The State Council on Printing and Distributing the "14th Five-Year Plan" National Aging Cause
Notice of Development and Planning of the Elderly Service System
Guofa [2021] No. 35
The people's governments of all provinces, autonomous regions and municipalities directly under the Central Government, all ministries and commissions of the State Council, and all institutions directly under the Central Government:
The "14th Five-Year Plan for the Development of the National Aging Industry Development and Elderly Care Service System" is hereby issued to you, please implement it carefully.
State Department
December 30, 2021
(This is a public release)
"14th Five-Year Plan" National Aging Development and Elderly Service System Planning
In order to implement the national strategy of actively responding to population aging, promote the coordinated development of aging undertakings and industries, build and improve a comprehensive, inclusive and diversified elderly care service system, and continuously meet the growing multi-level, high-quality health care needs of the elderly , formulated in accordance with the Law of the People's Republic of China on the Protection of the Rights and Interests of the Elderly, the Fourteenth Five-Year Plan for the National Economic and Social Development of the People's Republic of China and the Outline of the Vision for 2035, and the National Medium- and Long-Term Plan for Actively Responding to Population Aging this plan.
1. Planning background
The party and the state attach great importance to the cause of the elderly and the development of the elderly care service system.
During the "13th Five-Year Plan" period, under the guidance of the major plans and policy opinions of the Party and the state, a series of new achievements have been made in the development of my country's aging cause and the construction of the elderly care service system.
First, the aging policy and regulation system has been continuously improved.
The relevant laws, regulations, rules and policies and measures related to the elderly have been continuously improved, the protection mechanism for the rights and interests of the elderly and preferential treatment policies have been continuously refined, and the standards and supervision systems for the construction, operation and development of the elderly care service system have become more complete.
Second, diversified social security has been continuously strengthened.
The coverage of basic social insurance has been further expanded, and pension benefits for enterprise retirees and basic pensions for urban and rural residents have been improved.
Steady progress was made in the pilot work of long-term care insurance, and two batches of 49 pilot cities were identified, and explorations were made in terms of institutional framework, policy standards, operating mechanisms, and management methods.
Commercial endowment insurance and commercial health insurance developed rapidly.
The third is the continuous improvement of the elderly care service system.
During the "Thirteenth Five-Year Plan" period, various types of elderly care service institutions (including elderly care institutions and community elderly care service institutions, the same below) and facilities increased from 116,000 to 329,000, and the number of beds increased from 6.727 million to 8.21 million.
Governments at all levels continue to promote the construction of public pension institutions, strengthen pension security for the extremely poor, provide subsidies for the elderly and disabled (including dementia, the same below) in financial difficulties, and initially establish a care service system for the left-behind elderly in rural areas.
Home-based and community-based elderly care services have developed rapidly, institutional elderly care services have been steadily advanced, and the special campaign for inclusive elderly care has been successfully implemented.
Fourth, the health support system has been continuously improved.
The health level of the elderly has continued to improve, and the average life expectancy will increase to 77.9 years in 2020. The elderly aged 65 and over will receive free health management services in primary medical and health institutions.
In 2020, there will be 5,857 integrated medical and elderly care institutions with complete two certificates (qualified for medical and health institutions, and registered with elderly care institutions), and the number of beds will reach 1.58 million.
The fifth is to accelerate the development of aging undertakings and industries.
The number of educational institutions for the elderly has continued to increase, the spiritual and cultural life of the elderly has been continuously enriched, and more elderly people have actively participated in community governance, cultural, educational and health activities.
Actively promote the construction of a livable environment for the elderly, and continue to strengthen the protection of the rights and interests of the elderly.
The manufacturing and service industries of elderly products have accelerated their transformation and upgrading, the level of technology has been significantly improved, and new forms of integrated development such as education and training, culture and entertainment, health and wellness, and living and senior care have continued to emerge.
During the "14th Five-Year Plan" period, my country has embarked on a new journey to build a modern socialist country in an all-round way.
The CPC Central Committee has made active response to population aging a national strategy, and made special arrangements in the "14th Five-Year Plan for National Economic and Social Development of the People's Republic of China and Outline of Vision 2035".
Population aging is an objective trend of the development of human society. With a solid material foundation, sufficient human capital, and a long-standing culture of filial piety, China is fully qualified, capable and confident to solve this major issue.
At the same time, it should be noted that my country's elderly population is large and the aging speed is fast. The demand structure of the elderly is changing from a survival type to a development type. There are still problems such as unbalanced and insufficient development of elderly care and elderly care services, which are mainly reflected in rural elderly care. The service level is not high, the supply of home-based and community-based elderly care and high-quality inclusive services is insufficient, the shortage of professional talents, especially nursing staff, the need to strengthen scientific and technological innovation and product support, and the coordinated development of business and industry needs to be improved. The importance and urgency of the cause of the elderly and the elderly care service system have become increasingly prominent, and the tasks are more arduous and arduous.
2. General requirements
(1) Guiding ideology.
Guided by Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 19th Plenary Sessions, coordinate and promote the "five-in-one" overall layout, coordinate the promotion of the "four comprehensive" strategic layout, and adhere to the pursuit of stability Adhere to the general tone of the work, based on the new development stage, fully, accurately and comprehensively implement the new development concept, build a new development pattern, adhere to the leadership of the party committee, the government, the social participation, and the action of the whole people, and implement the national strategy to actively respond to population aging, in order to speed up the improvement Focus on social security, old-age services, and health support systems, integrate the concept of active aging and the concept of healthy aging into the entire process of economic and social development, do our best and do what we can, deepen reform, comprehensively implement policies, and increase system innovation, policy supply, The financial investment will promote the coordinated development of the cause of the elderly and the industry, and continue to make new progress in supporting the elderly, providing medical care for the elderly, doing something for the elderly, learning for the elderly, and enjoying the elderly, so that the elderly can share the fruits of reform and development. , enjoy a happy old age.
(2) Basic principles.
——Systematic planning and overall promotion.
Adhere to the combination of coping with population aging and promoting economic and social development, adhere to the combination of meeting the needs of the elderly and solving the problem of population aging, and make overall plans to grasp the relationship between the elderly group and all members of society, the old age and the whole life cycle, and the aging policy and public policy , the system as a whole promotes the development of the cause of the elderly.
——People-oriented, follow the trend.
Implementing the people-centered development philosophy, focusing on the "urgent and worrying" of the elderly in social security, pension, medical and other livelihood issues, accelerating the construction of a security and service system that conforms to China's national conditions and the trend of population aging, and optimizes service supply , improve the quality of development, and ensure that it is always in line with economic and social development.
——Have a good bottom line and benefit from a wide range of benefits.
Promote the construction of the elderly care service system, strengthen the government's function of guaranteeing the basic bottom line, promote the balanced allocation of resources, and ensure that basic elderly care services are in place.
Vigorously develop inclusive elderly care services, fully mobilize the enthusiasm of social forces, and provide the people with elderly care services that are accessible, affordable, and of guaranteed quality.
- Reform and innovation to expand supply.
