Services for the disabled and the elderly with dementia need urgent attention. There are about 40 million disabled and demented elderly people in China. It is imperative to promote the combination of medical care and nursing care for disabled and demented people, which means that there will be an increasing shortage of professional nursing staff for the aged. Services for the disabled and the elderly with dementia need urgent attention.
Services for the disabled and the elderly with dementia need urgent attention. 1 With the acceleration of aging in China, people pay more and more attention to providing for the aged. In July last year, the state released nine new occupations, including "ability appraisers for the elderly". So, what exactly does the new profession of "ability appraiser for the elderly" do? Let's meet a post-90s generation first.
He Wanting, a post-90 s girl, worked in an elderly ability assessment institution in Beijing for four years. Her main job is to provide physical and psychological assessment services for the severely disabled elderly with mobility difficulties, and then help the elderly apply for corresponding nursing subsidies.
He Wanting, the ability appraiser of the elderly: First look at the physical condition, mental state and self-care ability of the elderly, including consciousness, and then look at whether he is a disabled elderly person through multiple dimensions.
Appraisers will carry a disability rating scale for the elderly with them at work. This 10-page rating scale breaks down more than 40 indicators according to daily activities, mental state, perception and communication, senile syndrome and other categories, and evaluates the disability level through comprehensive scores.
Regularly grading the assessment of the elderly can not only help the elderly to improve their health, but also help the national health care policy to make precise efforts. He Wanting said that at present, she has provided assessment services for more than 100 elderly people, and the company's business is getting busier and busier.
On February 29th, 2020, the national vocational skill standard of 65438+2020 ability appraisers for the elderly was officially promulgated. At present, the textbook "Training and Evaluation of Professional Skill Level of the Aged Appraiser" has been compiled, and the related courses will be launched on the "New Career Online Learning" platform to be built in Ministry of Human Resources and Social Security.
As a new profession, the ability appraiser for the elderly has entered the national vocational ceremony for more than a year, but there is a big gap at present.
Recently, a report compiled by the lead unit of "National Professional Standards for Competency Appraisers for the Elderly" pointed out that the demand for competency appraisers for the elderly in the pension market will exceed 3 million in the next five years, while the number of employees is currently less than 6,543.8+10,000.
Hou Chunhui, executive director of china association for labour studies: The population of elderly people over 65 in China has reached 654.38+0.9 billion. To provide them with professional evaluation services, a large number of talents are needed.
The demand for the aged care service industry is growing rapidly and is regarded as a sunrise industry. There is indeed demand in the market, but many young people don't agree with it, and some even have the idea of leaving after entering the business.
Xue Acheng, a nurse at Tunxitang Comprehensive Care Service Center in Changxing, Zhejiang: One of the main reasons why young people don't want to come is that their wages are too low, the second reason is that their social status is relatively low, and the third reason is that they are too dirty and tired to communicate with the elderly.
Wei, an old-age care worker in Kunshan Welfare Institute: The old-age care industry and its related majors are relatively new, the social recognition of occupations and industries is not high, and the development level of the industry is uneven, which has aggravated the loss of old-age care workers to some extent.
In fact, it is not the first time that national ministries and commissions have released new jobs related to the pension industry. In March, 2020, Ministry of Human Resources and Social Security released the new occupation 16, in which medical staff and respiratory therapists are also related to providing for the aged and nursing. This also means that the old-age care industry needs more than simple care. With the rise of the industry, more and more types of jobs, more diverse skills and more professional personnel are needed.
Hou Chunhui, executive director of china association for labour studies: After the establishment of this profession, it is easier to bring social popularity and reputation, including the professional value it brings.
In addition to the ability appraisers of the elderly, the reporter learned in the interview that the market is in urgent need of pension service professionals such as pension planners, pension caregivers and managers of pension institutions.
Zheng Bingwen, director of the World Social Security Research Center of China Academy of Social Sciences: In the long run, with the development of aging, there is still a great potential demand for many new occupations, such as pension planners.
