Letting all the elderly enjoy a happy old age is a "family matter" that everyone is concerned about and a "national event", and General Secretary Xi Jinping has always been here.
On August 24, 2021, General Secretary Xi Jinping came to the home-based elderly care service center in Binhe Community, High-tech Zone, Chengde City, during his inspection tour in Chengde, Hebei.
He emphasized that "it is an important responsibility of party committees and governments at all levels to meet the various needs of the elderly and enable them to have a happy and fulfilling old age." Improve the community home-based elderly care service network, and build an elderly care service system that coordinates home-based community institutions and combines medical care and health care."
Sincere care, warm people's hearts; earnestly entrusted, inspiring people to forge ahead.
In the past year, party members, cadres, and the masses in Chengde High-tech Zone have kept in mind the general secretary's entrustment, and have explored and solved the problems of health care and life care for the elderly through government procurement of services, business operations, and social participation, and have achieved remarkable results.
Build canteens for the elderly, carry out aging-appropriate renovations, and promote "time banks"... Taking Binhe Community as a pilot project, Chengde actively promotes the construction of an elderly care service system based on home, community-based, institution-supplemented, and combining medical care and nursing care. Combining old-age care and old-age behavior, we continuously optimize the elderly care service model, so that more elderly people can enjoy a happy old age.
Recently, the Guangming Daily research team walked into Chengde, went deep into the street community, and visited the "Chengde Path", an elderly care service system that is coordinated by home-based community institutions and combined with medical care and health care.
Volunteering: Make old age "enjoyable"
Near noon, Hu Xiying, a party member volunteer on duty at the Binhe Community Home-based Elderly Service Center, received a call for help from an 85-year-old Jin Juhai.
It turned out that his wife temporarily went to the old city to take care of his children and grandchildren, and Jin Juhai, who was at home alone, was worried about eating.
After receiving the "instruction" of the service, Hu Xiying rode to Lao Jin's house.
"Would you like to eat noodles or dumplings?" "Noodles, I'm the only one who saves trouble." Hu Xiying put on an apron and entered the kitchen. After ten minutes, a steaming bowl of noodle soup was served on the table. .
Jin Juhai picked up the chopsticks and praised "it tastes good" while eating.
Seeing Lao Jin's happy smile, Hu Xiying hurried back to the community home care service center on duty.
On duty and cooking for Mr. Jin that day, Hu Xiying said that he "saved" another 3 working hours in his "time bank".
What is a "time bank"?
The research team has some doubts.
"'Time Bank' is a model of mutual assistance for the elderly." Xu Jiajie, Secretary of the Party Branch of Binhe Community and Director of the Neighborhood Committee, introduced. Specifically, it means that the young elderly provide voluntary services for the elderly in the community, and the service hours are stored in the community's "time". bank".
When you need others to provide services to you in the future, you can use these stored "time" to exchange and enjoy services, that is, "serve others today and enjoy services for free tomorrow".
Hu Xiying took over, "I have participated in volunteer activities in September 2019, and now I have worked more than 300 hours in the 'Time Bank'. One day, when I can't walk, I believe there will be more people to help me." .
The shortage of talents is an important bottleneck in community-based home care.
Before the construction of the Binhe Community Home Elderly Care Service Center, the community service station had only 6 full-time community workers, while the community had 3,715 permanent residents, including 1,177 elderly people over 60 years old and 94 elderly people over 80 years old.
Who will meet the diversified elderly care service needs of the elderly?
The first move that Binhe Community thought of was to integrate the concept of volunteering and mutual assistance into community elderly care services, and adopt the management method of "time bank" to convert volunteers' dedication into long-term benefits of mutual assistance in elderly care, so that volunteers can become the caregivers of the elderly. important force.
Xu Jiajie told the research team that Binhe Community played a leading role in party building and established a home-based elderly care service center in March 2019. At that time, more than 10 old party members formed a volunteer service team, and Hu Xiying was a member of the volunteer service team.
"The general secretary said, 'We should combine what we can do with our old people' and 'encourage the elderly to continue to shine.' We are greatly encouraged, and we are more motivated to devote ourselves to volunteering." Hu Xiying beamed. Say.
She broke her fingers to settle accounts for the research team: there are 75 volunteers in this volunteer service team, including 23 party members, most of whom are retired party members and cadres and retired soldiers.
Their "saving" service time has exceeded 9,000 hours.
The research team learned that the group of volunteers who come to Binhe community to provide elderly care volunteer services is getting bigger and bigger.