Deepen the reform of delegating power, regulating services, optimizing the business environment, cultivating new industries, new formats, and new models, promoting the deep integration and development of multiple formats in the service industry, and creating a demonstration highland for manufacturing innovation.
Vigorously develop the silver-haired economy, promote the coordinated development of the cause of the elderly and industries, basic public services and diversified services, and strive to meet the multi-level and diverse needs of the elderly.
——Multi-party participation, joint construction and sharing.
Adhere to the joint participation of the government, society, family and individuals and fulfill their respective responsibilities, carry forward the traditional virtues of filial piety and respect for the elderly of the Chinese nation, consolidate the basic status of family care for the elderly, and create an elderly-friendly society.
Guide the elderly to establish the concept of active health and lifelong development, encourage the elderly to actively face old age, and give full play to their role in economic and social development.
(3) Development goals.
During the "14th Five-Year Plan" period, the institutional framework for actively responding to the national strategy for population aging will be basically established, the aging cause and industry will be effectively coordinated and developed with high quality, the home and community institutions will be coordinated, and the elderly care service system and health support will be combined with medical care and health care. The improvement of the system is accelerated, the whole society actively responds to the initial formation of an aging population pattern, and the sense of gain, happiness and security of the elderly has been significantly improved.
The supply of elderly care services continues to expand.
The supply of elderly care services covering urban and rural areas, benefiting the whole people, balanced, reasonable, high-quality and high-efficiency will be further expanded, the family elderly care capacity will be effectively enhanced, the bottom-up elderly care services will be more complete, the resources of inclusive elderly care services will continue to expand, and the multi-level and diversified elderly care services will be developed in a high-quality and standardized manner.
The health support system for the elderly is more complete.
The supply of resources for elderly health services has continued to increase, the allocation has become more reasonable, and the talent team has continued to expand.
Home medical services such as family beds and door-to-door visits were actively carried out.
The health level of the elderly has been continuously improved, and their health needs have been better met.
For the old service, multi-format innovation and integration development.
Services such as education and training, cultural tourism, fitness and leisure, and financial support for the elderly have been continuously enriched. The elderly products industry focusing on the clothing, food, housing, transportation, and rehabilitation and care of the elderly has continued to grow. The ability of technological innovation has been significantly enhanced, and intelligent products and services have benefited more elderly people.
The factor guarantee capability continued to increase.
The business environment of the industry has been continuously optimized, and support policies for planning, land, housing, finance, investment, financing, and talents have become more powerful, the scale and capacity of employees have been continuously improved, and systems such as comprehensive supervision of elderly care services and long-term care insurance have become more complete.
The social environment is more suitable for the elderly and livable.
The construction of national exemplary elderly-friendly communities has been comprehensively promoted, the social atmosphere of respecting the elderly, loving the elderly and helping the elderly has become increasingly strong, and the social participation of the elderly has continued to increase.
The difficulties encountered by the elderly in the use of intelligent technology have been effectively resolved, and the majority of the elderly can better adapt to and integrate into the intelligent society.
3. Weaving a strong social security and basic pension service network
(4) Further improve the social security system.
Improve the basic old-age insurance and basic medical insurance systems.
Continuously expand the coverage of basic old-age insurance.
The national overall planning of basic old-age insurance for enterprise employees shall be realized as soon as possible.
Implement a progressive extension of the statutory retirement age.
Implement a reasonable adjustment mechanism for basic pensions, and adjust the basic pension standards for urban and rural residents in a timely and appropriate manner.
Vigorously develop enterprise annuities and occupational annuities, increase the coverage rate of enterprise annuities, promote and standardize the development of the third pillar pension insurance, and promote the development of personal pensions.
Improve the basic medical insurance policy, gradually realize the direct settlement of outpatient expenses across provinces, expand the scope of reimbursement for chronic disease drugs for the elderly, and include more chronic disease drugs in centralized and volume-based procurement to reduce the drug burden of the elderly.
Steady establishment of long-term care insurance system.
Adapt to my country's economic and social development level and the development trend of aging, build a long-term care insurance system policy framework, and coordinately promote the construction of a long-term care service system.
Starting from the basic medical insurance for employees, the focus is on addressing the basic nursing security needs of severely disabled persons.
Explore the establishment of a multi-channel financing mechanism for mutual assistance and responsibility sharing. The financing of employees participating in long-term care insurance is mainly based on unit and individual payment, and a dynamic adjustment mechanism for financing that is commensurate with economic and social development and security levels shall be formed.
A fair and appropriate treatment guarantee mechanism shall be established, and the scope of treatment guarantee and the level of fund payment shall be reasonably determined.
Formulate a national unified long-term care insurance disability rating evaluation standard, establish and improve the long-term care insurance demand identification, rating and other standard systems and management methods, and clarify the basic guarantee items of long-term care insurance.
Do a good job of linking up with policies such as subsidies for the elderly in financial difficulties, subsidies for the disabled elderly, and nursing subsidies for the severely disabled.
Improve the long-term care insurance handling service system.
Improve social assistance and social welfare systems.
Improve the hierarchical and classified social assistance system, and include eligible elderly people into the corresponding social assistance scope and provide assistance.
Provide pension service subsidies for the elderly in financial difficulties, provide nursing subsidies for the disabled elderly in economic difficulties, and establish a dynamic adjustment mechanism for subsidy standards.
Promoting local exploration to provide necessary visit and care services for the disabled elderly in economic difficulties through government purchase of services and other means.
(5) Establish a list system for basic elderly care services.
Establish a comprehensive assessment system for the ability of the elderly.
Coordinate the existing assessment systems related to the ability, health, disability, and care of the elderly, and carry out a comprehensive assessment of the ability of the elderly through government procurement of services. Elderly care services, etc.
Research and formulate national standards that can meet the needs of comprehensive assessment of the abilities of the elderly, and provide uniform, standardized and operable assessment tools.
Promote the cultivation of a number of comprehensive evaluation institutions, and strengthen capacity building and standardized management.
Services are provided for different groups of older persons.
All localities should issue a list of basic elderly care services according to their financial affordability, and provide appropriate services such as elderly care security, life care, rehabilitation care, and social assistance for different groups of elderly people, including health, disability, and economic difficulties.
The list should clarify the service objects, service contents, service standards and expenditure responsibilities, and make dynamic adjustments according to economic and social development and scientific and technological progress.
(6) Strengthen the role of public pension institutions in providing basic guarantees.
Adhere to the public welfare attributes of public pension institutions.
All localities should determine the lower limit of the total number of beds in public elderly care institutions according to the scale of the elderly in extreme poverty, and do a good job in planning, construction and operation.
On the premise of meeting the need for centralized support of the destitute elderly who wish to support, the public elderly care institutions focus on empty-nest, left-behind, incapacitated, disabled, elderly and family-planning elderly in special families (hereinafter collectively referred to as the elderly with special difficulties). people) to provide services.
Establish a management system for the admission evaluation of public elderly care institutions, and clarify the admission conditions and sorting principles of the elderly.
