Guiding Opinions on Further Promoting the Development of the Combination of Medical Care and Nursing

  Guowei Aging Issue No. 25 [2022]

  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:

  Promoting the combination of medical care and elderly care is an important measure to optimize the supply of elderly health and elderly care services.

In recent years, the combination of medical and elderly care policies has been continuously improved and positive progress has been made, but there are still some difficulties and blocking problems in terms of policy support, service capabilities, and talent development.

All localities and relevant departments must adhere to the guidance of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, conscientiously implement the decisions and deployments of the CPC Central Committee and the State Council, further improve policies and measures, focus on solving difficult and blocking problems, promote the development of the combination of medical care and elderly care, and continuously meet the needs of the elderly. Health and aged care needs.

With the approval of the State Council, the following opinions are hereby offered:

1. Develop home-community medical and nursing services

(1)

Actively provide

home medical services.

All localities should establish and improve home medical service standards, technical guidelines and work procedures in light of actual conditions, clarify relevant policies, and support qualified medical and health institutions for home-based disabilities (including dementia, the same below), chronic diseases, advanced age, disabilities, etc. Elderly people who are really in difficulty are provided with home medical services such as home beds and door-to-door visits.

Promote "Internet + Medical Health" and "Internet + Nursing Services", and provide convenient home medical services for the elderly in need in innovative ways.

(The National Health and Health Commission, the Ministry of Industry and Information Technology, the National Administration of Traditional Chinese Medicine, and the National Bureau of Disease Control and Prevention are responsible for the division of responsibilities, and the local people's governments at all levels are responsible for implementation. The following all need to be implemented by the local people's governments at all levels, and will not be listed here)

(2)

Enhancing

the service capacity of community medical and elderly care services.

Implement the action to improve the ability of combining medical and nursing care in the community. Conditional community health service institutions, township health centers or community elderly care service institutions, and support service institutions for the extremely poor (home for the elderly) use existing resources to renovate and expand a number of community (township) medical care institutions. Combining service facilities, it focuses on providing combined medical and nursing services for the elderly with disabilities, chronic diseases, advanced age, disabilities, etc.

We will do a solid job in basic public health services, actively promote the implementation of services for the integration of elderly health and medical care, and strengthen the prevention and early intervention of geriatric diseases.

Give full play to the advantages of traditional Chinese medicine and integrated traditional Chinese and Western medicine in health care, chronic disease prevention and treatment, etc., and promote the introduction of traditional Chinese medicine into families, communities, and institutions.

Where conditions permit, the elderly can be vaccinated against influenza, pneumonia and other vaccines free of charge in accordance with the principles of informed, consent and voluntary.

On the basis of implementing the contracted services of family doctors for the elderly, steadily increase the coverage of family doctors contracted services for the elderly with disabilities, chronic diseases, advanced age, disabilities, etc.

(The National Health and Health Commission, the National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Finance, the Ministry of Natural Resources, the Ministry of Housing and Urban-Rural Development, the State Administration of Traditional Chinese Medicine, the National Bureau of Disease Control and Prevention, and the China Disabled Persons' Federation are responsible according to the division of responsibilities)

2. Encourage institutions to carry out in-depth medical and elderly care services

(3) Support medical and health institutions to carry out combined medical and elderly care services.

Encourage medical and health institutions to set up medical service sites in elderly care service institutions in accordance with laws and regulations to provide embedded medical and health services.

Promote medical and health institutions to expand on-site medical services to elderly care institutions, and provide services such as home hospital beds and door-to-door inspections for eligible elderly people living in elderly care institutions.

All localities should optimize the distribution of medical resources, strengthen the construction of rehabilitation hospitals, nursing homes (centers, stations) and palliative care institutions through new construction, reconstruction, expansion, transformation and development, etc., support the development of geriatric medicine and palliative care, and support medical resources. The transformation of second-level and below medical and health institutions in rich areas has been carried out to provide rehabilitation, nursing and integrated medical and nursing services.

Promote the construction of elderly-friendly medical and health institutions to facilitate the elderly to see a doctor.

Public medical and health institutions that provide home medical services, medical and elderly care combined contracting services, and second-level and below public medical and health institutions with abundant medical resources use existing beds to provide elderly care services. Relevant regulations must be strictly implemented, and the income should be included in the unified management of the income of medical and health institutions. .