More than 180 college students have spontaneously formed 12 Lei Feng Learning Groups. Every day, two volunteers are on duty in the community service center, and more than 1,000 volunteer service activities have been carried out.
Binhe Community has also signed medical service cooperation agreements with relevant hospitals. Doctors regularly come to the center for consultations, free clinics, and conduct health guidance and lectures to solve the difficult problems of seeing a doctor for the elderly; the introduction of traditional Chinese medicine health care service projects to better promote the integration of medical care and elderly care services. Improve the effectiveness of the combination of medical care and health care.
Taking the Binhe community as a pilot, the "time bank" model has been fully promoted in the high-tech zone.
At present, 48 volunteer service teams have been established in 12 communities in the district, with a total of 1,398 volunteers.
"We give full play to the role of 'taking the old to lead the new', and divide volunteers into condolence groups, literature and art groups, domestic service groups, etc. according to their personal strengths to provide diversified services for the elderly in need." said Xu Na, deputy secretary of the High-tech Zone Community Party Working Committee. Since then, the situation of volunteer service for the elderly in the whole district is very familiar.
According to statistics, there are 31,000 younger elderly people in Chengde who are willing and able to engage in voluntary service work and are active in the front line of community elderly care services.
Dou Lixin, deputy director of Chengde Civil Affairs Bureau and second-level researcher, said that in the future, Chengde will also actively build a platform to guide and encourage more elderly care services by creating an elderly-friendly community, while enriching the functions of community elderly care services and improving the level of elderly care services. The "young" elderly participate in community construction and volunteer services, so as to truly realize the support of the elderly and the performance of the elderly.
By 2025, Chengde City will increase the proportion of "age-friendly communities" in the total number of urban and rural communities in the city year by year, and strive to achieve full coverage of age-friendly communities in both urban and rural areas by 2035.
"Precision" pension: warm to the heart of the elderly
In the survey, many elderly people in the community said that their greatest wish is to enjoy life care, housekeeping services, medical care, spiritual comfort and other services at the doorstep of their homes.
On the basis of solid research in the early stage, Binhe Community started with solving the most urgent needs of the elderly groups such as dining, retrofitting of home scenarios for aging, and providing specific services for key groups.
During lunch time, the strong aroma of rice wafted from one end of the corridor.
"The old canteen is open for dinner!" Yu Lan, deputy director of the Binhe Community Neighborhood Committee, pointed to a room on the south side of the first floor.
"Opening in September 2021, it is very popular with the elderly!"
Walking into the community canteen for the elderly, the 6 dining tables were neatly tidy, with paper towels, wet wipes, toothpicks, and seasonings all available on the dining table.
Several uncles and aunts were eating, and some elderly people were carrying lunch boxes and queuing for meals.
On the table on one side, the dishes that have just come out of the pot are steaming hot. Stewed vegetables in bone broth, scrambled eggs with horned melon, fried pork with cauliflower... Meat and vegetarian dishes are paired with 7 dishes. The main dishes are rice and pasta, as well as mung bean soup. people.
"The food here is delicious and comfortable." Hao Guifeng, 85, said while cooking, his wife needs to go to the hospital for dialysis frequently, and their children are busy with work, so I don't expect them to take care of them.
In the past, I often found it difficult to buy and cook food, but now there is a canteen for the elderly.
"Considering that the elderly suffer from high blood sugar, high blood lipids, and high blood pressure, we specially make three types of ABC nutrition packages, such as low sugar and low fat, for the elderly to choose." Li Xuebin, the chef of the elderly cafeteria, said while serving dishes.
The research team learned that Binhe Community integrates community resources and relies on the community elderly care service center to set up community elderly canteens to provide three-meal services for the elderly at home.
The elderly over 60 years old are 5 yuan for breakfast and dinner, and 10 yuan for lunch. The elderly over 80 years old enjoy half price of the market price, and the retired, special care, subsistence allowance and the elderly over 90 years old are free.
Since its opening in September 2021, it has served 17,294 people.
Like dining, aging-appropriate transformation is also an urgent need for the elderly.
The high-tech zone takes the Binhe community as a pilot project and focuses on the elderly families living at home. According to the actual needs, the government subsidizes part of the funds (60% of the government subsidy for the elderly over 60 years old, 80% of the government subsidy for the elderly over 80 years old, and the maximum subsidy does not exceed 2,000 Yuan), residents will bear the remaining funds, and choose suitable products to form service packages for different home scenarios, and carry out construction and renovation services including ground, wall, bedroom, living room, kitchen, bathroom, etc.