Guide public and private, private and other old-age care institutions to give priority to the elderly with special difficulties and the elderly who have made special contributions.
Encourage local governments to explore and solve the problem of difficult elderly people without guardians to live in nursing homes.
Improve the service level of public elderly care institutions.
Increase the renovation of existing public elderly care institutions, improve the ability to care for the disabled elderly, add a special area for the elderly with dementia, and give priority to the disabled elderly on the basis of meeting the needs of policy guarantee objects.
Support about 1,000 public elderly care institutions to increase nursing beds.
In response to emergencies such as public health and natural disasters, isolation functions have been added, firefighting facilities have been renovated, necessary materials and equipment have been provided, personnel emergency knowledge training has been strengthened, and the emergency support capabilities of public elderly care institutions have been improved.
Give play to the role of public elderly care institutions, and radiate to drive various elderly care institutions around to improve emergency prevention and emergency preparedness, monitoring and early warning, emergency response and rescue and other mechanisms.
(7) Accelerate to make up for the shortcomings of rural elderly care services.
By supporting the construction and renovation of county-level elderly care service institutions, renovating and expanding qualified township-level support service facilities (homes for the elderly) for the elderly into regional elderly care service centers, and comprehensively utilizing nursing service facilities for disabled persons, etc., it is possible to adapt to local conditions to realize the special poverty in rural areas who are willing to do so. Centralized support for the elderly.
Relying on village-level neighborhood mutual aid points and rural happiness homes, etc., build a rural mutual-aid service network for the elderly.
Support the support service facilities (homes for the elderly) for the poor at the township level to increase the function of providing guidance on elderly care services, and extend professional elderly care services to village-level neighborhood mutual aid points, rural happiness homes, and home-based elderly.
For the in-situ renovation and upgrading project of supporting service facilities (homes for the elderly) for the destitute, there is no need to adjust the planned use, and no additional construction quota will be occupied.
Strengthen the construction of rural elderly care services and management personnel, and improve the level of professionalism and specialization.
Taking the administrative village as a unit, relying on the villagers' self-governing organizations and the mutual support of the neighbors, establish a regular inspection system for the elderly with special difficulties, urge family members to fulfill their support obligations, provide necessary assistance services, and help solve basic life safety problems.
4. Expand the coverage of inclusive elderly care services
(8) Build an inclusive elderly care service network.
Develop community aged care service institutions.
Deepen the achievements of the pilot reform of home and community elderly care services during the "13th Five-Year Plan" period, cultivate a group of community elderly care service institutions that focus on nursing, radiate around the community, and take into account door-to-door services, and promote centralized management and operation and standardized and branded development.
Support community elderly care service institutions to build and operate family elderly care beds, and extend services to families.
Support property enterprises to take advantage of being close to households, and cooperate with community-based elderly care service agencies to provide home-based elderly care services.
At the township (street) level, build a regional elderly care service center with functions such as full-time care, day care, door-to-door service, supply-demand connection, and resource coordination.
By 2025, the construction rate of regional elderly care service centers at the township (street) level will reach 60%, which will complement the functions of community elderly care service institutions and jointly build a “quarter-an-hour” home-based elderly care service circle.
Support the construction of professional elderly care institutions.
Support social forces in building specialized, large-scale, and well-integrated elderly care institutions, and promote them to demonstrate in areas such as long-term care service standards and standards, professional talent training reserves, information-based intelligent management services, and the promotion and application of rehabilitation aids. leading role.
Support elderly care institutions to provide professional care services for the special needs of the elderly with dementia.
Guide elderly care institutions based on their own positioning, reasonably extend the scope of services, provide medical and health services in accordance with laws and regulations, and provide integrated health and elderly care services for the elderly.
Investments within the central budget will focus on supporting the construction of new nursing care facilities for the elderly and the improvement and improvement of nursing service capacity.
Guide local governments to implement differentiated subsidies for ordinary beds and nursing beds. By 2025, the proportion of nursing beds in elderly care institutions nationwide will increase to 55%.
Improve the identification methods for nursing beds, and establish long-term care service projects, standards, quality evaluation and other norms as soon as possible.
Actively promote the reform of public pension institutions.
Improve the entrusted operation mechanism of public pension institutions, reform the selection criteria based on price, and comprehensively consider quality indicators such as business reputation, service level, and sustainability.
Introduce operating institutions with strong professional capabilities in the field of elderly care services to intervene early and participate in the entire process of entrusted management of elderly care institution project construction to support large-scale and chain operations.
Explore the transformation of qualified public pension institutions into state-owned pension service enterprises or expand into chain service institutions.
Explore the establishment of an urban elderly care service consortium, and improve the grass-roots service capabilities by "superior and subordinate".
(9) Support the development of inclusive elderly care services.
Improve community pension service facilities.
All localities shall set up community elderly care service facilities in strict accordance with the standard zoning and grading planning with a per capita land use of no less than 0.1 square meters. Areas with a relatively high degree of aging may appropriately increase the standard according to the actual situation.
Strengthen regular inspections to ensure that new residential areas and supporting elderly care service facilities are planned, constructed, accepted, and delivered simultaneously.
Carry out special management of supporting old-age service facilities in cities and towns, comprehensively check the supporting conditions of newly built urban areas and new residential areas since 2014, and regularly report to the whole country, and complete the rectification before 2025.
In the renovation of old urban communities, the construction of supporting elderly care service facilities shall be promoted in a coordinated manner, and the shortcomings of community elderly care service facilities shall be made up according to local conditions by means of supplementary construction, purchase, replacement, leasing, reconstruction, etc.
Support the development of space in community comprehensive service facilities for elderly care services.
Support elderly care institutions using supporting facilities to provide community elderly care services. Those with conditions can focus on providing full-day care services for disabled elderly people. Those who use supporting facilities for free or at a low cost should determine service prices based on inclusive benefits.
Encourage local governments to explore the resource integration, overall utilization, and unified management and operation of supporting elderly care service facilities in adjacent residential areas.
Regularly organize and carry out inspections of the use of community elderly care service facilities, and support local governments to explore and implement reasonable economic penalties for owners of supporting facilities that are not used according to the purpose of elderly care services.
Fully mobilize the enthusiasm of social forces to participate.
Comprehensively use supporting policies such as planning, land, housing, finance, investment, financing, and talent to guide various entities to provide inclusive elderly care services, expand supply, improve quality, and enhance sustainable development capabilities.
Further improve the inclusive price formation mechanism under the market principle. During the "14th Five-Year Plan" period, all localities should combine actual conditions, comprehensively consider factors such as enterprise construction and operation costs, policy support, consumers' affordability, etc., to promote the price of inclusive elderly care services at a reasonable level. The price level is significantly lower than that of local market-oriented elderly care service institutions with the same service level.
Implement a special campaign for inclusive elderly care, give play to the role of investment guidance and leverage within the central budget, guide local governments to formulate supportive "policy packages", drive enterprises to provide inclusive "service packages", and promote the construction of a number of convenient and affordable "policy packages". Acceptable and quality-assured elderly care service institutions.
