3000 yuan per year; in Chengdu, all people over 60 years old People, the handicapped, and the wounded can all enjoy a total of 3,000 yuan, a subsidy of 80% of the assistive equipment rental cost, and a 100% subsidy for the extremely poor.

  It is understood that the pilot work has been carried out in 13 regions, and the total amount of funds invested is about 200 million to 300 million yuan.

In some pilot areas, such as Qinhuangdao City, Hebei Province, the pilot funds mainly come from fiscal funds; some areas, such as Chengdu, use funds for the elderly care service system, mainly from the Welfare Lottery Public Welfare Fund and social charity funds.

The intensity of leasing subsidies varies slightly in different regions, but they all adhere to the principle of "guarantee basic and moderate inclusive benefits", avoiding non-rigid and non-essential expenditures.

  Responding to the "surge" of subsidy funds, explore to be included in the insurance system

  With the expansion of leasing scale and the growth of mass demand, the demand for subsidy funds is likely to increase exponentially.

Therefore, many pilot areas have tried to incorporate rehabilitation assistive device rental subsidies into long-term care insurance, medical insurance, and commercial insurance.

  For example, Shijingshan District, Beijing, combines the pilot work of community rental service of rehabilitation assistive devices with the pilot project of long-term care insurance and home care beds for the elderly in the district, with appropriate aging renovation projects, and provides comprehensive care management for the severely disabled and demented elderly. , To provide rental services for the rehabilitation assistive devices that it needs and can be leased, so as to minimize the expenditure on elderly care services.

For example, Han Wenhua’s mother-in-law mentioned above, the staff applied for the 3,000 yuan maximum rental subsidy stipulated by the project for the elderly, and then applied for a 2,000 yuan home care bed environment for the elderly who enjoys long-term care insurance according to relevant policies. After calculating the subsidy for renovation, this 5,000 yuan electric nursing bed is equivalent to being given to the elderly for free.

  As the first municipality directly under the central government to carry out the pilot rehabilitation assistive device rental in the whole city, Shanghai has also established a research group. It plans to combine the practice of the pilot work and the operational data of the national long-term care insurance during the "14th Five-Year Plan" period to explore the formation and social A diversified rehabilitation assistance savings payment system that combines multiple insurances such as insurance and commercial insurance with personal payment.

  In addition, in order to allow the client to "use well", the rental of rehabilitation assistive devices must strictly observe the quality and cleanliness barriers to avoid secondary injuries.

On the premise of meeting the requirements of laws, regulations and standards, each pilot area has refined the quality management regulations, such as requiring manufacturers to provide third-party inspection reports and establishing product traceability systems.

In practice, some operating companies also require manufacturers to purchase liability insurance for rehabilitation assistive devices.

  At the same time, in the leasing link, each pilot area has also clarified the work requirements of each link such as service application, configuration evaluation, service provision, cleaning and disinfection, and complaints and rights protection.

Some regions with conditions have also established unified decontamination centers to centralize the cleaning, disinfection, maintenance and repair of rehabilitation aids, and the entire process of data such as cleaning equipment, operators, and rental frequency can be traced to ensure safety standards.

  Text/Reporter Chen Si