National hot spot in 2020: combination of medical and nursing care

The combination of medical care and nursing care is a long-term solution to the aging population

China is one of the countries with high degree of population aging in the world. According to national statistics, by the end of 2019, China had more than 250 million people aged 60 or above, accounting for 18.1 percent of the total population. Among them, more than 40 million disabled or partially disabled elderly people.

"The combination of medical and health care services and elderly care services is a major livelihood issue that is widely concerned by all sectors of society, and is a long-term solution to actively deal with the aging of the population." Li Bin, a member of the National Committee of the Chinese People's Political Consultative Conference (CPPCC) and vice chairman of Guangxi Zhuang Autonomous Region, called for further strengthening the combination of medical care and nursing care at the national two sessions.

Li suggested that the national level should strengthen top-level design and formulate and improve relevant policies. "Governments at all levels should set up specialized coordination organizations for medical and nursing services, make overall plans for the layout of combined medical and nursing services, and make a scientific and reasonable layout of various types of combined medical and nursing public service facilities."

For health obstacle to the settlement of problems have combined with institutions, li puts forward, relevant state departments to further perfect the relevant supporting policies, develop the medical insurance reimbursement in combination, detailed measures in aspects of medical and health institutions door-to-door service, clear responsibilities, reduce the invisible threshold into health care, will be eligible pension institutions with medical institutions into health care networks and settlement, We will increase subsidies for old-age services provided by medical institutions, and include medical expenses that meet the regulations into the coverage of medical insurance.

"Government entities at all levels shall combine medical raise money service included in the budget, set up the medical combined with special allowance funds, to public pension agency set up medical institutions, private pension institutions set up medical institutions and medical agencies developing endowment services according to different categories such as subsidies for construction and operation, to encourage and facilitate the social from all walks of life to develop the medical have combined with the agency." "Li Bin suggested.

Medical and nursing services for the elderly with disabilities, disabilities, mental disabilities and only children will be included in medical insurance

At present, China's aging population and its accompanying health problems have brought severe challenges to the current pension model, the traditional home care and medical care separation of institutional pension model, has been unable to meet the needs of China's rapidly aging population.

According to the National Health Commission, more than 180 million elderly people in China suffer from chronic diseases, with the proportion of those suffering from one or more chronic diseases reaching up to 75 percent.

The CPPCC national committee hessler, combines facilities complete, fully functional medical agencies into the medical insurance fixed-point range, will focus on loss of intellectual, alone, disability, elderly medical services and medical cost gradually into the scope of coverage, increased cortical and loss of independence, in a planned way to personnel into the basic medical insurance to pay limits of medical rehabilitation project.

"In 2019, we organized medical staff to conduct free medical consultations for the elderly in a number of nursing homes. The results showed that 60 percent of the elderly who received eye health examinations were found to have dry eyes, and some were found to have eye diseases such as cataracts and floaters, including dementia, losing their only child and disability."

Hessler commissioner said, at present, our country endowment problem is the main contradiction of elderly population increase, but insufficient endowment service resources, focus on key crowd is not enough, not clear about the loss of intellectual, alone, disability and other special personnel d have combined with concrete Suggestions and operational methods, d combined with integrity, a long-term plan needs to be improved.

To this end, Committee Member He Wei suggested that the bottleneck in the management of the combination of medical and nursing care should be broken through, and the work coordination between government departments should be strengthened. The departments of health, civil affairs, human resources and social security, and medical insurance should jointly issue relevant policies for the development of the combination of medical and nursing care, and provide support for the approval and access, industry management, personnel training, and service purchase of the combination of medical and nursing care institutions.

"We should actively promote the combination of medical care and elderly care, establish evaluation standards for the elderly with dementia and disability, and provide financial subsidies to such families according to the standards. According to the assessment grade, a part of the elderly with dementia and disability can be accepted by hospitals and nursing homes. At the same time, we will expand the coverage of old-age subsidies to include the elderly with dementia and disability in rural areas." Member Hessler said.

He also suggested simplifying the approval and registration of medical and elderly care institutions, expanding channels for resource allocation, encouraging private capital to participate in the elderly care service industry, promoting the establishment of a market-based pension mechanism, and establishing a long-term mechanism in which medical and elderly care institutions complement each other and share benefits, so as to ensure the lasting operation of such institutions.

"It is suggested to implement the preferential policies of medical institutions to carry out old-age services and promote the effective combination of medical and old-age services. In terms of preferential taxes and fees, the social organizations that have been identified as non-profit organizations will enjoy preferential policies on property tax and urban land use tax, guarantee the land for the construction and development of the institutions, and provide corresponding financial and policy support." Member Hessler said.

We will encourage community-level medical institutions to provide combined medical and nursing care services

In order to solve the problem that medical institutions can not provide for the aged and pension institutions can not see a doctor, in recent years, all parts of the country are exploring a new model of combining medical care with health care, to crack the "blockage" and "pain" in the elderly service.