(The National Health and Health Commission, the National Development and Reform Commission, the Ministry of Civil Affairs, and the State Administration of Traditional Chinese Medicine are responsible according to the division of responsibilities)

(4)

Improve the service capacity of the elderly care institutions in combination with medical care and elderly care.

All localities should take various measures such as differentiated subsidies on the basis of finding out the basics of the elderly such as disability, combined with their needs and willingness to live in, promote the renovation of elderly care institutions and increase the number of nursing beds and facilities, and support the construction of professional and large-scale social forces. . Elderly care institutions with outstanding ability to combine medical care and elderly care mainly receive disabled elderly people who need long-term care.

All localities should guide and support elderly care institutions and medical and health institutions to carry out contractual cooperation, provide elderly care institutions with services such as green channels for medical appointments, door-to-door inspections, etc., implement the cooperation mechanism and content, and improve the quality of contracting services for the combination of medical care and elderly care.

Encourage large-scale or mainly elderly care institutions that receive disabled elderly to set up medical and health institutions, and support internal medical and health institutions to strengthen capacity building and improve the quality of diagnosis and treatment services.

(The Ministry of Civil Affairs, the National Development and Reform Commission, the National Health Commission, the National Administration of Traditional Chinese Medicine, and the National Bureau of Disease Control are responsible according to the division of responsibilities)

3. Optimize service connection

(

5

)

Strengthen the sharing of medical and elderly care resources

.

All localities should promote the overall layout and resource sharing of public service facilities such as community medical and health care, elderly care services, and assistance to the disabled.

Promote the overall planning and adjacent construction of community health service institutions and community elderly care service institutions, community rehabilitation stations, township health centers and service institutions for the extremely poor (nursing homes), village clinics, rural happiness homes, and care institutions for the disabled, and adopt a variety of effective measures. way to achieve resource sharing and service connection.

Incorporate the medical and health institutions in the elderly care institutions into the management of the medical complex, and establish a two-way referral mechanism with the leading hospitals, rehabilitation hospitals, and nursing homes (centers, stations) in the medical complex to provide integrated and continuous services to achieve medical care. , efficient coordination of rehabilitation, nursing, and elderly care service resources.

The grassroots are encouraged to actively explore the mechanism for standardizing the on-demand conversion of old-age beds and medical beds in relevant institutions.

(The National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Natural Resources, the Ministry of Housing and Urban-Rural Development, the National Health Commission, the National Medical Insurance Administration, the National Administration of Traditional Chinese Medicine, the China Disabled Persons' Federation, etc. are responsible according to the division of responsibilities)

(

6

)

Actively play the role of informatization

.

Relying on the national health information platform and the "Jinmin Project", build a national health information management system for the elderly and a national elderly care service information system, comprehensively grasp the health and elderly care status of the elderly, and provide relevant services by grades and categories.

Implement the development action of the smart health and elderly care industry, develop products such as health management, elderly care, rehabilitation aids, traditional Chinese medicine digital intelligent products, and home service robots to meet the health and elderly care needs of the elderly.

(The National Health and Health Commission, the Ministry of Industry and Information Technology, the Ministry of Civil Affairs, and the State Administration of Traditional Chinese Medicine are responsible according to the division of responsibilities)

Fourth, improve the support policy

(

7

) Improve the price policy.

Public medical and health institutions provide door-to-door medical services for the elderly and other groups, and adopt the method of "medical service price + door-to-door service fee".

The medical services, medicines and medical consumables provided shall be subject to the medical price policy implemented by this medical and health institution.

The door-to-door service fee can be determined independently by public medical and health institutions considering factors such as service radius, labor cost, transportation cost, and supply and demand.

Service items that have been funded through family doctor contracts, long-term care insurance, etc. shall not be charged repeatedly.

Public medical and health institutions provide elderly care services, and income is separately accounted for or managed separately for auditing. Determined by tender.

(The National Development and Reform Commission, the National Health and Health Commission, the Ministry of Civil Affairs, the State Administration for Market Regulation, the National Medical Insurance Administration, etc. are responsible according to the division of responsibilities)

(

8

) Increase insurance support

.

In a timely manner, qualified medical and health institutions in elderly care institutions shall be included in the designated management of medical insurance.