Increase the state-owned economy's support for inclusive elderly care.
Establish a mechanism for the state-owned economy to supplement the supply of elderly care services, strengthen the effective supply of the central state-owned economy in the field of elderly care services, and strengthen the layout of local state-owned economies in the field of elderly care infrastructure.
Guide local state-owned capital to actively cultivate and develop state-owned enterprises with inclusive elderly care services as their main business.
For state-owned enterprises that mainly undertake the functions of elderly care services, focus on assessing service quality, cost control, and operational efficiency.
V. Strengthen the capacity of home and community elderly care services
(10) Build a meal assistance service system for the elderly in urban and rural areas.
Establish a meal service network for the elderly.
Comprehensive use of community elderly service facilities and idle houses and other resources will create a group of standardized community elderly canteens (meal service points) with traceable ingredients, safe and hygienic, and fair prices.
Focus on making up for the shortcomings of meal assistance services in rural areas and outer suburbs, support local elderly care service institutions, catering establishments, etc. to increase meal assistance functions, and promote the meal assistance model of mutual assistance between neighbors.
Enrich and innovate the mechanism for providing meal assistance services, adopting central kitchens, community canteens, mobile food trucks and other forms according to local conditions to reduce operating costs and facilitate meals for the elderly.
Support high-quality diversified meals.
Focusing on better meeting the multi-level and diversified dining needs of the elderly, catering institutions are encouraged to develop catering products, enrich the variety of dishes, and have reasonable and nutritious meals.
Establish a reasonable return mechanism for catering services, and operators will determine the charging standards based on actual service costs and moderate profit levels, and guide more market players to participate in catering services.
Guide market players such as takeaway platforms to participate in the delivery of meals.
Promote food aid institutions to insure food safety liability insurance.
(11) Carry out bathing and cleaning assistance and visiting care services.
Develop bathing assistance services for the elderly.
Support the development of various business formats such as community bathing points, mobile bathing vehicles, and household bathing assistance, and cultivate a group of professional and chain bathing assistance institutions.
Research and formulate relevant standards and norms for bathing assistance services for the elderly, and strengthen the training of bathing assistance skills for elderly caregivers.
Support the research and development of products related to bathing services, and promote the application of economical and practical products.
Encourage bathing institutions to take out relevant insurance to improve the degree of risk protection.
Guide cleaning services to cover more elderly people.
Support housekeeping enterprises to develop cleaning service products suitable for the needs of the elderly, such as bedding cleaning, storage and arrangement, disinfection and dust removal.
Guide property companies to extend the scope of cleaning services from public areas to elderly families.
Support qualified places to provide cleaning services for the elderly with special difficulties by purchasing services from the government and organizing volunteer services.
Strengthen the care and care of the elderly at home.
Establish a home-based care service system for elderly care visits, implement a combination of general inspections and key inspections, adopt various forms such as telephone greetings and door-to-door visits, and use the Internet, Internet of Things and other technical means to provide emergency rescue services for the elderly.
Through the combination of "social workers + neighbors + volunteers + doctors", it provides physical and mental care services for the elderly with special difficulties.
(12) Accelerate the development of the living service industry for the elderly.
Improve access to life services for the elderly.
Relying on community elderly care service facilities, guide the community comprehensive service platform to widely meet the needs of the elderly and provide nearby and convenient consumption services.
Organize and guide property enterprises, retail service providers, social work service agencies, etc. to expand into old service functions, providing services such as purchasing daily necessities, catering takeaways, housekeeping appointments, collection and payment, registration for medicines, spiritual comfort and other services.
Cultivate new forms of life services for the elderly.
Promote the development of "Internet + senior care services", promote Internet platform enterprises to accurately meet the needs of senior services, support platform-based display of community senior care service institutions, provide "menu-style" nearby convenient services for the elderly, and encourage "children's online ordering, seniors experience services" ".
Cultivate city-level comprehensive information platforms and industry vertical information platforms.
Guide qualified elderly care service institutions to develop online and offline integration, and use the Internet, big data, artificial intelligence and other technologies to innovate service models.
Encourage Internet companies to develop monitoring and reminder functions for various activity scenarios of the elderly, and use big data to facilitate the elderly's home travel, health management and emergency response.
6. Improve the health support system for the elderly
(13) Strengthen health education and preventive health care for the elderly.
Improve health education and health management.
Develop popular science textbooks on health education for the elderly, and use various media to popularize health knowledge and healthy lifestyles through various activities such as the Health Promotion Week for the Elderly, so as to improve the health literacy of the elderly.
Implement basic public health services for the elderly health management project, and implement the contract service of family doctors for the elderly.
Strengthen the early screening and intervention of major infectious diseases among the elderly, and encourage early screening and health guidance for neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease where conditions permit.
Implement elderly health promotion projects.
Strengthen the early screening, intervention and classification guidance of key chronic diseases in the elderly, and carry out oral health, nutrition improvement, dementia prevention and psychological care actions for the elderly.
Promote the transformation of scientific research achievements in the field of elderly health, select and promote a number of suitable technologies for elderly health, and improve the ability of grassroots elderly health services.
Give full play to the advantages and roles of traditional Chinese medicine in the prevention and treatment of geriatric diseases and chronic diseases.
(14) Develop geriatric medical care, rehabilitation nursing and palliative care services.
Strengthen the ability of medical and health institutions to serve the elderly.
Strengthen the construction of national geriatric medical centers, and arrange several regional geriatric medical centers.
Strengthen the construction of geriatric medicine department in general hospitals.
Support regions with abundant medical resources to transform some public medical institutions into nursing homes and rehabilitation hospitals.
Promote the management of geriatric syndromes in medical and health institutions, and promote the transformation of geriatric medical services from a single-disease model to a multi-disease co-treatment model.
Accelerate the construction of elderly-friendly medical institutions to facilitate the elderly to see a doctor.
Promote the extension of medical services to home communities.
Support qualified medical and health institutions to provide home medical services such as home hospital beds and home visits to the elderly with disabilities, chronic diseases, advanced age, disabilities, etc.
Public medical institutions provide door-to-door medical services for the elderly, and charge them in the form of "medical service price + door-to-door service fee".
The medical services, medicines and medical consumables provided are subject to the medical price policy implemented by the medical institution, and the door-to-door service fee can be determined by the public medical institution.
Encourage social forces to set up community nursing stations.
Actively carry out community and home TCM health services.
Provide palliative care services.
Promote medical and health institutions to provide palliative care services in accordance with the principle of "fully informed and voluntary choice".
Steadily expand the pilot programs of palliative care and promote the standardization and standardization of palliative care institutions.
Support the development of community and home palliative care services, and establish a palliative care service mechanism linking institutions, communities and homes.
Strengthen life education for the public.
(15) To further promote the integration of medical care and elderly care.
Enrich the service model of combining medical care and elderly care.