Experts pointed out that during the Tenth Five-Year Plan period, "post-60s" will become an important part of the elderly population. The overall economic strength, education level and health status of the elderly, mainly those born after 60, have improved. Their old-age needs are not limited to nursing, institutions, communities and home-based care in the past, and professional old-age planners are needed to customize personalized old-age care programs for them.
Zheng Bingwen, Director of the World Social Security Research Center of China Academy of Social Sciences: According to the United Nations prediction, by 2050, the average remaining life of the 60-year-old group will reach 24 years, with an average increase of 10 years, which is very urgent for financial planning.
At present, there are more than 40 million disabled and demented elderly people in China. It is imperative to promote the combination of medical care and nursing care for disabled and demented people, which means that there will be an increasing shortage of professional nursing staff for the elderly.
Zheng Bingwen, Director of World Social Security Research Center of China Academy of Social Sciences: At present, there are 38,000 pension institutions in China. According to the ratio of dementia to disability, many nurses are needed. If you add mentally handicapped people who live at home for the elderly, the proportion will be even greater.
Experts said that the country is paying more and more attention to the construction of the old-age service system. With the introduction of a series of related policies, national standards and plans, higher requirements are put forward for those who are responsible for the implementation, such as the managers of nursing homes.
Hou Chunhui, executive director of china association for labour studies, said: With the combination of smart pension and medical care, the talents we need must be diversified. He didn't just turn over and wash the old man's face. He may belong to intelligent equipment design, research and development, operation and maintenance personnel. There should be big data managers in the background. These talents are needed around the pension industry.
At present, from the national to the local, more and more attention is paid to the cultivation of pension professionals. Many places are taking measures to speed up the training and construction of the talent team in the aged care service industry.
Shandong is a province with a large elderly population, with an elderly population of about 24 million over 60, ranking first in the country. Recently, in the 14th Five-Year Plan issued by Shandong Province, it is proposed that by the end of 2022, the province will train 2,000 directors of nursing homes, 200,000 nurses and 1 10,000 community care workers. By the end of 2025, the pre-job training rate of nurses will reach 1.000%. Jinan has implemented the three-year action plan (2020-2022) of the city's pension service personnel training, identified 23 pension personnel training bases, and trained more than 20,000 employees.
Si Xiaoyu, an old-age care worker in Jinan: Our industry still lacks some young strength. I hope more professionals will integrate into society.
In view of the situation that the aged care service industry can't retain young talents, the 14th Five-Year Plan for the Development of Aged Care Service in Jiangsu Province requires that an incentive system for graduates with professional counterparts should be clearly established in an all-round way, colleges and universities should be encouraged to set up professions related to aged care services, and a high-level talent training platform for aged care services should be built.
Zheng Bingwen, director of the World Social Security Research Center of China Academy of Social Sciences: In developed countries, the income of people who have received vocational education in aged care services is not very low, and many vocational colleges should offer these aged care services.
Kunshan City, Jiangsu Province has also explored the form of government purchasing services, and entrusted professional old-age care institutions to send caring caregivers to the homes of the elderly such as the five guarantees, the disabled and the widowed, and provided personalized home-based care services for the contracted elderly free of charge.
Xu Ye, the stationmaster of Kunshan Lehuiju Pension Service Center, provided professional and personalized home care services for nearly100000 elderly people, effectively reducing the burden of family care and solving the practical difficulties of home life for the elderly.
In terms of strengthening the training of aged care service personnel, Zhejiang Province requires that every 10,000 elderly people have 25 certified aged care workers during the "14th Five-Year Plan" period, and the proportion of senior and technician nurses among certified nursing workers exceeds 18%.
Hou Chunhui, executive director of china association for labour studies: In the industrial field that a country attaches so much importance to, the demand and cultivation of talents is very critical at present. There should be a good top-level design, and then extend downward to meet the needs of the whole society.
Services for the disabled and the mentally disordered elderly need urgent attention. 2 CCTV News: According to the news from the National Health and Wellness Commission, this year, China has carried out pilot projects of prevention and intervention for the disabled and demented elderly in Beijing, Shanxi, Liaoning, Sichuan and other provinces 15.