According to the characteristics of the combination of medical care and elderly care, reasonably determine the control index of the total amount of medical insurance for the medical and health institutions in the elderly care institutions, explore the implementation of bed-day payment for diseases that require long-term hospitalization such as palliative care and medical rehabilitation and whose average daily cost is relatively stable, and encourage conditions Some localities prepay part of the medical insurance funds to designated medical and health institutions that provide medical and elderly care services.

According to the procedures, the eligible therapeutic medical service items are included in the medical insurance payment scope, and the basic medical insurance expenses that meet the requirements are paid in full.

Steadily advance the pilot program of the long-term care insurance system to meet the basic care security needs of the disabled elderly.

Commercial insurance is encouraged to include preventive health care, health management, rehabilitation, and nursing care for the elderly into the coverage.

(The National Medical Insurance Administration, the National Health and Health Commission, the Ministry of Civil Affairs, the Ministry of Finance, the China Banking and Insurance Regulatory Commission, the State Administration of Traditional Chinese Medicine, etc. are responsible according to the division of responsibilities)

(

9

) Revitalize land resources.

Medical and health land and social welfare land can be used for the construction of medical and nursing projects.

It is allowed to make full use of the existing idle commercial buildings, factories, school buildings, office buildings, training facilities and other facilities in cities and towns to provide medical and elderly care services, and apply the transitional period policy, and continue to use the land according to the original purpose and type of rights within five years.

Improve land support policies, and give priority to ensuring the land demand for medical and elderly care projects that receive disabled elderly people.

Allow and encourage rural collective construction land to be used for the construction of medical and elderly care projects.

(The Ministry of Natural Resources, the Ministry of Housing and Urban-Rural Development, the Ministry of Agriculture and Rural Affairs, the National Development and Reform Commission, the National Health and Health Commission, and the Ministry of Civil Affairs are responsible according to the division of responsibilities)

(

10

) Implement fiscal and tax incentives.

Where conditions permit, the integrated development of medical care and elderly care can be supported through relevant industrial investment funds.

Implement relevant preferential tax policies and support social forces to provide multi-level and diversified medical and elderly care services.

Through government procurement of services and other means, conduct a unified comprehensive assessment of the capabilities of the elderly, support eligible medical and health institutions to provide the elderly with services such as basic public health and family doctor signing, and support eligible elderly care institutions to provide basic elderly care, family Services such as contracting of aged care beds.

(The Ministry of Finance, the People's Bank of China, the State Administration of Taxation, the China Banking and Insurance Regulatory Commission, the National Health Commission, the Ministry of Civil Affairs, the National Medical Insurance Administration, and the National Center for Disease Control and Prevention are responsible according to the division of responsibilities)

5. Introducing and cultivating talents through multiple channels

(

11

)

Strengthen

personnel training and

training

.

Accelerate the cultivation of talents in shortage in medical and health care and elderly care services, and include medical talents in geriatrics, nursing, rehabilitation, general practice, elderly care workers, nursing home directors, elderly social workers and other elderly care service and management talents into relevant training programs.

Encourage general colleges and vocational colleges to add health and pension-related majors and courses, expand the scale of enrollment, and adapt to industry needs.

Vigorously carry out training in the field of combination of medical care and elderly care, give play to the role of relevant vocational skill level certificates, and further expand the training path for talent training that combines college training and institutional training.

Encourage the provision of medical and nursing service posts for teacher practice and student practice in relevant colleges and universities.

(Ministry of Education, Ministry of Human Resources and Social Security, National Health Commission, Ministry of Civil Affairs, State Administration of Traditional Chinese Medicine, etc. are responsible according to the division of responsibilities)

(

12

) Guide medical personnel to engage in medical and elderly care services.

The recruitment, use and training of grass-roots health personnel should be tilted towards medical and health institutions that provide combined medical and nursing services.

The total amount of performance-based wages shall be reasonably approved according to the situation of the combination of medical and elderly care services provided by public medical and health institutions.

In the internal performance distribution of public medical and health institutions, appropriate preference is given to medical personnel who have completed home medical services, combined medical and elderly care services, and other services.

Support medical staff, especially retired nurses with rich clinical experience, to practice in medical and health institutions that provide integrated medical and elderly care services, and to provide services in elderly care service institutions that provide integrated medical and elderly care services.

Encourage retired medical personnel to provide voluntary services to medical and health institutions and elderly care service institutions that provide combined medical and elderly care services.

