Among them, as early as 2000, the General Office of the State Council forwarded the Notice of the Ministry of Civil Affairs and other departments on Accelerating the Socialization of Social Welfare >> In 2005, the Ministry of Civil Affairs issued the Opinions on Supporting Social Forces to Establish Social Welfare Institutions >>, which put forward a series of preferential support policies in planning, construction, tax reduction and exemption, medical care, land use, water and electricity use, and encouraged and supported enterprises, institutions and the people.
At the same time, in 2005, the Ministry of Civil Affairs also launched a nationwide "demonstration activity of socialization of aged care services" and put forward the "Opinions on Supporting Social Forces to Establish Social Welfare Institutions". The Ministry of Finance and State Taxation Administration of The People's Republic of China have always had special preferential tax policies for pension service institutions. In 2006, many ministries and commissions put forward the Opinions on Accelerating the Development of the Aged Care Service Industry. In recent years, hot topics such as social welfare security and medical reform at the two sessions of the National People's Congress are also closely related to the aged care service.
In addition, local governments at all levels have also incorporated old-age care services into their economic and social development plans, formulated plans for the development of old-age care, made old-age welfare the focus of government work, introduced policies and measures to support private-run old-age care, promoted home-based old-age care, cultivated and developed community-based old-age care, and established an information platform for community-based old-age care services.
However, there are still some problems in the implementation of these policies, such as: the policies are not operable, and there is a lack of detailed planning for the layout, scale and service structure of the pension industry; It is very common that preferential policies put forward by various localities to the state are not implemented or honored. According to the regulations, the water and gas used by the old-age care institutions are subject to civil prices, and electricity is charged at the most favorable price. Although the civil affairs department is the administrative department of the old-age care institution, it can only coordinate with relevant units on matters such as water, electricity and gas, and has no power to enforce it. There are very few private nursing homes that can really enjoy these policies, because there are only policies issued by the state, and there are no specific operating rules in the local area. The admission, operation and exit management of private and individual nursing homes lack uniform standards, and the industry supervision is chaotic. Small nursing homes cannot guarantee service quality and fire safety, but compete with large nursing homes at low prices, which objectively affects the development of regular large nursing homes. The elderly population in our county is 3 17 19, accounting for 13% of the total population. Due to the fierce competition in modern society and the accelerated pace of life, the young and middle-aged generation are facing the dual pressures of work and life, and it is not enough to take care of the disabled and semi-disabled elderly, which urgently needs to be solved by developing social pension services. At present, there are only two public nursing homes and one comprehensive welfare home in Minle County, with 400 beds, supporting 3 19 elderly people, accounting for 1% of the total number of elderly people. Private nursing homes are still blank. According to the spirit of "Notice of General Office of the State Council on the Construction Planning of Social Pension Service System" (201-20 15), there is a big gap between the number of nursing beds per thousand elderly people in China and the standard of reaching 30 beds per kloc-0/5 years, which is far from meeting the needs of the elderly. Moreover, the early stage of running a nursing home has a large investment and a thin profit, which requires private investment. It is necessary to actively explore the establishment of a government purchase service system, adopt a combination of financial guarantee and service guarantee, purchase the services of community pension institutions and pension service intermediary organizations in the form of subsidies and service vouchers, and provide qualified elderly people with services such as life care, domestic cooking, spiritual comfort, elderly rights protection and information consultation.
Suggestion:
1. The expenses of rural five-guarantee providers and urban disabled, low-income and three-no-workers received by the old-age care institutions shall be paid by the government according to the regulations, or the government shall give appropriate subsidies. Subsidy funds will be fully available as soon as possible.
2 government sponsored and franchised water supply, power supply, gas supply, communication, cable (digital) television and other business units shall provide quality services and preferential charges for old-age care institutions. Among them: water, electricity, gas (fuel), etc. The same price as residents, free of corresponding supporting fees; Preferential treatment of telephone, cable (digital) TV and broadband Internet access fees for old-age care institutions.
3. Relax the loan conditions appropriately and provide preferential interest rates. Relevant government departments help coordinate guarantee institutions to solve the loan mortgage problem of old-age care institutions. For large-scale pension service projects with good prospects and urgent market demand, the financial department should give necessary loan interest subsidies. For individuals who raise funds to purchase housing assets and set up pension service institutions, the renaming and transaction costs of houses shall be appropriately reduced.
4. Increase financial investment in the aged care service industry. Clearly give bed subsidies to large-scale old-age care institutions, support the excellent and the strong, and support the development of old-age care services.
5. Support old-age care institutions to provide services to the outside world. Pension institutions have the conditions to carry out nursing, rehabilitation and medical services, allowing applications to be included in the planning of community medical institutions and gradually included in the designated scope of basic medical insurance for urban workers.
6. Social media should give more publicity and reports to large regular nursing homes and provide free information support.
7. Strengthen the access, operation and exit management of individual nursing homes, and ban small nursing homes with chaotic management. Strengthen the education and training of professional ethics and nursing skills of employees in old-age care institutions, and improve the quality of personnel.