Four highlights of the guidance of medical and nursing areas

Xinhua News Agency, Beijing, July 21st: Four highlights of the guidance of medical care and nursing combination

Xinhua News Agency reporters Dong Ruifeng and Li Heng

In the face of 267 million elderly people, how to protect the most beautiful "sunset red"? Promoting the combination of medical care is an important measure to optimize the supply of elderly health and the supply of elderly care services, but it also faces difficulty in clinical positions, high costs, and shortage of nursing staff.

The "Guiding Opinions on Further Promoting the Development of Medical Nursing and Nursing" was announced on July 21. On the basis of summing up the experience of pilot experience in recent years, it further improved the policy, services, standards, talents, and information of my country's combination of medical care and nursing in China to add to various places. The supply supply and opening the blockage point to draw the "roadmap".

Views 1: Infrastructure is accelerating "supplementing shortcomings"

As of the end of 2021, a total of 1.75 million beds in the country with 6,492 two certificates of medical and nursing were available, and the proportion of pension institutions provided medical services in different forms exceeded 90%. However, compared with the growing elderly population and service needs, some basic service facilities still gap.

According to the guidance, in addition to actively providing home medical services, in communities and towns, conditions for health centers, nursing homes, etc. must use existing resources, and internal and expand a number of medical and nursing service facilities.

On March 4, 2022, volunteers were checking their mouths for the elderly in Lingshan Town, Yuyao City, Zhejiang. Xinhua News Agency reporter Xu Yu Photo

For public medical and health institutions, encourage the development of home medical services, medical and nursing -nursing combination services, especially public medical and health institutions with surplus medical resources to use existing beds to carry out pension services.

For pension institutions, we need to transform nursing beds and facilities. At the same time, support for social forces to build professionalism, large -scale, and outstanding medical and nursing ability.

"The majority of medical and nursing combination is at the grassroots level. To strengthen the" shortcomings "work of the combination of grass -roots medical care." Liang Wannian, Dean of the Institute of Health China, Tsinghua University, said that guidance specifically strengthened the construction of community basic service facilities with combining medical care and nursing. Essence

Views 2: The service content prominent "continuity"

Provide "health care" to the 60 -year -old elderly, providing "silver bell love" for the 80 -year -old elderly, and "Caring for Love" to the 100 -year -old elderly ... "Judu" Health Management Services for the whole process makes them warm.

Highlighting comprehensive and continuous services is an important direction for the development of medical care. Guidance proposes that localities should promote the overall layout and resource sharing of public service facilities such as medical care, elderly care services, and help from disability, and encourage the grassroots to actively explore relevant institutions' pension beds and medical beds to standardize the conversion mechanism on demand.

On November 12, 2021, in the Yangsi Temple community in Guoyuan Town, Changsha County, Changsha City, Hunan Province, medical staff Peng Yong (left) and Liu Min gave physical therapy for the elderly. Photo by Xinhua News Agency reporter Chen Sihan

"The advancement of the combination of medical care involves many aspects such as medical care, pension, community, and industries. It is important to do a good job of service connection between different systems." Said Feng Wenmeng, a researcher at the Institute of Public Management and Human Resources of the Development Research Center of the State Council.

Guidance also emphasizes the active role of informatization. "Smart informatization is an important technological support for improving the efficiency and level of medical and nursing service." Chen Gong, director of the Institute of Population of Peking University, said that by building a national health information management system, the national pension service information system, and the implementation of smart health The development of the pension industry will further optimize the combination of medical and nursing services.

Views 3: The supporting policy opens "the last meter"

The Yanda Maintenance Center, located in Yanjiao, Hebei, accounted for 97%of the elderly people who stayed in. The adjacent Yanta Hospital took the lead in the interconnection with Beijing Medical Insurance, and cooperated with Beijing's high -quality medical resources to greatly improve the ability of the elderly and nursing.

However, there are still "big difficulties" problems in some places. For example, some medical institutions are "signing contracts and no incentives" to provide insufficient motivation to provide medical and nursing combination services.

Improve price policies, increase insurance support, revitalize land resources, and implement fiscal and tax discounts ... The guidance issued this time clearly put forward support policies for multiple dimensions.

According to the guidance, the public medical and health institutions provide on -site medical services for the elderly, and take the "medical service price+on -site service fee" to charge. The on -site service fee can comprehensively consider the service radius, human cost, transportation cost, supply and demand relationship and other factors. Sure.

On July 3, 2021, a medical staff helped an elderly person conduct rehabilitation training at the Medical and Nursing Center of Wenxian County, Jiaozuo City, Henan Province. Xinhua News Agency (Photo by Xu Hongxing)

In addition, according to the characteristics of the combination of medical care, the total medical insurance control indicators of medical and health institutions in the elderly institutions are reasonably determined, and commercial insurance is encouraged to include the elderly to prevent health, health management, rehabilitation, nursing, etc. in the scope of security; In the construction of a medical and nursing combination project, it allows and encourages collective land for rural areas to be used for the construction of medical and nutrition. Through tax benefits, it supports social forces to provide medical and nutritional integration services ...

"Not only expand the supply of incremental resources, but also live the existing resources." Huang Shisong, a professor at the Institute of Elderly, Renmin University of China, said that when various regions and departments implement national policies, they can transform local existing resource conditions to development due to local conditions into favorable development of development. Conditions can activate initial motivation and better realize "up and down linkage".

Highlights 4: Data from the "supply volume" of professionals to expand professionals show that there are about 40 million disabled and some disabled elderly people in my country, and the demand for controlling personnel exceeds 13 million, but currently only more than 500,000 relevant personnel.

The guidance specifically proposed to accelerate the training of talents in the lack of medical and care and pension services, and proposed to improve the care ability and level of the elderly home caregivers through emergency assistance and care skills training.

In addition, the guidance also requires public medical and health institutions to give properly tilting properly to medical personnel who have completed the service of home medical services, medical care and nursing contracts, and other services. At the same time, supporting medical staff, especially nurses with retired and retired and clinical experience, to practice medical and health institutions that provide medical care services, and to provide services to the elderly service institutions that provide medical care services.

"Guidance proposes three key tasks of strengthening talent training, guiding medical staff to engage in medical care services, and expanding the disabled care service team." Hao Xiaoning, a researcher at the Health Development Research Center of the National Health and Health Commission A quality package is expected to attract more talents to participate in the medical and nursing combination service.

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