At present, there are about 45 million disabled and demented elderly people in China. In order to reduce the occurrence of disability and dementia among the elderly from the source, the state has implemented a pilot project of prevention and intervention for disability and dementia among the elderly in 15 provinces (autonomous regions and municipalities) 15 intervention counties (municipalities and districts) to improve the health literacy and health level of the elderly and prevent or delay the occurrence of disability and dementia. In Wenjiang District, Chengdu, Sichuan Province, the first batch of pilot areas, the team of family doctors is conducting a questionnaire survey on the elderly in the community to evaluate the indicators such as self-care ability, cognitive function and prevention and control of chronic diseases.
Gong Yan, a family doctor in wanchun town Health Center, Wenjiang District, Chengdu: What we are doing now is limit assessment, and then we will conduct targeted screening according to the assessment results. After screening, we will carry out targeted intervention.
Wu Jing, director of the Center for Chronic Non-communicable Diseases Prevention and Control of China CDC: We have taken a series of measures for high-risk elderly people with disability dementia, such as managing cardiovascular and cerebrovascular diseases and their risk factors, such as diet management, such as his weight management, such as his exercise and so on. , comprehensive management, promote management.
The pilot project of prevention and intervention of disability and dementia in the elderly is mainly aimed at high-risk groups with physical disabilities and mild cognitive impairment. Through publicity, training and empowerment training, the development process of disability and dementia will be delayed, and the social care burden and economic burden will be reduced.
With the development of China's aging society, the problem of providing for the aged has become the focus of people's attention. According to the data of the seventh national census, there are 260 million people aged 60 and over in China, including 65.438+0.9 billion people aged 65 and over.
In addition, according to statistics, there are tens of millions of disabled and demented elderly people in China. How do they get long-term professional care? How to hire professional elderly care workers? What is the current situation of the system construction of elderly caregivers in China? Can it meet the nursing needs of the huge elderly population?
Recently, the fifth national training course of "Geriatric Health Trainer" was held online, and Doctor interviewed Professor Li Fan, president of China Geriatrics Association and director of National Geriatrics Clinical Medical Center (PLA General Hospital).
The medical problem of the elderly is a "big undertaking"
"With the development of social economy, people's living standards have improved and life expectancy has been extended, but many elderly people are facing the decline of physical function, and the number of chronic diseases, diseases, disabilities and dementia has increased year by year. In the face of the aging situation in China, the traditional old-age domestic service can no longer be satisfied. " Professor Li Fan pointed out that medical care for the elderly is a "great cause" that must be attached great importance to at present.
Objectively speaking, China's current pension system is not perfect, the market supply is obviously insufficient, the standard of nursing service is also lacking, and many contradictions are very prominent. What's more, there is a serious shortage of professional nursing staff for the aged, and their level is uneven.
Most of the employees in the insufficient number of old-age care institutions have not received professional training and can only provide simple life care for the elderly, but they are unable to cope with various nursing risks. For a long time, employees who take care of the elderly have been called elderly workers, nurses and even nannies. Their names are not pleasant to listen to, and they are often poorly treated and cannot be respected by society.
Therefore, it is urgent to speed up the construction and development of the pension system. At the 20 19 meeting of directors of the National Office for Ageing, Ma pointed out: To promote the establishment of a long-term care service system for the disabled elderly, we should study and solve the problems of who cares, who cares, where cares, what cares and who pays.
"According to the general condition, organ and system function of the elderly, it is the first step to establish the evaluation standard of medical care for the elderly and determine the level of health status." Professor Li Fan said that at the same time, we should actively train professional nursing staff at all levels and stages, and train them into nurses who know medical knowledge and basic nursing skills. "According to the assessment of nursing skills, the qualification certification of junior, middle and senior nurses will be carried out, making it a social occupation, recognized by the society, and the salary will be improved and respected." This is an indispensable force for an aging China.