11 departments jointly issued guidance opinions to promote the combination of medical and nursing combination with high -quality development

Recently, with the approval of the State Council, 11 departments including the National Health and Health Commission and other 11 departments jointly issued the "Guiding Opinions on Further Promoting the Development of Medical Nursing and Nursing" (hereinafter referred to as the "Opinions"), which provided an important guidance for promoting high -quality development of medical care.

During the "Fourteenth Five -Year Plan" period, my country's population aging further deepened. As of the end of 2021, the population of 65 and over my country accounted for 14.2%of the total population. According to the China Population and Development Research Center, by 2025, the population of 65 and over will reach 221 million. Promoting the combination of medical care is an important measure to optimize the supply of elderly health and pension services. It is an important way to actively respond to the aging of the population and enhance the sense of gain and satisfaction of the elderly.

In recent years, my country's medical care policy has continuously improved and made positive progress, but there are still some shortcomings in terms of policy support, service capabilities, and talent construction. How to crack the difficulties in the combination of medical care? The reporter interviewed some experts and scholars.

Develop home community medical care combination service

The "Opinions" requires the development of medical and nursing services for home communities. The first is to actively provide home medical services. For example, the supporting medical and health institutions that support conditions are the disability (dementia), chronic diseases, age, disability and other elderly people who are disabled (dementia), chronic diseases, age, disability, etc. to provide home medical services such as family beds and on -site visits; promote the "Internet+medical and health "" Internet+Nursing Service "provides convenient home medical services for elderly people in need. The second is to enhance the service capabilities of community medical care. For example, the implementation of community medical and nutrition capabilities to improve the actions, and conditions for community health service institutions, township health centers and other institutions with conditions use existing resources to rebuild and expand a number of community (township) medical and nursing service facilities.

Liang Wannian, Executive Deputy Dean of the School of Public Health and Health of Tsinghua University, believes that the health and care needs of the elderly are with the aging of the population. The combination of medical care spans the concept of traditional pension only emphasizing the connotation of a single "support", and pays more attention to the integration of pension services and medical services. The "Opinions" is a further improvement of the policy system, service system, standard system, talent system, and information system of my country's medical and nursing, and more clearly clarify the development direction, positioning and specific implementation path, and created a good development for the steady development of my country's medical and nutrition. Institutional environment.

Feng Wenmeng, a researcher at the Development Research Center of the State Council, believes that "Opinions" is based on the prominent contradictions and future development trends based on the promotion of the pilot experience of the rapid promotion of medical and nursing combination in recent years. The combination of nourishing the development of high -quality development has laid a solid institutional foundation.

Ding Yuanzhu, a professor at the Department of Social and Ecological Civilization and Research Department of the Party School of the Central Committee of the Communist Party of China (National Academy of Administration), believes that the "Opinions" is based on the actual situation of our country. It has put the medical care work of the home community in an important position, which is in line with the needs of the health care service of the elderly in my country.居家养老与社区养老有机结合，养老服务与医疗服务有机结合，以及在此基础上开展家庭社区医养整体性服务建设，一方面，能够使老年人在自己熟悉的家庭和社区环境中与家人、 Neighbors and exchanges are integrated; on the other hand, incorporating medical security into the family community pension service system can allow the elderly to get timely and effective medical services.

Promoting institutions to carry out medical care combination services

The "Opinions" pointed out that the institutional service was promoted to carry out in -depth medical care services. The first is to support medical and health institutions to carry out medical care services. For example, to promote medical services for medical and health institutions to expand on -site medical services to pension institutions, and provide family beds and on -site visits for the elderly who are eligible for the elderly in the elderly. The second is to enhance the service capabilities of medical care and nursing institutions. For example, supporting pension institutions and medical and health institutions carry out contract cooperation to provide services such as green channels and on -site visits to the elderly institutions.

Huang Shisong, a researcher at the National Development and Strategic Research Institute of Renmin University of China and a professor at the Institute of Elderly, believes that the need to achieve high -quality development of medical and nutrition requires multiple efforts. The flexible advantage of its mechanism, expand the supply of incremental resources of medical care -cut combination services; also loosen public medical and health institutions, fully mobilize the enthusiasm of public medical and health institutions and medical staff, enhance development momentum and vitality, revitalize medical and nursing binding stock resources Essence

Hao Xiaoning, a researcher at the Health Protection Research Department of the Health Development Research Center of the National Health and Health Commission, proposed that family doctors are an important foundation for medical and health institutions to set up home bed beds and carry out home medical services. The "Opinions" proposes that on the basis of the signing service of family doctors in the elderly, it has steadily improved the coverage rate of disabled (dementia), chronic diseases, seniority, disability and other inconvenience or difficulty in the elderly. On the basis of basic public health services, various places can design personalized family doctors to sign a service package based on the differentiated health needs of the elderly, and further do the coverage rate of the elderly family doctors to improve the availability of the elderly's home medical services and gain. sense. Encourage medical and health institutions to provide medical support for the pension institutions to carry out medical care services to meet the needs of the elderly and nursing combination of the elderly in the staying institutions. According to the overall situation and health status of the elderly, they can provide family beds, on -site visits, appointments for green channels, etc. Serve.

Improve support policies and strengthen talent for talents

The "Opinions" pointed out that the improvement of price policies, increased insurance support, revitalizing land resources, and implementing fiscal and tax discounts. For example, public medical and health institutions provide on -site medical services for the elderly and other people, and use the "medical service price+on -site service fee" to charge for the elderly. 2. Social welfare land can be used to build a medical and nutrition project; implementation of preferential tax policies, and support social forces to provide multi -level, diversified medical and nursing combination services. Chen Gong, director of the Institute of Population of Peking University, believes that the "Opinions" highlights the three highlights of the systematic, continuity and sustainability, improve the multi -dimensional support system of medical and nursing, and strengthen the continuity of the medical and nutrition. Sustainable service. The "Opinions" further expanded the service objects, service supply subjects and supply fields contained in the medical and nursing combination system, and laid the foundation for the construction of a continuous "medical -nourishment -protection" service framework in my country to meet the changing medical care of the elderly groups With long -term care needs. In essence, the health status of the elderly group is more fragile during the care gap period. The continuous service system of the "medical -nourishment" continuous service system fills the gap between the medical treatment of the elderly and the long -term care.

The "Opinions" proposes that multi -channel cultivation of talents, strengthening talent training training, and guiding medical staff to engage in medical and nutrition services. For example, accelerate the training of talents in the lack of medical and care and pension services, and incorporate medical talents such as elderly medicine, care, rehabilitation, general science caregivers, pension caregivers, presidents of nursing homes, elderly social workers, and other elderly care services and management talents into related training programs; According to the public medical and health institutions, the total number of performance salary is approved by public medical and health institutions.

Hao Xiaoning believes that the "Opinions" put forward a package of measures in strengthening the combination of medical care such as family doctors to create a better environment for supporting the sustainable development of medical care and nursing. The medical staff with good service and medical care, medical care and nursing combination, and other medical staff are tilted. All localities should be actively tapped to actively excavate retired medical staff, second -level and third -level hospital physicians, and other medical personnel, enrich the family doctors, and strengthen the ability of family doctors through standardized training for senior medical doctors for elderly medical physicians on family doctors. Construction.

Source: People's Daily

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Review: Wang Shaoyun

Editor: Wang An

Material arrangement: Shi Jiaojiao, Xu Xiaowei

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