It is understood that the number of elderly people over 60 years of age in Hacienda is 2,041,000 people, accounting for 22% of the total population, the proportion of the elderly population is higher than the national and provincial averages of 4.1 and 2 percentage points, respectively. It is expected that by 2020, the city's elderly population over the age of 60 will account for 25.0% of the city's total population. Up to now, 183 medical institutions of all levels and types have set up rehabilitation medicine departments in Hacienda, including 72 medical institutions above the second level, 111 primary medical institutions, 92 medical institutions carrying out elderly care, rehabilitation and nursing care services, and 18 elderly care institutions have set up a medical institution, and the city's rehabilitation and medical care beds have reached 6,874. The city's more than 50 beds of elderly institutions are and medical institutions agreement cooperation, into the medical care of the elderly consortium, to provide health management services for the elderly.
It is reported that at present, the city of Harbin formed 42 medical care for the elderly consortium, in the district, county (city) set up 22 rehabilitation hospitals, nursing homes, there have been 85 community health service organizations to carry out rehabilitation medical work, accounting for 75.9% of the city's community health institutions; there are 92 health care institutions to carry out old age, rehabilitation, nursing care services, 112 community health service centers and district day care Institutions have signed health management service agreements, realizing full coverage of urban communities; opening 12349 to help the elderly public service platform was built and put into use; relying on community platforms, the implementation of free medical check-ups was expanded to include older people over 60 years of age.
The next step, Hacienda will promote the combination of health care and elderly services, the establishment of "medical care" consultation and coordination mechanism and joint approval system. Construction standards, fees and equipment configuration, medical level and other aspects to have clear requirements. The business and charges of the medical main business area of the combined medical and nursing institution should be included in the medical insurance designation and co-ordination, and medical prices should be enforced. Allow the establishment of a number of licensed charges, so that the economic basis of different conditions of the family groups in accordance with the standard of the service package provided by the hospital to choose freely, the formation of differentiated levels of medical care combined services.
At the same time, the elderly institutions will be classified according to the size of the beds, integrated layout and the corresponding level of medical institutions bundled contract. Encourage social capital in the relatively weak medical resources in the region to organize nursing homes, geriatric hospitals, rehabilitation health care, special needs health care and other distinctive specialized medical institutions. Promoting the extension of medical and health services to communities and families, fully relying on various services and information network platforms in communities, realizing the combination of medical and health institutions with community nursing and home nursing, and establishing contracted service relationships with families of the elderly, so as to provide the elderly with continuous health management services and medical services. Combining Chinese medicine services and the characteristics of northern medicine, and giving full play to the inherent characteristics of pediatric cerebral palsy rehabilitation, pediatric diagonal neck rehabilitation, and northern treatment of southern diseases, it has been able to attract medical and nursing care populations in the region as well as in the southern region and even in neighboring countries such as Russia. Establishing pilot TCM senior care service organizations and forming a close alliance between senior care institutions and medical institutions. Open up Chinese medicine health tourism program.
In addition, for the disabled and semi-disabled elderly whose families are in difficulty and really can't afford to pay for their living care at market prices, it is advocated that the government provide them with basic care services through subsidies and purchase of services. As soon as possible to establish and implement the elderly care insurance system, funded by the financial and personal in accordance with a certain proportion. At the same time, it is recommended that the relevant government departments include in the scope of reimbursement for medical insurance the nursing costs of those who stay in medical institutions for the elderly and need long-term care for the disabled and semi-disabled elderly. In addition to the current medical insurance reimbursement for severely disabled and semi-disabled elderly people staying in medical care institutions, a certain percentage of reimbursement from the medical insurance fund can be set to effectively solve the practical difficulties of elderly people with heavy financial burdens. Moderate relaxation of the scope of payment of health insurance, the opening of home hospital beds, in line with the recognition of the conditions of the home hospital beds, home nursing to receive day care, the relevant departments should be in accordance with the purchase of services, increase the amount of reimbursement.