The combination of medical care and health care for the year! Ji'nan exploration of comprehensive reform of the old-age service
source: Ji'nan daily
Lao Lao and old people. With the intensification of China's aging population, the demand for pension services presents a "blowout" growth trend. In 2016, the national government's report on the work of the two sessions proposed that "carry out the comprehensive reform of the pension service industry and promote the integration of various forms of health care." In this regard, Ji'nan has not stopped the pace of exploration, with the release of "the implementation of the implementation of the combination of medical and medical care" in December 24th, the "combination of medical care" will become a strong support for the healthy aging.
there are only more than ten
24 days. In the elderly care hospital of Shun De, the old people wear Christmas caps and a piece of joy. The nursing home was converted into a "medical care combination" model in September this year, equipped with medical and nursing staff according to the standard, and a full-time intensive care team with ICU nursing experience was established. "It's not a simple thing to care for the old man." Talking about the status quo of nursing services, Zhang Ying, President of nursing homes, is deeply touched. "
" now, a lot of people who have lost or half lost are almost unable to move around. They need professional medical rehabilitation. They are running between families, hospitals and pension institutions. It is very inconvenient for them to be the best choice for their pension institutions. " Zuo Jianyun said. Zuo Jianyun is the head nurse of a hospital. Because of her work, she took care of a pair of elderly for 11 years. But after all, one person had limited energy. In order to better care for the elderly, Zuo Jianyun began to find the suitable pension institution for the elderly. A chance chance, Zuo Jianyun found the Ji'nan Shun De elderly nursing home and was here. Take care of the elderly as volunteers.
the situation of social aging is not optimistic. According to the survey of the Aging office in Shandong Province, as of the end of 2015, the population of aged 60 and above is 1 million 231 thousand and 700, which means that there is a person over 60 years and older in every 5 citizens. Correspondingly, the overall level of the elderly service industry in our city is not high, and the integration of pension care and medical services has not yet been integrated. The care problem of the elderly, especially the disability and the half loss of the elderly, puzzles many families. The running between the hospital, the family and the nursing home has reduced the quality of life of the elderly. In recent years, when reporters interviewed a number of old apartments, the majority of the elderly people wanted to stay in medical apartments, so that they could not only live well, but also take medical care in the pension institutions and save the trouble of running hospital.
, however, the reality is very bone, and the corresponding data is that at present, there are about more than 3600 housing pension institutions in the province, and there are only 190 pension institutions. Take Ji'nan as an example, there are only ten institutions providing medical and nursing services and only 1457 beds.
voice endowment work requires social participation in
with the aging society intensifying, pension is becoming an imminent problem. "Old age care seems to be a small problem, but it's a big social problem." Liu Tao, a volunteer for the pension agency, told reporters that she believed that the old-age work needed "social support, everyone involved", not only the support of policy, but also the understanding from all aspects of society.
Liu Tao embarked on the volunteer Road, from his own experience. A year ago, my father was paralyzed in bed. He and his father got to work every day. He was really unable to take care of the old man. At that time, he was very hesitant when facing the choice to send the old man to the pension institution. In the end, under the persuasion of his friend, he sent the old man into the old-age institution. "At that time, he was afraid of the reputation of the unfilial son on his back." It was proved that in nursing homes, because of the professional and hardware technology of the hospital, the old people were not guilty, but they could also concentrate on their work. In the past, Liu Tao went on the road of volunteers. "The old man, the old man who cares for today, is good for tomorrow."
Zuo Jianyun is also responsible for a volunteer team. She told reporters that she was a dry nurse and a volunteer team, hoping to build a platform for mutual support by establishing such a volunteer team that would support old, old, old and old-age care, and to build a platform for mutual assistance. Depending on the medical environment of the pension institution, the elderly who can not take care of their own life or the perennial intubation will adopt the way of combining medical care and mutual assistance to reflect the great care.