An Tong lives with her mother in her 90s.
"I usually cook and clean up the house, and I have a nanny to help me. Every time I take a shower, I always feel nervous." An Tong said that the walls were made of tiles, which were slippery and slippery.
In July 2021, community staff came to seek advice on aging-appropriate transformation, and Antong actively signed up.
"The community is looking for professional installers. We don't have to worry about it, and the quality is guaranteed." Now An Tong and his mother can raise their hands to grab the "one-line handrail", and the height is very suitable.
Since September 2021, 14 households in Binhe Community have undergone aging-appropriate renovations. Up to now, the total number of renovations has reached 76, and more than 10 households have expressed their willingness to renovate.
In order to serve the elderly more accurately, Binhe Community provides meals, health care, psychological comfort, etc. Serve.
The daughter, who has been in a wheelchair for many years, has always been the heart disease of the 88-year-old Grandma Mu.
Community volunteers Hu Xiying and Yang Bingqin took good care of the mother and daughter.
"My daughter's legs have been conscious recently. The masseuse you found is really good!" As soon as Hu Xiying and Yang Bingqin entered the door, Ms. Mu hurriedly "announced the good news".
In the second half of 2021, Binhe Community will also distribute surveillance cameras to more than 20 families of the sick elderly and the elderly living alone, which can automatically lock and track the shooting targets, and can also use mobile phones to talk in real time.
Walking into the old man Liu Baochuan's house, the old man pointed at the camera and said that if his wife goes out to do errands, through the camera, he can keep in touch at any time.
Dou Lixin introduced that Chengde has fully launched community lunch assistance services in eight counties and four districts of the city, and has also actively implemented the implementation of social donations, centralized procurement, government subsidies, etc. It is suitable for aging transformation to meet the needs of life care, living and walking, rehabilitation care, etc.
At the same time, Chengde has also built a total of 205 community day care service institutions in 177 communities in the city, with 439 full-time staff, covering 2,099 living quarters, achieving full coverage of service facilities and communities, and full coverage of service functional living quarters.
Wisdom for the elderly: holding up happiness "red sunset"
In Binhe Community, the home-based elderly care information platform of "one-click service, more happiness" is talked about by many elderly people.
Liu Fengying, a resident of Haitangyuan Community, felt dizzy and uncomfortable. She called the hotline of the community home-based pension information platform through the "one-click call" function of her mobile phone.
Chi Jinxue, a nurse in the community infirmary, took the medicine box and went straight to Liu Fengying's house.
While measuring her blood pressure, she told the old man to take medicine on time, check blood pressure frequently, and instructed to "call us anytime if you have anything."
Yu Lan told the research team: "The elderly want to spend their old age at home in peace, but many emergencies cannot be handled by themselves. Providing the elderly at home with 'on-call' comprehensive elderly care services, including emergency rescue, is our way of building home-based elderly care in the community. The original intention of the information platform.”
Open the "Home Elderly Care Service Center Call Registration Form" on the table, the date, time, person, number, etc. of the call are fully recorded, and the content of the call is also such as "help to debug the mobile phone", "the elderly are dizzy", "let's chat for a while" Wait for trivial matters, but these are all "big things" in the eyes of the staff.
In order to provide more accurate and timely services, in the early stage of the construction of the informatization platform, community staff will come to the door one by one, enter the information of the elderly over 60 years old in the whole community into the platform, and establish information files.
Now, randomly click on the health file of an elderly person on the home-based elderly care information platform, and the information such as contact information, living habits, service needs, illnesses and medication conditions are clear at a glance.
At the end of each service, the staff will also enter the work feedback into the system to further improve the information.
Since September 2021, relying on the district big data platform and the Binhe Community Aixiao home care information platform, the high-tech zone has formed a community home care service network integrating the Internet, cloud computing, big data and other technical means to achieve interconnection.
This network continues to expand in Chengde.
The empowerment of technology has brought new changes to the "time bank" of the Binhe community.
Chengde High-tech Zone reached an agreement with Bank of China and Zhongyi Shanyuan (Beijing) Technology Co., Ltd. on the data storage, retrieval, update, maintenance and other issues of "Time Bank", and signed the "Time Bank Public Welfare Platform + Pension Finance" cooperation agreement.
