Re: Shandong faces three of aging: promote health care and promote healthy aging.
in order to improve the vitality of public pension institutions, Shandong also explored the private and management separation mode of the public pension institutions, and improved the professional level and efficiency of the old-age service through the government's purchase of services. Binzhou city let the hospital directly into the pension institutions, in the social pension service center in Bincheng, the third floor of the nursing home is the branch of the municipal hospital in Bincheng, and the social welfare center of Linyi County in Dezhou is operated by a Qingdao company.
the National Congress of the National People's Congress (NPC) and the general manager of Shandong provincial commercial group Co., Ltd., at the two sessions of the National Congress of the National People's Republic of China, in the Shandong delegation, gave three suggestions to Premier Li Keqiang on the innovation of the service for the aged.
Ling Pei theory, after listening to his speech, the prime minister asked, "what kind of enterprise you are," "I replied that we are state-owned enterprises, belong to state owned enterprises, not financial money, state-owned enterprises have some advantages to do pension industry, such as brand, capital, credibility and social responsibility, etc."
Ling Pei theory, the prime minister gave an affirmative to the old-age innovation model in his speech, and thought this was a sunrise industry. "The prime minister said this is a livelihood project. It should be supported by many policies, and the state-owned enterprises are relieved to be involved in the old-age industry. Because we have the ability to integrate group and social resources to serve the pension industry. "
the "pension complex" built by the group will appear on the Ji'nan calendar, which will cover the functions of "institutional pension", "family pension", "community pension" and "combination of medical care" and so on to meet the needs of different elderly groups.
Zhang Jianjun, deputy general manager of fflida Health Investment Co., Ltd. and Shandong Fred Service Co., Ltd., said that according to the plan, the project has more than 200 beds for institutional pension, on the first floor and the top floor, and the day care center to meet the community pension, the two and the third floor layout nursing homes for the elderly People provide medical care and combination service.
it is reported that the elderly can enjoy the "basic medical service", "medical treatment program", "daily bath, SAP and other services", "psychological consultation and social service", "through exercise and exercise, the recovery of body function", "one to one nutrition catering service" and so on.
the combination of medical and medical care involves the process of multisectoral policy to the landing process
according to the statistics, according to the statistics, among the aged over 60 years old in Shandong Province, the proportion of the disabled and the half loss of the elderly to the total population of the elderly is close to 20%, and the demand for medical care is great.
the latest statistics of Shandong provincial civil affairs department show that only 190 of the 3127 pension institutions in the province have medical institutions. Taking Ji'nan city as an example, the existing 88 old-age institutions, which belong to the combination of medical and health care, only have 1457 beds of 10 beds, accounting for 17% of the total bed number of the elderly in Ji'nan, while Shandong province stipulates that the urban medical care bed beds should account for more than 30% of the total urban aged beds.
the responsible person in charge of the Aging office in Shandong province said that medical care based pension institutions generally fail to meet the demand, and the bedside beds of the old ward set up by medical institutions are less, and they are all in the state of "bed is full and need to be numbered". A responsible institution for the elderly, who is unwilling to be named, said that medical institutions were not enthusiastic about setting up a nursing home. "A good bed in a three - one hospital has about 1 million revenue a year. In contrast, the old ward is very profitable, and only a poor hospital will want to be a nursing home."
Li Haiyan, chief of the social welfare and charity Promotion Department of the Civil Affairs Department of Shandong Province, said that medical care combined with the construction of pension institutions involved civil affairs, Health Planning Commission, human society and many other departments, and can only promote work in communication and cooperation. There are still many problems that need to be solved when we really want to get through the bottleneck of "combining medical treatment with maintenance". "
" there are many policies on the integration of medical care, but it is difficult to fall to the ground. I think the main crux lies in the communication between the departments in charge and the connection between policies. "The representative of the National People's Congress of the National People's Republic of China and the general manager of the Shandong Commercial Group Co., Ltd., the general manager of Lingpei. In foreign countries, most of them have medical care after the medical institutions, and the old-age institutions are affiliated or supporting institutions of the hospital. In our country, the pension institution is an independent institution, which belongs to the administration of the Ministry of civil affairs, most of which have no medical qualifications; the hospital belongs to the management of the health and family planning committee, and the medical insurance is managed by the Ministry of human resources and social security.
"the present situation belongs to the separation of three powers. In China, if we want to combine medical treatment with maintenance, we must have three qualifications." Ling suggested that the three competent departments could negotiate and formulate a set of unified standards for medical treatment or maintenance, or carry out joint work to alleviate the difficulty of nursing institutions.
medical care and pension institutions can not be included in the medical insurance fixed-point is also the main reason for the scarcity. Ji'nan Municipal Civil Affairs Bureau of the relevant person in charge of the analysis said: "before the health department required that the pension institutions have 500 old-age beds to submit medical insurance fixed-point applications, last year, adjusted to 200. But even so, most of the pension institutions in Ji'nan can't meet this requirement. According to the Provincial Department of civil affairs, Shandong province has included 110 medical care facilities for medical insurance, and nearly half of the medical expenses are not included in medical insurance.
care costs can not be settled by medical insurance, which not only greatly increases the cost of the aged, but also makes the "combination of medical care" lost its original meaning, which has become the bottleneck of the development of "combination of medical and medical care" for the elderly. "We began to cooperate with the hospital since the establishment of the hospital in 2003. We did not successfully access the medical insurance line until 2014. The entire application process was very difficult. It took nearly two years." Sun Yuhang, director of Ji'nan Fuxiang apartment for the elderly, said that minor illness can be seen in the nursing homes and medical insurance cards, which has facilitated the lives of the elderly and attracted more elderly people to be admitted to hospital.