Encourage large-scale or mainly elderly elderly care institutions to set up medical and health institutions, incorporate medical and health institutions in elderly care institutions into the management of medical alliances, and reasonably determine the medical insurance limit for medical institutions organized by elderly care institutions according to the characteristics of serving the elderly.
Promote the signing of cooperation between pension institutions and surrounding medical and health institutions, and implement the cooperation mechanism and content.
By 2025, elderly care institutions will generally have the ability to combine medical care and elderly care (be able to provide medical and health services or carry out contractual cooperation with medical and health institutions).
Increase the supply of integrated medical and elderly care services.
Implement the action to improve the ability of the community to combine medical care and elderly care.
Actively carry out basic public health services for elderly health and medical care services projects.
Support the transformation of special care hospitals and Guangrong Hospitals, and carry out integrated medical and elderly care services.
Promote the adjacent construction of community health service centers and community elderly care service institutions, township health centers and support service facilities for the extremely poor (home for the elderly), village clinics and rural happiness homes, and adopt a variety of effective methods to achieve resource integration and service connection.
Improve the quality of medical and elderly care services.
Improve the standard and normative system for the combination of medical care and elderly care.
Promote the sharing of data on medical and health care and elderly care services, and improve the information management system for the integration of medical care and elderly care.
Promote "Internet + Medical Health", "Internet + Nursing Service", "Internet + Rehabilitation Service", and develop smart medical and nursing services for homes, communities and institutions.
(16) Strengthen the prevention and control of the epidemic among the elderly.
Formulate emergency response plans and guidelines for public health emergencies for the elderly, and classify and improve epidemic prevention and control measures for the elderly at home, in the community, and in elderly care institutions.
In the emergency response to the epidemic, give full play to the role of grass-roots party organizations and grass-roots autonomous organizations, and provide services such as medical assistance, life care, and psychological comfort for the elderly with special difficulties.
Strengthen the epidemic prevention and control system and capacity building of elderly care institutions.
7. Vigorously develop the silver economy
(17) Develop and expand the elderly products industry.
Strengthen the R&D and manufacturing of elderly products.
Vigorously develop elderly daily necessities that meet the needs of the elderly for clothing, food, housing, and transportation.
For different life scenarios, focus on the development of aging-friendly household appliances, furniture, bathing devices, toilets, kitchen utensils and other daily-use products, as well as auxiliary products such as smart wheelchairs and biomechanical crutches, and promote easy-to-grip support devices such as handrails as well as ground anti-skid products, Barrier-free products, and develop leisure companion products such as educational toys and musical instruments for the elderly.
In response to the needs of institutional elderly care, day care, home care, etc., focus on the development of products in cleaning and hygiene, diet and daily life, life care, etc. Robots such as turning over and patrolling.
Develop products such as elderly care and anti-lost positioning.
Promote the application and promotion of high-quality products.
Formulate and revise a number of key and urgently needed technical standards for elderly products and services, promote quality improvement, standardize market order, and guide consumers to choose and use them correctly.