According to the agreement, the "Time Bank Public Welfare Platform" developed by Bank of China Jinke (Beijing) Technology Co., Ltd. will serve as an information system platform for Chengde High-tech Zone to carry out "Time Bank" related work to meet the needs of mutual support for the elderly, public welfare volunteer services, community governance and Comprehensive statistics and other management needs.
"In the past, the volunteer service hours could only be registered in the community; now, the 'time bank' is more standardized, and the service hours are stored in the personal account in real time in the form of time currency, and the rights and interests can be exchanged through the mobile phone applet." Hu Xiying said.
The technology-enabled elderly care service method in Binhe Community has also been used for reference by many communities in Chengde.
On the basis of the original old-age service information platform at the city and county levels, Chengde has gradually improved the informatization construction of community day care service stations by opening community management accounts, installing large-screen monitors, and connecting with service providers.
Up to now, 206 institutions have been established and connected to the municipal service platform.
"From entertainment assistance, emergency assistance, medical assistance to meal assistance, entertainment assistance, bath assistance, medical assistance, emergency assistance, walking assistance, and cleaning assistance, the functions of community elderly care services have increased from 'three assistances' to 'seven assistances', and the community 60 Elderly people over the age of 10 can get timely and effective elderly care services through hotlines, online appointments, offline communication, etc." Dou Lixin said, this is just a vivid footnote for Chengde to promote the high-quality development of community home-based elderly care services.
System support: let more people enjoy their old age in peace
Taking Binhe Community as a pilot project, Chengde actively explores the "Chengde Path" of building community-based home-based elderly care, and the "practical" and "hard" community elderly care services continue to be implemented, providing convenient, affordable, safe and high-quality elderly care services for the elderly. The beautiful vision of raising, old age with support, old age with joy, and old age with peace” is turning into a realistic picture of happiness.
Strengthen policy guidance and improve support for elderly care services.
In order to speed up the construction of a systematic and complete elderly care service policy system, Chengde issued policy documents such as the "Implementation Opinions on Comprehensively Improving Community and Home-Based Elderly Care Services in Chengde City", strengthened macro-level overall planning, and incorporated the development of elderly care services into the national economic and social development plan of the region; Relevant departments at all levels actively make institutional arrangements, strengthen the construction of inclusive, basic, and bottom-line systems, and continuously improve policies for elderly family support and support, social assistance, social welfare, social preferential treatment, livable environment, and social participation, etc. Effectively enhance the pertinence, coordination and systematicness of policies and systems.
Optimize the supply of factors and improve the capacity of elderly care services.
To meet the diverse needs of the elderly, fully integrate social resources, and continuously optimize the supply of elements such as capital, talent, technology, and systems.
Chengde has increased the supply of capital elements through the guidance of financial funds and opened up convenient channels for investment and financing for enterprises; by implementing the construction standards of home-based elderly care service facilities and promoting the construction of elderly-care service facilities, it has continuously improved community and home-based elderly care service facilities; through colleges and universities Training, free training, rewards and incentives, etc., increase the supply of talent elements, and promote the government, the market, society, families, individuals and other elderly care service entities to do their best, build and share together; adhere to the development path of technology and informatization, The integrated application of data, Internet of Things, etc. in elderly care services actively promotes the high-quality development of elderly care services.
Meet urgent needs and enrich the supply of elderly care services.
With the current shortage of elderly care service resources and insufficient public financial security, Chengde regards meeting the urgent needs of the vast majority of the elderly as the basis for strengthening the construction of the community home-based elderly care service system.
Efforts should be made to improve the meal assistance service model to provide centralized dining or meal delivery services for the elderly within the jurisdiction, and at the same time, to ensure that the elderly with financial difficulties and disabilities can eat.
Strengthen grass-roots medical care services, promote the introduction of medical resources into the community and family, and improve the convenience of the elderly at home to obtain medical resources; For the elderly, provide convenient medical care services; support eligible community home-based elderly care medical institutions to be included in the designated basic medical insurance category.
In Chengde, more and more elderly people are beginning to enjoy the convenience brought by elderly care services, and they are living more and more at ease, meditative and comfortable.
(Author: Guangming Daily research team members: Han Yuehua, deputy director of the Organization Department of Chengde Municipal Party Committee, Hebei Province, Zhou Yi, editor-in-chief of Chengde Daily, Sun Feng, deputy director of the reporter department, Kang Xiaoqiang, professor of the Central Party School [National School of Administration], and reporter Gong Liang. , Geng Jiankuo; writing: Sun Feng)