Services for the disabled and demented elderly need urgent attention
Services for the disabled and demented elderly need urgent attention, China's disabled and demented elderly is roughly 40 million or more, to promote the disabled and demented groups of medical care is imperative, which means that professional nursing caregivers will be increasingly in short supply. Services for the disabled and demented elderly need urgent attention.
Disabled and mentally retarded elderly services need urgent attention1
As China's pace of aging accelerates, old age has become a topic of increasing concern. Last July, the state released nine new occupations, including the "elderly ability to assess the teacher". So, "the elderly ability to assess the teacher" this emerging profession in the end what to do? Let's start by recognizing a "90s".
He Wanting, a 90-year-old girl, has been working for four years at an elderly capacity assessment organization in Beijing. Her main job is to provide physical and psychological assessment services for the severely disabled elderly people who can't get out of the house, and then help them apply for the appropriate care subsidies.
Elderly ability to assess the He Wanting: We first look at the physical condition of the elderly, mental state, self-care ability, including his consciousness, and then through a number of dimensions to see if he is a disabled elderly.
The evaluator will work with a senior disability rating form, the 10-page rating form, according to the daily activities, mental state, perception and communication, the elderly syndrome and other categories subdivided into more than 40 indicators, through the comprehensive scoring assessment of the level of disability.
Regularly evaluating and scoring the elderly can help the majority of elderly people to improve their health, but also help the national health care policy accurate power. He Wanting said that she has provided assessment services for more than 100 elderly people, and the company's business is getting busier and busier.
On December 29, 2020, the National Occupational Skills Standard for Elderly Capacity Evaluators was formally promulgated. At present, the vocational skill level training and evaluation materials for the elderly ability to evaluate the vocational skill level has been completed, and the relevant courses will soon be online on the "new vocational online learning" platform built by the Ministry of Human Resources and Social Security.
The ability to assess the elderly as a new occupation into the national vocational canon has been more than a year, and there is currently a large gap.
Recently, a report compiled by the lead developer of the National Occupational Standard for Elderly Capacity Evaluators pointed out that the demand for Elderly Capacity Evaluators in the pension market in the next five years will be more than 3 million people, and there are currently fewer than 100,000 people working in the field.
Hou Chunhui, executive director of the Chinese Society of Labor: China's elderly over 65 years old has reached 190 million, such a large group, to provide them with professional assessment services, is the need to have a large supply of talent.
The demand for senior care services is growing rapidly and is seen as a sunrise industry. There is a real demand in the market, but many young people do not agree, and some people even have the idea of leaving after entering the industry.
Zhejiang Changxing Chunxi Hall comprehensive elderly service center caregiver Xue A Cheng: Why young people are not willing to come, the main reason is that the wages are too low, the second reason is that the social status is relatively low, and the third reason is that it is too dirty and tired, and it is difficult to communicate with the elderly.
Kunshan Welfare Institute nursing care Wei Jia brother: the nursing industry and its related professions are relatively new, the social recognition of the profession and industry is not high, the development of the industry standard is also uneven, to a certain extent, exacerbated the loss of nursing care workers.
In fact, the elderly ability to assess the teacher is not the first time that the state ministries and commissions issued new occupations related to the elderly industry. 2020 March, the Ministry of Human Resources and Social Security issued 16 new occupations, health care workers, respiratory therapists and so on are also related to the elderly, care. This also means that the senior care industry does not only need pure care, with the rise of the industry, its types of work will be more and more subdivided, skills will be more and more diversified, the personnel will be more and more professional.
Hou Chunhui, executive director of the Chinese Society of Labor, said that it is easier to establish this profession after the social recognition of it, reputation, including the value of the profession is relatively obvious.
In addition to the elderly ability to assess the teacher, the reporter learned in the interview, the market for pension planner, nursing caregiver, pension agency managers and other pension service professionals in urgent need.
Zheng Bingwen, director of the World Social Security Research Center of the Chinese Academy of Social Sciences: In the long run, with the development of aging, many new professions still have a very large potential demand, such as pension planner.
Experts pointed out that the "14th Five-Year Plan" period, "60" generation will become an important part of the elderly population. The overall economic strength, education level, and health status of the elderly as the main body of the "60s" has improved, and their pension needs are not limited to the past care, institutional, community, and home care categories, and need to have a professional pension planner to customize their personalized pension plan.
