Responding to Aging and Caring for Sunset Red (Ten Years of People's Health)
By the end of 2021, 1.03 billion people nationwide have participated in basic old-age insurance, 1.36 billion people have been covered by basic medical insurance, the insurance participation rate has stabilized at over 95%, and universal medical insurance has basically been achieved; there are 6,492 medical and elderly care institutions with complete two certificates nationwide, with a total number of institutional beds. 1.75 million copies, nearly 79,000 medical care contracts...
Since the 18th National Congress of the Communist Party of China, China has accelerated the improvement of the three systems of social security, elderly care services, and health support for the elderly, striving to build an elderly-friendly society. The work of healthy aging has been steadily advanced, and the positive concept of aging has gradually taken root in the hearts of the people. Significant progress has been made in aging work. and effectiveness.
Focus on "Senior Care"
Speed up the construction of the elderly care service system
According to data from the National Health and Medical Commission, by the end of 2021, the number of elderly people aged 60 and above in China will reach 267 million, accounting for 18.9% of the total population; the number of elderly people aged 65 and above will reach more than 200 million, accounting for 14.2% of the total population.
According to estimates, it is estimated that during the "14th Five-Year Plan" period, the total population of elderly people aged 60 and above will exceed 300 million, accounting for more than 20%, entering a stage of moderate aging.
With the rapid development of population aging, the construction of elderly care service system is increasingly important and urgent.
"The old-age service system is one of the three major systems to implement the national strategy to actively respond to population aging, focusing on solving the problem of 'the old are supported'." Li Yongxin, deputy director of the Ministry of Civil Affairs, said that since the 18th National Congress of the Communist Party of China, the China's elderly care service policies and systems have been introduced intensively, and great progress has been made in the construction of the elderly care service system.
"From 2012 to 2021, the central government has invested a total of 35.9 billion yuan to support the construction of elderly care service facilities. As of now, community elderly care services have basically covered urban communities and more than half of rural communities. As of the first quarter of 2022, various elderly care service institutions and facilities nationwide. There are 360,000 beds and 8.126 million beds, nearly double the number of beds at the end of 2012." Li Yongxin introduced that China has promoted the comprehensive liberalization of the elderly care service market, and has successively introduced preferential support policies such as land supply, tax concessions, and financial subsidies.
Special actions and pilot projects such as the reform of home-based and community-based elderly care services, the reform of public elderly care institutions, and the renovation and improvement of nursing homes have been continuously implemented.
In terms of improving the quality of elderly care services, China has established a standard system for elderly care services, basically forming a unified national service quality standard and evaluation system.
Relevant departments carried out a 4-year national nursing home service quality construction special campaign, and rectified 422,000 hidden dangers in services; implemented fire safety compliance improvement projects for private pension institutions for 3 consecutive years; carried out special rectification of pension fraud such as illegal fundraising, and severely cracked down on a small number of illegal Institutions and bullying and abuse of the elderly make the elderly safer and more secure in elderly care services.
Meet diverse needs
Community aged care services are more convenient
Among the many pension models, home-based pension and community-based pension are more favored by the elderly.
At present, most of the elderly in China choose home and community-based care, forming a "9073" pattern. About 90% of the elderly care at home, about 7% of the elderly rely on community support, and 3% of the elderly live in elderly care institutions.
"We insist on implementing the national strategy of actively responding to population aging in all aspects of urban planning, construction and management, and take multiple measures to promote the construction of community elderly care service facilities, so as to provide the elderly with services that are nearby and at their doorstep." Ministry of Housing and Urban-Rural Development Zhang Yan, deputy director of the Department of Building Energy Efficiency and Technology, said.
Improve standards and norms, find out problems and shortcomings, and speed up facility construction... In recent years, the Ministry of Housing and Urban-Rural Development has issued standards and norms such as the "Urban Elderly Facilities Planning Specifications", organized and carried out surveys and researches on basic public services such as community-based elderly care, and supplemented elderly care services according to local conditions. Facility construction shortcomings.
From 2019 to 2021, all localities will promote the installation of 51,000 elevators in existing residential buildings in the renovation of old communities; from 2020 to the first half of 2022, about 36,000 service facilities such as community pensions and meals will be built and renovated in various places, which is better Meet the multi-level and diverse needs of the elderly.
"As of the first quarter of 2022, there were 320,000 community elderly care service institutions and facilities nationwide, with 3.08 million beds, accounting for 88.9% and 38% of the number of facilities and beds in the country's elderly care service institutions, respectively." Li Yongxin introduced that in recent years, The Ministry of Civil Affairs actively complies with the desire of the elderly to rely on the community for home-based care, and constantly promotes the development of care services to focus on home-based communities. Sub-district (township) regional elderly care service centers and community-embedded elderly care service institutions.
During the "13th Five-Year Plan" period, the central special lottery public welfare fund invested 5 billion yuan to support 203 regions to carry out pilot reform of home-based community elderly care services; in 2021 and 2022, 2.2 billion yuan was invested to support 84 regions to carry out basic home-based community elderly care services improvement actions. Promote the exploration of the formation of family pension beds, and service models such as meal assistance, bath assistance, cleaning assistance, medical assistance, walking assistance, and emergency assistance to meet the diverse elderly care needs of the elderly.
Aiming for "Healthy Longevity"
The combination of medical care and nursing has achieved positive results
There are elderly people in every family, everyone will get old, and the elderly are most concerned about health issues.
The combination of medical and nursing care integrates pension and medical resources, and is very popular among the elderly.
In recent years, the state has continued to promote the integration of medical care and elderly care to meet the diverse needs of the elderly at multiple levels.
In order to get rid of the difficulties and blockages that restrict the development of the combination of medical care and elderly care, in July this year, the National Health and Medical Commission issued the "Guiding Opinions on Further Promoting the Development of the Integrated Medical Care and Nursing Care", and introduced a series of targeted measures.
"We have formulated three standard specifications: the management guidelines for medical and elderly care institutions, the service guidelines for medical and elderly care institutions, and the service guidelines for medical and elderly care contracting cooperation. It should be said that the standard and normative system for the combination of medical and elderly care has been initially established." According to Wang Haidong, China has incorporated elderly health and medical care combined services into basic public health service items, increased the supply of home and community medical care combined services, and organized pilot projects for elderly health and medical care combined with remote collaborative services.
By the end of 2021, the number of medical and elderly care contracts nationwide was 6.6 times that of 2017;
"Healthy aging is the lowest cost and the best way to deal with population aging." Wang Haidong said, in simple terms, healthy aging refers to maintaining the internal ability of the elderly, improving the external environment of the elderly, and prolonging the aging of the elderly. Healthy life expectancy.
To this end, China has carried out health promotion actions for the elderly, adopted various methods to strengthen health education for the elderly, and continuously improved the level of health management and services for the elderly.
In 2021, about 120 million seniors aged 65 and over will receive health management services in urban and rural communities.
At the same time, relevant departments promote the construction of elderly-friendly medical institutions and implement measures to facilitate the elderly to seek medical treatment.
By the end of 2021, there will be 4,685 general hospitals above the second level with geriatric medicine departments, about 21,000 elderly-friendly medical and health institutions, and more than 1,000 medical and health institutions with palliative care departments.
Wang Haidong introduced that in the next step, we will continue to do a good job in preventive health care, medical services, and health care for the elderly, improve the active health ability of the elderly, improve the health literacy and health level of the elderly, and make the elderly less sick, later sick, and less serious.
Wang Meihua