(The National Health and Health Commission, the Ministry of Human Resources and Social Security, the Ministry of Education, the Ministry of Finance, and the Ministry of Civil Affairs are responsible according to the division of responsibilities)

(

13

) Strengthen the disabled care service team.

Improve the nursing ability and level of family caregivers of the disabled elderly by carrying out emergency rescue and nursing skills training.

Strengthen the training of medical nurses and nursing staff who mainly care for the disabled elderly.

Volunteers are encouraged to provide respite services to families caring for disabled seniors at home.

(The Ministry of Human Resources and Social Security, the National Health and Health Commission, the Ministry of Civil Affairs, the State Administration of Traditional Chinese Medicine, the Ministry of Emergency Response, and the Central Committee of the Communist Youth League are responsible according to the division of responsibilities)

6. Strengthen service supervision

(

14

)

Strengthen industry supervision.

Incorporate medical and elderly care services into the comprehensive supervision and quality work assessment of the medical and health industry and the elderly care service industry, and include medical and health institutions in elderly care institutions into the scope of "double random, one public" supervision and random inspection of medical and health institutions. The service is included in the scope of "double random, one open" supervision and random inspection of elderly care institutions, and guide relevant institutions to continuously optimize the combination of medical care and elderly care services.

All relevant departments should strengthen information sharing, improve the collaborative supervision mechanism in which each performs its own duties and responsibilities, cooperates with each other, and manages together, and strives to promote the resolution of outstanding problems affecting service quality and safety.

(The National Health Commission, the Ministry of Civil Affairs, the State Administration for Market Regulation, and the National Center for Disease Control and Prevention are responsible according to the division of responsibilities)

(15) Implement the responsibility for the prevention and control of infectious diseases and safe production.

The medical and health institutions established in the elderly care institutions shall strictly implement the requirements for the prevention and control of infectious diseases and infection prevention and control in medical institutions, properly arrange internal and external services, and resolutely prevent the spread of diseases.

The places where medical and health institutions provide elderly care services shall be managed in separate areas from the medical service areas, so as to be physically separated and set up independently.

During the outbreak of a major infectious disease in the region, the places where medical and health institutions provide elderly care services should be equipped with full-time medical personnel and other necessary staff according to the epidemic situation. In non-emergency situations, facilities, equipment and materials should not be used interchangeably with the medical service area. Use, to strictly implement prevention and control measures.

Relevant departments should strengthen supervision and guidance, promote the implementation of responsibilities, and resolutely prevent epidemic risks.

All localities should urge relevant institutions that provide combined medical and elderly care services to strictly implement the main responsibility for production safety and fire safety, eliminate potential safety hazards in a timely manner, and safeguard the life safety and legitimate rights and interests of the elderly.

It is strictly forbidden to use flammable and combustible color steel plate materials to build places with personnel activities.

Those who do not have safety production and fire safety conditions and have major safety hazards shall be dealt with in accordance with laws and regulations.

(Relevant departments are responsible according to the division of responsibilities)

  Relevant departments in all regions should strengthen organization and leadership, and incorporate the promotion of the combination of medical care and elderly care into economic and social development plans and related plans such as national health, medical and health service systems, the development of the cause of the elderly, and the elderly care service system.

Establish and improve the multi-departmental collaborative promotion mechanism, mobilize the broad participation of social forces, and promote the organic connection between medical care and nursing services based on elderly care services and support by medical and health services, and improve and implement various policies and measures.

The National Health and Health Commission, the Ministry of Civil Affairs and other departments have strengthened supervision and guidance on eliminating the difficulties and blockages in the combination of medical care and elderly care.

Strengthen policy training, publicity and guidance, organize and implement demonstration projects for the combination of medical care and elderly care, summarize and promote typical experiences in a timely manner, and promote the high-quality development of the combination of medical care and elderly care.

National Health Commission National Development and Reform Commission

Ministry of Education Ministry of Civil Affairs

Ministry of Finance Ministry of Human Resources and Social Security

Ministry of Natural Resources Ministry of Housing and Urban-Rural Development

Ministry of Emergency Management, State Administration for Market Regulation

National Medical Insurance Administration

July 18, 2022

1. What is the background for the promulgation of the "Guiding Opinions on Further Promoting the Development of the Integration of Medical Care and Nursing Care"?