Establish a product catalog of elderly products, evaluate and dynamically adjust in a timely manner.
For products that are independently developed, technologically advanced, and recognized by the market, priority should be given to inclusion in the Guidelines for Upgrading and Innovative Consumer Goods.
In qualified streets and communities, develop sales and rental outlets for embedded rehabilitation aids, and provide services such as product display, appointment use, teaching guidance, after-sales maintenance, and recycling.
鼓励发展产业集群。鼓励国内外多方共建特色养老产业合作园区，加强市场、规则、标准方面的软联通，打造制造业创新示范高地。优先培育一批带动力强、辐射面广的龙头企业，打造一批产业链长、覆盖领域广、经济社会效益显著的产业集群，形成一批具有国际竞争力的知名品牌，推动我国相关产业迈向全球价值链中高端。
(十八)促进老年用品科技化、智能化升级。
强化老年用品的科技支撑。加快推进互联网、大数据、人工智能、第五代移动通信(5G)等信息技术和智能硬件在老年用品领域的深度应用。支持智能交互、智能操作、多机协作等关键技术研发，提升康复辅助器具、健康监测产品、养老监护装置、家庭服务机器人、日用辅助用品等适老产品的智能水平、实用性和安全性，开展家庭、社区、机构等多场景的试点试用。
加强老年科技的成果转化。利用现有资金渠道，支持老年用品关键技术和产品研发、成果转化、服务创新及应用推广，促进产业创新。支持在老年用品领域培育国家技术创新示范企业、“专精特新”企业、制造业单项冠军企业等，加强产学研用协同创新和关键共性技术产业化。加强老年用品领域知识产权保护，依法保护相关专利、商标和商誉等合法权益。
发展健康促进类康复辅助器具。加快人工智能、脑科学、虚拟现实、可穿戴等新技术在健康促进类康复辅助器具中的集成应用。发展外骨骼康复训练、认知障碍评估和训练、沟通训练、失禁康复训练、运动肌力和平衡训练、老年能力评估和日常活动训练等康复辅助器具。发展用药和护理提醒、呼吸辅助器具、睡眠障碍干预以及其他健康监测检测设备。
推广智慧健康养老产品应用。针对老年人康复训练、行为辅助、健康理疗和安全监护等需求，加大智能假肢、机器人等产品应用力度。开展智慧健康养老应用试点示范建设，建设众创、众包、众扶、众筹等创业支撑平台，建立一批智慧健康养老产业生态孵化器、加速器。编制智慧健康养老产品及服务推广目录，完善服务流程规范和评价指标体系，推动智慧健康养老规范化、标准化发展。
(十九)有序发展老年人普惠金融服务。
促进和规范发展第三支柱养老保险。支持商业保险机构开发商业养老保险和适合老年人的健康保险，引导全社会树立全生命周期的保险理念。引导商业保险机构加快研究开发适合居家护理、社区护理、机构护理等多样化护理需求的产品。研究建立寿险赔付责任与护理支付责任转换机制，支持被保险人在失能时提前获得保险金给付，用于护理费用支出。支持老年人住房反向抵押养老保险业务发展。积极推进老年人意外伤害保险。鼓励金融机构开发符合老年人特点的支付、储蓄、理财、信托、保险、公募基金等养老金融产品，研究完善金融等配套政策支持。加强涉老金融市场的风险管理，严禁金融机构误导老年人开展风险投资。
八、践行积极老龄观
(二十)创新发展老年教育。
加快发展城乡社区老年教育，支持各类有条件的学校举办老年大学(学校)、参与老年教育。鼓励养教结合创新实践，支持社区养老服务机构建设学习点。发挥社区教育办学网络的作用，办好家门口的老年教育。依托国家开放大学筹建国家老年大学，搭建全国老年教育资源共享和公共服务平台。推动各地开放大学举办“老年开放大学”，鼓励老年教育机构开展在线老年教育。创新机制，推动部门、行业企业、高校举办的老年大学面向社会开放办学。
(二十一)鼓励老年人继续发挥作用。
加强老年人就业服务。鼓励各地建立老年人才信息库，为有劳动意愿的老年人提供职业介绍、职业技能培训和创新创业指导服务。健全相关法律法规和政策，保障老年人劳动就业权益和创业权益。支持老年人依法依规从事经营和生产活动，兴办社会公益事业。按照单位按需聘请、个人自愿劳动原则，鼓励专业技术人才合理延长工作年限。
促进老年人社会参与。在全社会倡导积极老龄观，引导老年人根据自身情况，积极参与家庭、社区和社会发展。积极开展“银龄行动”，支持老年人参与文明实践、公益慈善、志愿服务、科教文卫等事业。建设高层次老年人才智库，在调查研究、咨询建言等方面发挥作用。鼓励和引导老年人在城乡社区建立基层老年协会等基层老年社会组织，搭建自我服务、自我管理、自我教育平台。指导和促进基层老年社会组织规范化建设。
(二十二)丰富老年人文体休闲生活。
扩大老年文化服务供给。改扩建或新建一批老年公共文体活动场所，支持通过公建民营、委托经营、购买服务等方式提高运营效率。鼓励编辑出版适合老年人的大字本图书，加强弘扬孝亲敬老美德的艺术作品创作，在广播电视和互联网播放平台增加播出，推出养老相关公益广告。搭建老年文化活动交流展示平台，支持老年文化团体和演出队伍登上乡村、社区舞台。鼓励和支持电影院、剧场等经营性文化娱乐场所增加面向老年人的优惠时段。
支持老年人参与体育健身。在体育公园、全民健身中心等公共体育设施布局中充分考虑老年人健身需求，加强配套运动场所和设施的规划建设。鼓励开发适合老年人的体育健身项目，搭建平台组织相关赛事和锻炼展示活动。发布老年人科学健身活动指南，根据差异化的身体素质推荐适合的运动项目和锻炼强度，推广中国传统保健体育运动。鼓励建立老年人全民健身志愿服务队伍，指导和帮助老年人科学开展各类体育健身项目。营造良性的体育健身消费环境，鼓励推出适合老年人的体育服装、锻炼器材等产品以及健身指导、竞赛参与等服务。
促进养老和旅游融合发展。引导各类旅游景区、度假区加强适老化建设和改造，建设康养旅游基地。鼓励企业开发老年特色旅游产品，拓展老年医疗旅游、老年观光旅游、老年乡村旅游等新业态。支持社会力量建设旅居养老旅游服务设施，结合各地自然禀赋，形成季节性地方推介目录，加强跨区域对接联动，打造旅居养老旅游市场。以健康状况取代年龄约束，修改完善相关规定。
九、营造老年友好型社会环境
(二十三)传承弘扬家庭孝亲敬老传统美德。
巩固和增强家庭养老功能。在全社会开展人口老龄化国情教育，积极践行社会主义核心价值观，传承弘扬“百善孝为先”的中华民族传统美德。建立常态化指导监督机制，督促赡养人履行赡养义务，防止欺老虐老弃老问题发生，将有能力赡养而拒不赡养老年人的违法行为纳入个人社会信用记录。支持地方制定具体措施，推动解决无监护人的特殊困难老年人监护保障问题。
完善家庭养老支持政策体系。将家庭照护者纳入养老护理员职业技能培训等范围，支持有关机构、行业协会开发公益课程并利用互联网平台等免费开放，依托基层群众性自治组织等提供指导，帮助老年人家庭成员提高照护能力。支持有条件的地区对分散供养特困人员中的高龄、失能、残疾老年人家庭实施居家适老化改造，配备辅助器具和防走失装置等设施设备。探索设立独生子女父母护理假制度。探索开展失能老年人家庭照护者“喘息服务”。
(二十四)推进公共环境无障碍和适老化改造。
提升社区和家庭适老化水平。有序推进城镇老旧小区改造，完成小区路面平整、出入口和通道无障碍改造、地面防滑处理等，在楼梯沿墙加装扶手，在楼层间安装挂壁式休息椅等，做好应急避险等安全防护。有条件的小区可建设凉亭、休闲座椅等。完善社区卫生服务中心、社区综合服务设施等的适老化改造。推动将适老化标准融入农村人居环境建设。鼓励有条件的地方对经济困难的失能、残疾、高龄等老年人家庭实施无障碍和适老化改造。
推动公共场所适老化改造。大力推进无障碍环境建设。加大城市道路、交通设施、公共交通工具等适老化改造力度，在机场、火车站、三级以上汽车客运站等公共场所为老年人设置专席以及绿色通道，加强对坡道、电梯、扶手等的改造，全面发展适老型智能交通体系，提供便捷舒适的老年人出行环境。推动街道乡镇、城乡社区公共服务环境适老化改造。
(二十五)建设兼顾老年人需求的智慧社会。
完善传统服务保障措施。对医疗、社保、民政、金融、电信、邮政、出入境、生活缴费等高频服务事项，设置必要的线下办事渠道并向基层延伸。公共服务场所应保留人工窗口和电话专线，为老年人保留一定数量的线下名额。加强身份证信息归集和数据互联互通，在更多领域推广“一证通行”。定期开展拒收现金专项治理。
推进智能化服务适应老年人需求。依托全国一体化政务服务平台，推进政务数据共享，优化线上线下政务服务，让老年人办事少跑腿。持续推进互联网网站、移动互联网应用适老化改造，优化界面交互、内容朗读、操作提示、语音辅助等功能，鼓励企业提供相关应用的“关怀模式”、“长辈模式”，将无障碍改造纳入日常更新维护。支持终端设备制造商、应用产品提供商、养老服务机构联动，促进上下游功能衔接。以市场力量为主体推动出台一批智能技术适老化改造标准。组织开展老年人运用智能技术教育培训，通过体验学习、尝试应用、经验交流、互助帮扶等，引导老年人了解新事物、体验新科技、运用新技术。严厉打击电信网络诈骗等违法犯罪行为。
长效解决“数字鸿沟”难题。发挥解决老年人运用智能技术困难工作部际联席会议制度作用，总结各地创新经验和举措，及时推广并适时形成政策文件。组织开展第三方评估，对各地公共服务适老化程度进行评价，相关结果纳入积极应对人口老龄化综合评估。
(二十六)培育敬老爱老助老社会风尚。