Mr. Huai, a volunteer from the Ji'nan supply and marketing system, has been working for several years. She told reporters that volunteers want to make the pension institutions "go to hospital" through their efforts. "The combination of medical care is to make it like a home." However, at ordinary times, we also encounter many puzzles. For example, when doing voluntary service, many family members think that if they spend money, they can let go. We have to make them realize that spending is not equal to affection. Although the elderly have professional care services, they still need the warmth of the family, which is the motivation and the significance of the family. "
Zhang Ying has such a feeling, too. "After so many years of nursing care, how to make young people in this industry recognize from their hearts that they love this job is a difficult problem to solve." Zhang Ying said that it is not a simple thing to care for the elderly, especially those who can't take care of themselves. It requires professional medical knowledge and patience, strength and love, and the recognition and encouragement from all walks of life. Many people have been working hard and not for social understanding, the rate of brain drain is high, "all walks of life volunteering." The participation of the people, help to solve this problem, they not only help the elderly, but also to the medical and nursing staff to stick to the courage to go, so that the combination of medical care has a new meaning.
medical service
the combination of future medical care will usher in the opportunity of development, and the reporter understands that, at present, our provincial medical care system can be divided into three forms from the operating mode: one is the internal establishment of the old ward in the medical institution, one is the cooperative operation of the pension institution and the medical institution, and one is the old-age pension. A health office or an outpatient service is set up within the organization.
"there are fewer beds in the geriatric wards in medical institutions, so it is difficult to meet the needs of the disabled and semi disabled elderly for medical care." A person in the industry said that. As a result of the management direction strategy, many medical institutions are not enthusiastic about the setting up of the old ward, many of the wards are still the main treatment, and the nursing care service is not in place. In order to better promote the service, the state is now actively encouraging the opening of a health office or outpatient service within a pension institution. "In general, as long as a doctor or nurse's pension institution is allowed to apply for the establishment of an internal health office or an outpatient service. But the real implementation of these resources is far from enough.
therefore, it is the direction for the pension institutions to choose medical institutions to form a medical conjoined partnership. For example, Shandong Ji'nan endowment service center, taking the "entrusting operation medical care combination" service model, entrusted to the second hospital of Shandong University to run the operation and management by the social personage, and the Ji'nan Longevity Hill International Ecological pension garden, which is the cooperation with the Ji'nan Central Hospital of the Shandong University, is the continuous exploration in the old-age mode. Typical. "Pension institutions tend to cooperate with medical institutions. But in implementing this model, the two sides must reach a consensus on economic and objective responsibilities. The people in the industry say that.
, in addition, the problem of cost is also a problem that plagued the pension institutions. In June 1st this year, the long-term medical care insurance for Ji'nan workers was formally implemented. The elderly nursing home in Ji'nan became the first designated medical institution for long-term care insurance, which alleviated the economic burden of the elderly, but compared with the real expenses. There is still a gap. In addition, many projects are unable to enter the scope of medical insurance reimbursement, which is plaguing the implementation of the mode of combination of doctors and nurses.
recently, good news comes. In December 24th, the provincial government office of the provincial government issued the "implementation advice on accelerating the integration of medical care", which was jointly formulated by the Provincial Health Planning Commission and the provincial Civil Affairs Office. It was proposed that more than two levels of hospitals provide medical services for the elderly and the green channels for the elderly. The elderly provide health management services for grass-roots and remote areas, the development of online remote diagnosis and treatment system and other measures. This will undoubtedly greatly promote the development of the mode of combining medical care with the elderly.
according to the plan, by 2020, the old-age service system, which is based on home based, the community as the support, the organization as the supplement and the medical care, has been built up completely, the medical and nourishing combination policy and regulation system has been basically established, and the service network has been basically formed. In this way, the construction of medical and nursing institutions can basically meet the needs of local disabled elderly people. The future pension situation will usher in a new chapter.
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by the end of 2015, the population of aged 60 and above in Ji'nan has reached 1 million 231 thousand and 700, accounting for 19.68% of the total population of the city, including 165 thousand and 600 of the elderly over 80 years of age, accounting for 13.45% of the elderly in the City, which means that among the 5 citizens, there is an older person over 60 years old.
at present, there are about more than 3600 resident nursing homes in Shandong Province, while only 190 in the "health care integration" pension institutions. There are more than ten pension agencies providing medical and nursing services in Ji'nan, with only 1457 beds, accounting for 17% of the total number of beds in Ji'nan. According to the provisions of our province, the urban health care pension beds should account for more than 30% of the total number of beds in the city.