  The Party Central Committee and the State Council attach great importance to the integration of medical care and elderly care.

The report of the 19th National Congress of the Communist Party of China clearly required that the combination of medical care and elderly care should be promoted, and the development of the aging cause and industry should be accelerated.

General Secretary Xi Jinping instructed at the meeting of the Political Bureau of the CPC Central Committee in May 2021 to speed up the construction of an elderly care service system and health support system that coordinate home-based community institutions and combine medical care, health care, and health care. , emphasizes speeding up the improvement of the social security system, old-age service system, and health support system.

Premier Li Keqiang has made important instructions on the combination of medical care and elderly care on many occasions.

Vice Premier Sun Chunlan has deployed many times to promote the integration of medical care and elderly care.

In recent years, positive progress has been made in the integration of medical care and elderly care, but there are still some difficulties and obstacles in terms of policy support, service supply, and team building.

In order to thoroughly implement the decisions and arrangements of the CPC Central Committee and the State Council, and earnestly implement the spirit of the National Working Conference on Aging, the National Health Commission and relevant departments have studied and drafted the "Guiding Opinions on Further Promoting the Development of Integrated Medical Care" (hereinafter referred to as the "Guiding Opinions") to promote Difficulties and blockages have been solved in various places, and the development of the combination of medical care and elderly care has been promoted.

2. How to develop home-community integrated medical and nursing services?

  Focusing on improving the accessibility of home and community medical services for the elderly, the "Guiding Opinions" proposes two measures: actively providing home medical services and enhancing the ability to combine medical care and elderly care services in the community.

Support qualified medical and health institutions to provide home medical services such as home sickbeds and door-to-door visits for elderly people with disabilities (including dementia, the same below), chronic diseases, advanced age, disabilities, etc. who have limited mobility or have real difficulties.

Implement the action to improve the ability of combining medical care and elderly care in the community. Conditional community health service institutions, township health centers or community elderly care service institutions, and support service institutions for the extremely poor (home for the elderly) use existing resources to internally renovate and expand a number of community (township) medical care institutions Combined with service facilities, the focus is on providing combined medical and nursing services for the elderly with disabilities, chronic diseases, advanced age, disabilities, etc.

Promote the introduction of traditional Chinese medicine into families, communities and institutions.

3. How to support medical and health institutions to carry out medical and elderly care services?

  The "Guiding Opinions" propose that medical and health institutions are encouraged to set up medical service sites in elderly care service institutions in accordance with laws and regulations to provide embedded medical and health services.

Promote medical and health institutions to expand on-site medical services to elderly care institutions, and provide services such as home hospital beds and door-to-door inspections for eligible elderly people living in elderly care institutions.

All localities should optimize the distribution of medical resources, strengthen the construction of rehabilitation hospitals, nursing homes (centers, stations) and palliative care institutions through new construction, reconstruction, expansion, transformation and development, etc., support the development of geriatric medicine and palliative care, and support medical resources. The transformation of second-level and below medical and health institutions in rich areas has been carried out to provide rehabilitation, nursing and integrated medical and nursing services.

Promote the construction of elderly-friendly medical and health institutions to facilitate the elderly to see a doctor.

At the same time, public medical and health institutions that provide home medical services, medical and elderly care combined contracting services, and second-level and below public medical and health institutions with abundant medical resources use existing beds to provide elderly care services. Relevant regulations must be strictly implemented, and income should be included in the income of medical and health institutions. Unified management.

4. What are the measures to strengthen the sharing of medical and elderly care resources?

  Focusing on the overall utilization of service resources such as medical care and elderly care, and optimizing the connection of services, the "Guiding Opinions" proposes that all localities should promote the overall layout and resource sharing of public service facilities such as community medical care, elderly care services, and disability assistance.

Promote the overall planning and adjacent construction of community health service institutions and community elderly care service institutions, community rehabilitation stations, township health centers and service institutions for the extremely poor (nursing homes), village clinics, rural happiness homes, and care institutions for the disabled, and adopt a variety of effective measures. way to achieve resource sharing and service connection.

Incorporate the medical and health institutions in the elderly care institutions into the management of the medical complex, and establish a two-way referral mechanism with the leading hospitals, rehabilitation hospitals, and nursing homes (centers, stations) in the medical complex to provide integrated and continuous services to achieve medical care. , efficient coordination of rehabilitation, nursing, and elderly care service resources.

