Enhance sense of gain, happiness, and security (policy interpretation)
The aging of the population is an important trend in social development, an important manifestation of the progress of human civilization, and also the basic national conditions of our country for a long period of time in the future.
The results of the seventh national census showed that my country’s population of 60 years and over has reached 264 million, and its proportion in the total population has increased by 5.44 percentage points from 2010.
Effectively responding to the aging of our country’s population has a bearing on the overall situation of the country’s development, on the well-being of hundreds of millions of people, on social harmony and stability, and is of great significance to the comprehensive construction of a modern socialist country.
In order to implement the national strategy to actively respond to the aging of the population, strengthen the work on aging in the new era, and enhance the sense of acquisition, happiness and security of the elderly, the "Opinions of the Central Committee of the Communist Party of China and the State Council on Strengthening Work on the Ageing of the New Era" (hereinafter referred to as the "Opinions" 》) Officially released.
How can the elderly be provided with support, medical care, accomplishment, learning, and happiness, so that the elderly can share the fruits of reform and development and enjoy a happy old age?
The relevant person in charge of the National Health Commission interpreted the "Opinions."
Give full play to the leading role of the government
The relevant person in charge of the National Health Commission pointed out that the "Opinions" have the following outstanding features: First, strengthening the party's leadership is the primary principle throughout the document.
Emphasize the role of the party in overseeing the overall situation and coordinating all parties to provide a strong political and organizational guarantee for doing well in the work of aging.
The second is to give full play to the leading role of the government.
Emphasize that local governments should coordinate all kinds of resources and promote the gathering of high-quality resources around, around, and around the elderly.
The third is to give full play to the role of market mechanisms to provide diversified products and services.
Emphasize the extensive mobilization of social participation, mobilize the enthusiasm of group organizations, social organizations, and government agencies, enterprises and institutions, and focus on the role of family pension and personal self-care, and form a multi-subject shared responsibility, aging risk response, and everyone's participation in aging business New situation.
The fourth is to establish a basic elderly care service list system.
Emphasize that according to financial affordability, we will do our best and do our best to provide suitable services for different groups of elderly people.
The fifth is to strengthen the responsibilities of localities and departments in aging work, consolidate responsibilities, and promote implementation.
Improving the service model for the elderly in the home community
The "Opinions" put forward that it is necessary to build, renovate, and lease on the basis of home-based elderly care to improve the community's elderly care service capabilities, and focus on the development of the street (township), urban and rural community two-level elderly care service network.
The local government is responsible for exploring and promoting the establishment of a model for professional institutions to extend services to communities and families.
Sub-district communities are responsible for introducing professional institutions that serve the elderly in terms of meal assistance and cleaning assistance. Community organizations introduce relevant nursing professional institutions to carry out care for the elderly at home; the government strengthens organization and supervision.
The government must cultivate professional institutions that serve the elderly, guide their standardized development, and guide them to provide sustained and stable services in accordance with the principle of guaranteed and meager profit.
Give full play to the role of community party organizations, explore the "community + property + elderly care service" model, and increase the effective supply of home community elderly care services.
Combining with the implementation of the rural revitalization strategy, strengthen the construction of rural elderly care service institutions and facilities, and encourage the development of mutual aid services for the elderly based on village-level neighborhood mutual aid points and rural happiness homes.
The "Opinions" put forward that all localities should develop institutional pensions through various methods such as direct construction, commissioned operations, purchasing services, and encouraging social investment.
The relevant person in charge of the National Health Commission stated that public elderly care institutions give priority to accepting the disabled (including dementia), widows and widows, disabled, elderly people, elderly people in special family planning families, and elderly people who have made important contributions to society. Provide elderly care services that meet quality and safety standards.
Establish and improve the standards and evaluation systems for elderly care services, and strengthen the supervision of the construction and operation of elderly care institutions.
Research and formulate management policies for the advance collection of service fees for the elderly care institutions, and strictly prevent the use of the name of the elderly care institutions to collect money and fraud.
Establish a basic elderly care service list system
According to the "Opinions," localities should formulate a list of basic elderly care services based on financial affordability, and provide appropriate services such as elderly care security, life care, rehabilitation care, and social assistance for different elderly groups such as health, disability, and financial difficulties.
The list is required to specify service targets, service content, service standards, and expenditure responsibilities, and make dynamic adjustments based on economic and social development and scientific and technological progress.
Before the end of 2022, a comprehensive evaluation system for the abilities of the elderly should be established, and the evaluation results should be recognized across departments across the country.
Expand the coverage of endowment insurance and gradually realize full coverage of statutory personnel in basic endowment insurance.
As soon as possible, the national overall plan for the basic endowment insurance for enterprise employees will be realized.
Improve the basic old-age insurance benefit adjustment mechanism to guarantee the basic life of benefit recipients.
Vigorously develop enterprise (occupational) annuities, and promote and standardize the development of the third pillar endowment insurance.
Explore ways to increase the income of rural elderly people through asset income support systems.
Strengthen the construction of the elderly health service system
The relevant person in charge of the National Health Commission said that the promotion and education of health knowledge for the elderly will be strengthened in urban and rural communities to improve the health literacy of the elderly.
Do a good job in the health management of the elderly and the health management services of traditional Chinese medicine in the national basic public health service projects.
Strengthen the early screening, intervention and classification guidance of key chronic diseases of the elderly, and carry out the oral health of the elderly, the nutrition improvement of the elderly, the prevention and treatment of dementia and the psychological care of the elderly.
Increasing the coverage rate of contracted services by family doctors for the elderly who are disabled, seriously ill, elderly, and low-income, etc., and improve the quality of services.
Expand the scope of home medical services provided by the medical consortium, such as family beds and outpatient visits.
According to the "Opinions", strengthen the construction of the elderly health service system.
The first is to strengthen the construction of the National Geriatrics Center and deploy several regional geriatric medical centers.
The second is to strengthen the construction of geriatric medicine departments in general hospitals. By 2025, the proportion of general hospitals at the second and above level to set up geriatric medicine departments will reach more than 60%.
The third is to strengthen the construction of geriatric hospitals, rehabilitation hospitals, nursing homes (centers, stations) and special care hospitals through new construction, reconstruction, expansion, and transformation and development, and establish a two-way referral mechanism for medical care, rehabilitation and nursing care.
Speed up the construction of friendly medical institutions for the elderly to make it easier for the elderly to see a doctor.
The "Opinions" put forward that education for the elderly should be included in the lifelong education system, and measures such as promoting education for the elderly in schools with conditions and supporting social forces to run universities (schools) for the elderly should be adopted to promote the expansion of the supply of education resources for the elderly.
All localities should use resources such as vacant houses, parks, and shopping malls to support neighborhood communities to actively provide cultural and sports venues for the elderly.
Our reporter Bai Jianfeng