营造良好社会氛围。健全老年人权益保障机制，加强老龄法治建设，加大普法宣传教育力度。鼓励各地争创积极应对人口老龄化重点联系城市，开展全国示范性老年友好型社区创建活动，将老年友好型社会建设情况纳入文明城市评选的重要内容。加强老年人优待工作，鼓励各地推广与当地文化风俗、经济社会发展水平相适应的敬老爱老优待服务和活动。
积极发挥多方合力。建立健全为老志愿服务项目库，鼓励机构开发志愿服务项目，支持公益慈善类社会组织参与，引导在校生志愿服务和暑期实践、相关专业学生社会实习、社会爱心人士志愿服务等与老年人生活服务、健康服务、精神慰藉、法律援助等需求有效对接。围绕关爱老年人开展慈善募捐、慈善信托等慈善活动，依法加强对慈善组织和慈善活动的扶持和监管。
十、增强发展要素支撑体系
(二十七)推动有关培训疗养机构转型发展养老服务。
加大改革力度。按照“脱钩是原则、保留是例外”的要求，推动党政机关等所属培训疗养机构撤销或脱钩，资产统一划转至负责接收的国有企业，整合资源、统筹规划、整体转型。坚持“应改尽改、能转则转”的原则，推动党政机关、国有企事业单位所属培训疗养机构主要转型为普惠型养老服务设施，不得以养老名义经营其他业务。各地要建立绿色通道，本着尊重历史的原则，积极协调解决培训疗养机构转型问题。
强化示范引领。将培训疗养机构数量较多、分布集中的北京、大连、青岛、深圳、成都、杭州、秦皇岛、苏州、扬州、九江等确定为重点联系城市，支持更多符合条件的培训疗养机构转型，打造一批转型优质项目，纳入普惠养老专项行动，争取在2022年年底前基本投入运营。制定北戴河地区培训疗养机构转型发展养老服务规划，建设北戴河地区培训疗养机构转型发展养老服务集中示范区。
(二十八)完善用地用房支持政策。
科学规划布局新增用地。根据人口结构现状和老龄化发展趋势，因地制宜提出养老服务设施用地的规模、标准和布局。科学编制供地计划，分阶段供应规划确定的养老服务设施用地，并落实到年度建设用地供应计划，做到应保尽保。涉及新增建设用地的，在土地利用年度计划中优先予以安排。制定支持发展养老服务业的土地政策，以多种方式供应养老服务设施用地。
优化存量设施利用机制。在符合规划的前提下，支持利用存量场所改建养老服务设施，进一步简化和优化存量土地用途的变更程序。利用存量商业服务用地开展养老服务的，允许按照适老化设计要求适当放宽户均面积、租赁期限等土地和规划要求。养老服务机构所使用存量房屋在符合规划且不改变用地主体的条件下适用过渡期政策，五年内继续按原用途和权利类型使用土地。研究制定过渡期后顺畅接续的政策措施，稳定养老服务机构预期。出台支持依法利用集体建设用地发展养老服务的实施细则和工作指引，由养老服务机构与村集体约定土地使用和收益分配方案。
(二十九)强化财政资金和金融保障。
强化支持老龄事业发展和养老服务的资金保障。适应今后一段时期老龄事业发展的资金需求，完善老龄事业发展财政投入政策和多渠道筹资机制，继续加大中央预算内投资支持力度。民政部本级和地方各级政府用于社会福利事业的彩票公益金要加大倾斜力度，自2022年起将不低于55%的资金用于支持发展养老服务。鼓励地方在养老服务设施建设中同步考虑运营问题，确保后续发展可持续。各地要根据本地实际，研究制定可操作的运营补贴等激励政策，引导各类养老服务机构优先接收特殊困难老年人，鼓励对接收外地老年人的机构同等适用相应补贴政策。
推动税费优惠举措落地。落实落细支持养老服务发展的税费优惠政策。落实养老服务机构用电、用水、用气、用热享受居民价格政策，不得以土地、房屋性质等为理由拒绝执行相关价格政策，因难以计量等操作性原因无法执行的，探索应用大数据等技术手段予以解决。
拓宽金融支持养老服务渠道。鼓励金融机构按照市场化、法治化原则，提供差异化信贷支持，满足养老服务机构合理融资需求。鼓励探索以应收账款、动产、知识产权、股权等抵质押贷款，满足养老服务机构多样化融资需求。在依法合规、风险可控的前提下，审慎有序探索养老服务领域资产证券化，支持保险资金加大对养老服务业的投资力度，支持保险机构开发相关责任险及机构运营相关保险。
(三十)加强人才队伍建设。
完善人才激励政策。完善养老机构等级评定、质量评价等政策，鼓励聘用取得职业技能等级证书的养老护理员，推动行业专业化发展。完善养老护理员薪酬待遇和社会保险政策。建立基于岗位价值、能力素质、业绩贡献的工资分配机制，科学评价技能水平和业绩贡献，强化技能价值激励导向，促进养老护理员工资合理增长。对符合条件的养老护理员按规定给予职业技能鉴定补贴。支持城乡未继续升学初高中毕业生、农村转移就业劳动者、城镇登记失业人员等从事养老服务业，引导其取得职业技能等级证书，按规定获得补贴。建立健全从业人员和为老志愿服务激励褒扬机制。通过职业技能大赛等途径加大社会宣传，支持地方探索将行业紧缺、高技能的养老服务从业者纳入人才目录、积分落户、市民待遇等政策范围加以优待。
拓宽人才培养途径。优化养老服务专业设置，结合行业发展新业态，动态调整增设相关专业并完善教学标准体系，引导普通高校、职业院校、开放大学、成人高校等加大养老服务人才培养力度。积极稳妥推进1+X证书(“学历证书+若干职业技能等级证书”)制度。大力推进养老领域产教融合，培育一批产教融合型养老企业，支持院校和优质机构共建合办养老服务实训基地，探索将有条件的养老机构发展成实习实训点。大力发展老年学、养老服务管理、健康服务与管理、中医养生学相关专业本科教育。引导有条件的高校开设老年学、老年医学、老年护理学、老年心理学、老年社会学、老年营养学、老年服务与管理、老年社会工作等课程，鼓励高校自主培养积极应对人口老龄化相关领域的高水平人才，加大新技术新应用新业态的引才用人力度，为智慧健康养老、老龄科研、适老化产品研发制造等领域培养引进和储备专业人才。落实医师区域注册制度，鼓励医务人员到医养结合机构(同时具备医疗卫生资质和养老服务能力的医疗卫生机构或养老机构)执业。在养老机构举办的医疗机构中工作的医务人员，可参照执行基层医务人员相关激励政策。
十一、维护老年人合法权益
(三十一)加强市场主体行为监管。
落实市场主体信用承诺。建立健全养老服务机构备案信用承诺制度，备案申请人书面承诺养老服务机构按照有关法律法规和国家标准开展活动，书面承诺向社会公开，履约情况记入信用记录。督促养老服务机构落实主体责任，主动防范消除本机构在建筑、消防、食品、医疗卫生等方面的风险隐患，提高养老服务、安全管理、风险防控的能力和水平。
加强市场秩序监管。对未依法取得营业执照以市场主体名义从事养老服务经营活动、未经登记擅自以社会服务机构名义开展养老服务活动、未经登记管理机关核准登记擅自以事业单位法人名义开展养老服务活动等无证无照违法经营行为，加大依法打击查处力度。严禁利用养老服务机构设施和场地开展与养老服务无关的活动。指导养老服务机构按照国家有关规定和当事方协议约定提供服务，建立纠纷协商调解机制，引导老年人及其代理人依法维权。
(三十二)引领全行业规范健康发展。
健全养老服务综合监管制度。加强协同监管，健全各部门协调配合机制，实现违法线索互联、监管标准互通、处理结果互认，避免多头多层重复执法，切实减轻养老服务机构和从业人员负担。加强对养老服务机构的行为监管，严防欺老虐老行为。利用大数据分析等多种手段，创新开展智能监管，推动行业自律。建立“养老服务+信用”机制，充分运用全国信用信息共享平台、国家企业信用信息公示系统、中国社会组织政务服务平台，建立覆盖养老服务机构、从业人员的信用管理体系。
优化养老服务营商环境。完善养老机构备案办事指南，优化办事流程，实施并联服务，明确办理时限，推进“马上办、网上办、就近办”。制定养老服务领域政务服务事项清单，建立健全“好差评制度”，持续改进提升政务服务质量。推进要素市场制度建设，实现要素价格市场决定、流动自主有序、配置高效公平。
推进养老服务标准化建设。加快养老服务领域标准的制修订，研究制定一批与国际接轨、体现中国特色、适应服务管理需要的养老服务标准。加快建立全国统一的养老服务质量标准、等级评定与认证体系，推动养老机构服务安全基本规范、服务质量基本规范、等级划分与评定等国家标准的实施，引导养老服务机构通过养老服务质量认证。鼓励各地因地制宜制定养老服务相关地方标准，鼓励社会组织自主制定高于国家标准、行业标准技术要求的养老服务相关团体标准。积极参与养老服务领域国际标准化活动。支持养老服务领域行业组织和机构开展标准化管理。
(三十三)加强老年人消费权益保护。
切实防范各类侵权风险。加大联合执法力度，严厉查处老年人产品和服务消费领域的侵权行为，特别是向老年人欺诈销售各类产品和服务的违法行为。广泛开展老年人识骗防骗宣传教育活动，提升老年人抵御欺诈销售的意识和能力。加大养老诈骗重点防范和整治工作力度，做好政策宣传和风险提示，对涉嫌犯罪的依法打击。完善养老服务领域预付费管理制度，探索建立对预付费的资金监管机制。加强对金融机构开展养老服务领域金融产品和服务创新的监管。完善养老服务机构退出机制，指导退出机构妥善做好老年人服务协议解除、安置等工作，建立健全养老服务机构关停等特殊情况应急处置机制。
加强涉老矛盾纠纷化解和法律援助。充分发挥基层党组织、基层群众性自治组织、相关社会组织的作用，做好涉老矛盾纠纷预警、排查、化解。建立适老型诉讼服务机制。倡导律师事务所、公证机构、基层法律服务机构为老年人减免法律服务费用，为行动不便的老年人提供上门服务。做好特殊困难老年人的法律服务、法律援助和司法救助。完善老年人监护制度。
规范中高端机构养老发展。对建设、销售以老年人为主要居住群体的住宅或居住小区，要坚持以服务为本的功能定位，鼓励地方建立监管机制，落实信用承诺，强化日常监管，确保经营健康稳定可持续，严禁以养老之名“跑马圈地”。
十二、实施保障
(三十四)加强党的领导。
坚持党的集中统一领导，充分发挥党总揽全局、协调各方的领导核心作用，为规划实施提供坚强保障。强化各地落实规划的主体责任，加强对规划实施的组织、协调和督导，将本规划主要任务指标纳入当地经济社会发展规划，纳入为民办实事项目，纳入政府工作议事日程和目标责任考核内容。