Hu Ye, a deputy to the National People's Congress and director of the Internet of Things Standardization Institute of the Jiangsu Institute of Quality and Standardization, pointed out that there are still many problems and obstacles in the practical promotion of the combination of medical care and care. He suggested that primary medical institutions be encouraged to provide integrated medical and nursing services.

In recent years, the national level has strengthened the top-level design of the combination of medical care and nursing care, incorporated the work into the outline of the "Healthy China 2030" plan and the "13th Five-Year Plan" Plan for the Development of the National Undertakings for the Elderly and the Construction of the Old-age Care System, and intensified efforts to organize and carry out pilot projects of the combination of medical care and nursing care, which has achieved significant results.

According to hu Ye's research, there are still many problems and obstacles in the practical progress of medical integration. The main problems are as follows: the number of medical integration institutions is insufficient, and the supply of nursing beds is in short supply; Grassroots medical and health institutions and elderly care institutions are not close enough; Nursing services into the family lack of technical standards and norms, there are practicing risks; The professional level of the elderly care service team is not high, and the income and social status of the frontline staff in the elderly care service are low. As a result, the graduates of related majors are unwilling to engage in the elderly care work for a long time, and the turnover rate is high. Most of the employees are surplus rural labor force, and it is difficult to provide professional services.

Hu suggested that primary medical institutions should be encouraged to provide combined medical and nursing services, which can not only enhance their medical functions, but also make up for the lack of business. Encouraging community (township) health centers to set up geriatric departments to provide "combining medical care with nursing care and focusing on medical care" services for the elderly who need treatment all year long; We will relax the practice location of primary care workers, encourage them to work or work part-time in institutions for the elderly, and provide services that "combine medical care with nursing care, with nursing being the main focus" for the elderly with general illness. The medical insurance sector provides regulations and services for the combination of medical and nursing care.

Promoting the integration of medical care and nursing care to provide support for the elderly

With the increasing aging of population in China, the elderly population in Kenli District is increasing year by year. The traditional pension model cannot meet the growing demand." This year on the two sessions of Kenli District, the CPPCC member, Kenli District people's Hospital in the five department director Chen Xu brought a proposal on accelerating the promotion of my district "medical care combined" pension model.

The elderly are prone to a variety of geriatric diseases. As an innovative mode of social pension, the combination of medical and nursing technology and elderly care services meets the special needs of the elderly, improves the quality of life of the elderly and ADAPTS to the trend of aging development. At present, the new old-age care mode of "combining medical care with nursing care" has manifested its superiority in the society. Therefore, it is necessary to accelerate the promotion of the district "medical care combined" pension model.

To this, Chen xu suggested:

First, the government should play a leading role in improving the "combination of medical and nursing care" elements to meet the multi-level market demand and mobilize social forces to participate;

The second is to establish a large "combination of medical and nursing" service institutions, strengthen the construction of professional medical nursing staff;

Third, actively promote the family ward construction, accelerate the establishment of family ward system;

Fourth, carry out a variety of ways to combine medical care, such as nursing homes and hospitals signed cooperation, family doctors signed services, community clinics and village-run nursing homes cooperation and other models.

Fifth, we will accelerate the construction of both houses of Parliament, actively explore the establishment of a mechanism for the participation of social forces, organically integrate the government, profit-making organizations and non-profit organizations, and give full play to the enthusiasm and initiative of all sectors of society to solve the problem of elderly care.

We will promote combined development of medical and elderly care services and improve our ability to provide services for the elderly

At present, the old-age care and medical system is in its initial stage, and the elderly's needs for old-age care and medical care also show a trend of diversification. How to meet the needs of different elderly people for old-age care and medical care has become a problem to be solved.

To this end, Zhao Jincheng, the representative of Binzhou People's Congress and the chairman of Binzhou Aerospace Trading Co., LTD., suggested that the whole city should set up the concept of big health, based on the advantages of Binzhou ecological environment, actively expand health and elderly care services, constantly meet the needs of elderly care services, and continue to improve the work level of binzhou's combination of medical and elderly care.

Zhao Jincheng suggested strengthening in-depth research and comprehensive demonstration of the city's medical and health system and elderly care service system, speeding up the formulation of the city's overall plan for the combination of medical and elderly care, reserve space for development, and effectively do a good job in the planning and connection of elderly care institutions and medical institutions. At the same time, we should innovate the system and mechanism. The combination of medical care and nursing involves the functions of multiple departments, which need to cooperate with each other and promote coordinately. Proposed medical combining work leading group, set up a sound to lead, participate in the leadership of the municipal government in charge of the medical system of joint conference for combination, integrate straighten hair change, finance, civil affairs, WeiJian, health and other departments of medical combined with related functions, overall coordination, strengthen cooperation, coordinate to solve the city's medical combined with the difficulties and problems in the work.