The grassroots are encouraged to actively explore the mechanism for standardizing the on-demand conversion of old-age beds and medical beds in relevant institutions.

5. What support policies have been improved?

  In response to the actual difficulties faced by the construction and operation of medical and elderly care institutions, the "Guiding Opinions" proposes four measures, including improving price policies, increasing insurance support, revitalizing land resources, and implementing fiscal and tax incentives.

Public medical and health institutions provide door-to-door medical services for the elderly and other groups, and adopt the method of "medical service price door-to-door service fee".

The medical services, medicines and medical consumables provided shall be subject to the medical price policy implemented by this medical and health institution.

The door-to-door service fee can be determined independently by public medical and health institutions considering factors such as service radius, labor cost, transportation cost, and supply and demand.

In a timely manner, qualified medical and health institutions in elderly care institutions shall be included in the designated management of medical insurance.

Reasonably determine the control indicators for the total amount of medical insurance for the medical and health institutions in the pension institutions.

Encourage qualified places to prepay part of the medical insurance funds to designated medical and health institutions that provide combined medical and elderly care services.

Priority should be given to ensuring the land demand for medical and elderly care projects that receive disabled elderly people.

Allow and encourage rural collective construction land to be used for the construction of medical and elderly care projects.

6. How to strengthen the construction of personnel team?

  Focusing on expanding the service team and improving the enthusiasm of medical staff to engage in combined medical and elderly care services, the "Guiding Opinions" proposes three measures to strengthen personnel training and training, guide medical staff to engage in combined medical and elderly care services, and expand the disabled care service team.

Accelerate the cultivation of talents in short supply in medical and health care and elderly care services, encourage general colleges and vocational colleges to add health and elderly care-related majors and courses, and expand the scale of enrollment.

Vigorously carry out training in the field of medical and elderly care integration, and give play to the role of relevant vocational skill level certificates.

The recruitment, use and training of grass-roots health personnel should be tilted towards medical and health institutions that provide combined medical and nursing services.

The total amount of performance-based wages shall be reasonably approved according to the situation of the combination of medical and elderly care services provided by public medical and health institutions.

In the internal performance distribution of public medical and health institutions, appropriate preference is given to medical personnel who have completed home medical services, combined medical and elderly care services, and other services.

Improve the nursing ability and level of family caregivers of the disabled elderly by carrying out emergency rescue and nursing skills training.

Strengthen the training of medical nurses and nursing staff who mainly care for the disabled elderly.

7. What are the requirements for strengthening industry supervision?

  Focusing on the implementation of industry supervision responsibilities, the "Guiding Opinions" clarifies that the combination of medical and elderly care services is included in the comprehensive supervision and quality work assessment of the medical and health industry and the elderly care service industry, and the medical and health institutions within the elderly care institutions are included in the medical and health institutions. The scope of "open" supervision and random inspections shall be included, and the elderly care services provided by medical and health institutions shall be included in the scope of "double random and one open" supervision and random inspections of elderly care institutions, and relevant institutions shall be guided to continuously optimize the combination of medical and elderly care services.

All relevant departments should strengthen information sharing, improve the collaborative supervision mechanism in which each performs its own duties and responsibilities, cooperates with each other, and manages together, and strives to promote the resolution of outstanding problems affecting service quality and safety.

8. How to promote the implementation of various policies and measures?

  The "Guiding Opinions" require that all relevant departments in all regions should strengthen organizational leadership, and incorporate the promotion of the combination of medical care and elderly care into economic and social development plans and related plans for national health, medical and health service systems, the development of the cause of the elderly, and the elderly care service system.

Establish and improve the multi-departmental collaborative promotion mechanism, mobilize the broad participation of social forces, and promote the organic connection between medical care and nursing services based on elderly care services and support by medical and health services, and improve and implement various policies and measures.

The National Health and Health Commission, the Ministry of Civil Affairs and other departments have strengthened supervision and guidance on eliminating the difficulties and blockages in the combination of medical care and elderly care.

Strengthen policy training, publicity and guidance, organize and implement demonstration projects for the combination of medical care and elderly care, summarize and promote typical experiences in a timely manner, and promote the high-quality development of the combination of medical care and elderly care.