(三十五)完善法治保障。
落实依法治国要求，依法保障老年人合法权益，推动制定养老服务法，构建以老年人权益保障、养老服务等法律为统领，行政法规、部门规章、规范性文件为主体，相关标准为支撑的养老服务政策法律体系，实现养老服务有法可依、有法必依。发挥养老服务法规在保护当事人权益、维护市场秩序、规范合同管理、调解处理服务纠纷等方面的重要作用。
(三十六)强化组织协调。
各省(自治区、直辖市)要根据人口老龄化发展形势，制定实施专项规划，加强与相关规划衔接。各级老龄工作委员会要发挥统筹协调作用，推动老龄工作委员会各成员单位履职尽责，形成工作合力。发挥养老服务联席会议制度作用，推进养老服务体系建设，强化区域养老服务资源统筹管理。支持城市群、都市圈打造养老服务体系一体化建设格局，形成服务能力衔接、产业发展协同的合作区域。支持大型城市和区域中心城市推动养老产业集聚发展，充分发挥辐射带动和示范作用。推动以地级行政区为单位制定“整体解决方案”，将老龄事业发展和养老服务体系建设纳入经济社会发展全局中通盘考虑，全方位整合资源力量，充分调动各方积极性，推动兜底性、普惠型、多样化三种路径协同发展。
(三十七)健全数据支撑。
Establish and improve the statistical indicator system for the cause of the elderly, and regularly issue a national bulletin on the development of the cause of the elderly.
Continue to carry out sample surveys on the living conditions of the elderly in urban and rural areas.
According to the statistical classification of the pension industry, carry out research on the identification method of the pension industry, and promote the annual statistics of important indicators.
Coordinate government affairs and social data resources in the field of elderly care services, strengthen the sharing of elderly-related data information among departments, rely on the national basic information database of population, etc., gather basic data sets such as social security for the elderly, elderly care service institutions, and elderly care practitioners, and build public demand-driven, A national pension data resource system supervised and managed by the government and participated by social forces.
Improve the database of electronic health records and electronic medical records, strengthen disease prediction and early warning, and provide personalized services for the health management of the elderly.
Encourage and guide multiple subjects to actively participate in the building of elderly health monitoring capabilities, and provide information support for elderly health status assessment and disease prevention and treatment.
Actively use think tanks and third-party power to strengthen basic research, promote multidisciplinary integration, carry out aging trend forecasts and prospects for the elderly care industry, and issue annual reports, white papers and other forms to serve industry development and guide social expectations.
Improve the expert consultation system for major decision-making in the cause of aging.
(38) Deepen international cooperation.
Fully liberalize the elderly care service market, carry out extensive international exchanges and cooperation, promote the implementation of a number of demonstration cooperation projects with advanced technology, innovative ideas, and model-driven models, and support my country's high-quality products and services to go global.
Promote the establishment and improvement of bilateral and multilateral cooperation mechanisms, explore cooperation with countries with relatively high levels of aging and relevant international organizations, and strengthen practical cooperation in policy exchanges, project docking, talent training, and academic research, so as to respond to population aging and international cooperation to promote the "Belt and Road Initiative" "The people are connected.
(39) Implement evaluation and assessment.
The National Development and Reform Commission, the Ministry of Civil Affairs, and the National Health Commission, together with relevant departments, strengthen the guidance and supervision of localities, and promptly inspect and report to the State Council the progress of the implementation of this plan.
Build a social supervision platform, improve the third-party evaluation mechanism, evaluate the implementation of this plan in a timely manner, and discover and solve outstanding problems in a timely manner.
Local governments at or above the county level shall, in accordance with the requirements of this plan and in light of the actual situation, refine relevant indicators, promote the implementation of tasks, and ensure that responsibilities are in place, work is in place, investment is in place, and results are seen.
Encourage all localities to actively explore, be creative and work creatively.