Zhao jincheng also suggested to increase policy support, continue to optimize the business environment, for the combination of medical and nursing investment projects to do one-time notification, one-stop service, a deadline to complete. "Nanny-style" and "shop minor" services are provided for the investment promotion projects combined with medical and nursing care. The advanced pre-examination system is implemented. In the planning and declaration stage of the projects combined with medical and nursing care, early intervention and field investigation are carried out to ensure that guidance and service come first, so as to ensure the early landing and early production of the projects.

In order to improve the quality of the recommendations, Zhao Jincheng often contact with voters, in-depth the actual investigation and study, tries to find problems to the point, practical advice, "glad to be able to attend the meeting, these Suggestions and proposal, I do a lot of research, I am a communist party member, the people's congress, is supposed to be the leader of the masses, for the construction of binzhou I should actively to make due contributions." Zhao jincheng said.

The Combination of medical care and Nursing should construct its own standard and clarify "medical care" and "nursing"

In 20 of the theme of "advancing medical have combined with improving the quality of health care of" round table on the BBS, shenyang WeiJianWei d a combination of office, medical director of the panel group leader Xu Weihua said the pension is actually a process, to provide services for the elderly pension field should contain the daily life of the elderly, nutrilite tesco swim etc aspects of content, only in this way, To support the entire pension system.

Elderly care services cannot be separated from the combination of medical care and nursing care. Xu weihua said that the combination of medical care and nursing care should be divided into broad and narrow categories. Broadly, it means to serve all the elderly. In the narrow sense, it means to serve specific target groups, such as elderly people with disabilities and disabilities, who are in urgent need of medical care services.

"Combined medical and nursing care services are designed to help meet the specified needs of the elderly." Xu weihua said the combination of medical care and care is a basic and important guarantee to help the elderly live comfortably and with dignity at the end of their lives. He suggested that the construction of a standard system for combining medical and nursing care, and do a good job of positioning the combination of medical and nursing care.

In addition to establishing standards, Xu said the combination also needs to determine the service subject, the service scenario, the service content and the payment method.

In terms of service subjects, Xu Weihua introduced that the main body of medical and elderly care services is a combination of medical and elderly care institutions, which have both medical and health qualifications and the ability to provide elderly care services. Only when the main body of medical care service can be clarified, the attributes and responsibilities of the medical care combined institution can be clarified. Second, the combination of medical and nursing services, Xu weihua believes, can be done at home, can also be done in communities and institutions. Only in this way can the combined medical and nursing services be extended to thousands of families around the elderly.

With the service subject and service scene, how to do well the medical care service content? Xu Weihua said, we must make it clear that medical care is medical care, maintenance is maintenance, and medical care is medical care. "Because the health service and the elderly service are two complete systems, there is a clear line between them.

He said that medical care has its own standards, norms and payment systems, as does old-age care. Therefore, I suggest that the combination of medical and nursing care must establish its own service standards, service systems and service norms, so as to produce specific service content.

Xu weihua suggested that long-term care insurance should be involved in the payment method for combined medical and nursing services. Long-term care insurance, he says, is a stand-alone model that is not tied to Medicare, so the payment model can support the cause going forward.

We will promote combined development of medical and elderly care services and improve services for the elderly

Due to the development of economy and society and the progress of medical science, the birth rate and death rate of the population have declined substantially, the average life expectancy of human beings has been increasing, and the population structure tends to be aging. In the process of promoting the work of combining medical and elderly care, there are still many difficulties, such as the need to further connect medical and health services and elderly care services, the quality of combined medical and elderly care services to be improved, and the relevant supporting policies and measures to be further improved.

Advice:

First, straighten out the mechanism and introduce efficient medical care policies. Clarify the idea, clear the responsibility, straighten out the planning, all departments cooperate with the mechanism, fully consider the feasibility and operability of the measures to promote, implement and improve the support policy, fundamentally solve the operation problem of the combination of medical and nursing.

Second, the construction of hardware facilities and talent team, steadily improve the level of medical care. Improve the infrastructure construction of social welfare centers, increase medical and rehabilitation facilities, introduce professional teams to undertake management and operation, and improve the quality of service; We will support private old-age care institutions and private medical institutions, carry out combined medical and elderly care services for old-age service organizations, increase publicity, change the social concept of old-age care, and drive development by demand.

Third, strengthen cooperation and develop a new model of combining medical care with nursing care. Community nursing homes for the aged and medical institutions carry out matching support, cooperation and joint construction mechanisms to provide the elderly with hospitalization services during treatment and nursing services during rehabilitation. Elderly care institutions that do not have the conditions for setting up medical institutions or have weak medical service capacity sign cooperation agreements with surrounding medical institutions or have their infirmary held by competent medical institutions. Relying on various community health service stations in The region, the seamless connection between primary medical and health institutions and community home care institutions for the elderly will be realized, providing integrated medical and maintenance services for the elderly.

Source: Pension Industry Research