Banning it is not in line with the wishes of the local elderly; if it is not banned, it will be difficult to pass the inspection.
At present, some rural elderly care institutions in front of their homes have low prices and harmonious interpersonal relationships, and are very popular among the elderly. However, they are often unable to apply for relevant documents because they do not meet relevant staffing regulations, and face the dilemma of being banned.
Nursing homes in the city are too expensive, but affordable at home
Some elderly people sit in wheelchairs to bask in the sun and chat, some exercise in the yard, and some clean the yard.
When the reporter from Banyuetan visited, a rural nursing home for the elderly that had existed for 30 years in a central province was in harmony, and the elderly were very satisfied with this simple and warm "home".
Qin Jing and Li Caimei's home is 5 kilometers away from the village where the nursing home is located. Both suffer from brain diseases and lack the ability to take care of themselves. They cannot take care of their children when they work in other places.
A year ago, their son sent them to live in a nursing home in the county town. The two paid a total of 2,300 yuan per month, but they only need to pay more than 1,600 yuan after moving to this nursing home.
"Nursing homes in the city are too expensive. They are affordable and comfortable," Qin Jing said.
The person in charge of the elderly care business of the county's Civil Affairs Bureau said that the elderly in rural areas are particularly sensitive to prices, and the occupancy rate will drop once the price is high. The highest price that the elderly in this county can afford is just over 1,000 yuan per month.
In addition to the cost, not leaving the hometown, not leaving the land, and harmonious interpersonal relationships are also factors that the elderly value.
Song Jianbing is a native of the village and has lived in a nursing home for more than a year.
"You can walk home in 10 minutes, take care of your old house and chat with your old neighbors," he said.
go?
Keep?
Difficulties are hard to break
Banyuetan reporter learned that such a small elderly care institution, which is popular with the elderly in rural areas, is in deep dilemma.
According to Wang Qing (pseudonym), the actual operator of the nursing home, the nursing home is public and private. There are currently 17 elderly people living there, 6 of whom are Wubao seniors.
Wang Qing, his wife and daughter-in-law are the cooks and nurses of the nursing home, and the three of them are also all the staff of the nursing home.
What troubled Wang Qing was that, according to the county's 2013 relevant documents on the nursing home, there was a problem with the qualifications of the nursing home, and it was difficult to meet the registration and filing standards.
If you want to continue to operate, you need to expand the staff, at least 3 to 4 caregivers, a full-time cook, safety administrators, cleaners, etc.
According to reporter Banyuetan, there are 4 small elderly care institutions in the surrounding counties and cities of this nursing home, which are also facing the dilemma of leaving and staying because of qualifications, operations and other issues.
"We have a headache." The person in charge of the county's Civil Affairs Bureau said frankly that closing the nursing home will chill the heart of the elderly.
However, the fees of nursing homes operated by the market will definitely rise, and the elderly who cannot afford it will not move there; but if it is not banned, all kinds of inspections at all levels will not be able to pass the customs at all.
Rural old-age care institutions should adapt to local conditions
At present, there are many left-behind elderly people in rural areas who are not cared for. Such kind of mutual assistance, low-profit, and semi-public welfare institutions can solve the real problems of some elderly people.
"If the construction of rural elderly care institutions blindly advocates marketization, high standards, and high specifications, the cost will increase. If the government cannot subsidize this part of the cost in other ways, the increased cost will fall on the elderly or elderly care institutions. , low-income rural families cannot afford it.” said Jia Yunzhu, director of the Beijing Xieli Population and Social Development Research Institute.
Zhu Qizhen, director of the Institute of Farmer Issues of China Agricultural University and chairman of the Rural Pension Branch of the Chinese Society of Gerontology and Geriatrics, proposed that the construction and development of rural pension institutions should start from solving practical problems, adapt measures to local conditions, and consider the current development of my country's pension industry.
He suggested fostering and supporting home-based, small-scale, mutual-aid institutions that do not leave the hometown or land to meet the needs of left-behind elderly people in rural areas.
Functional departments can improve the service level and capability of such elderly care institutions by providing training and smooth channels.
Practitioners such as Wang Qing suggested that the policy window period should be extended, and some elderly care institutions should be given more transition time, "discuss one case by case", and give certain support.
Qin Jing, Song Jianbing and other elderly people said: "Farmers don't have to have high conditions for their pension, but they must be reasonably priced and economical, with guaranteed three meals a day, someone to take care of emergencies, clean and comfortable, and it's very easy to chat with the villagers. All right."
Source: "Ban Yue Tan" Issue 8, 2022
Ban Yue Tan Reporter: Wang Hao Li Ziwei