Zheng Bingwen, director of the World Social Security Research Center of the Chinese Academy of Social Sciences: According to United Nations forecasts, by 2050, the average remaining life expectancy of the 60-year-old group will reach 24 years, an average of 10 years more, which is 10 years for financial planning is very urgent.
At present, China's disabled and mentally retarded elderly people are probably more than 40 million, and it is imperative to promote the integration of disabled and mentally retarded groups of medical care, which means that professional nursing caregivers will be increasingly in short supply.
Director of the World Social Security Research Center of the Chinese Academy of Social Sciences, Mr. Zheng Bingwen: There are now 38,000 nursing homes across the country, and according to the proportion of dementia and disability, the need for caregivers is very high. If you add the dementia and disability of the elderly at home, the proportion is even greater.
Experts say that the country is paying more and more attention to the construction of the elderly service system, and with the introduction of a series of related policies and national standards and plans, higher requirements have been put forward for the personnel responsible for the implementation of the specific implementation of the management level, such as the director of the nursing home and other practitioners.
Hou Chunhui, executive director of the China Labor Institute: smart old age, medical care and health care combination, we need the talent must be diversified. He is not just to the old man turned over, wash his face, he may be part of the intelligent equipment design, R & D, operation, maintenance personnel, the background should have big data management personnel, these talents around the pension industry are needed.
Currently, from national to local, the training of pension professionals is increasingly important. Many places are taking multiple measures to accelerate the promotion of the cultivation and construction of the nursing service industry talent team.
Shandong is a province with a large elderly population, with about 24 million people over the age of 60, ranking first in the country in terms of total elderly population. Recently, Shandong Province in the release of the "14th Five-Year Plan" for the elderly service system, said that by the end of 2022, the province to train 2,000 nursing home directors, 200,000 elderly caregivers, 10,000 elderly community workers, by the end of 2025, the elderly caregivers pre-service training rate reached 100%. Jinan City, the implementation of the city's three-year action plan for the training of elderly service personnel (2020-2022), identified 23 training bases for elderly personnel, the cumulative training of elderly practitioners more than 20,000 times.
Jinan City, the elderly nursing staff Si Xiaoyu: our industry is still missing some young power, I hope that we more professionals into the community.
In response to the situation that the elderly service industry can't keep young talents, the "14th Five-Year Plan" of the elderly service development plan of Jiangsu Province requires the establishment of a clear and comprehensive system of incentives for graduates of the professional counterparts to join, and encourages the major universities to set up the elderly service related specialties to create a platform for the cultivation of high-level talents in the elderly service.
Director of the World Social Security Research Center of the Chinese Academy of Social Sciences, Zheng Bingwen: In developed countries, the group of people who have received vocational education in pension services is not very low income, should be in many vocational colleges and universities to open these pension services.
The city of Kunshan, Jiangsu Province, has also explored the form of government purchased services, commissioned professional nursing institutions to send love caregivers, into the five guarantees, disabled, elderly and other elderly people's homes, for the signing of the elderly free of charge to provide personalized door-to-door life care services.
Kunshan Le Huiju elderly service center director Xu Ye: nearly 100,000 elderly people to provide professional, personalized home care services, effectively alleviate the burden of care of the family, to solve the problem of the elderly home life practical difficulties.
In terms of strengthening the training of elderly service personnel, Zhejiang Province requires that during the "14th Five-Year Plan" period, every 10,000 elderly people have 25 licensed elderly caregivers, and senior and technician-level caregivers accounted for more than 18% of the licensed caregivers.
Hou Chunhui, executive director of the Chinese Society of Labor: the state attaches such importance to the field of an industry, the demand for talent, training is currently very critical. There should be a good top-level design, and then extended down to respond to the entire social needs.
Services for the disabled and demented elderly are in urgent need of attention2
CCTV news: news from the National Health and Health Commission, this year, China has been in Beijing, Shanxi, Liaoning, Sichuan and other 15 provinces to carry out preventive interventions for the elderly disabled and demented pilot.
At present, China's incapacity and dementia of the elderly about 45 million. In order to reduce the incidence of dementia from the source, the state in 15 provinces (autonomous regions and municipalities) in 15 intervention counties (municipalities and districts) to implement the elderly dementia prevention intervention pilot program to improve the health literacy and health of the elderly, prevent or delay the incidence of dementia. In Wenjiang District, Chengdu City, Sichuan Province, the first pilot area, the family doctor team is carrying out a questionnaire survey on the community elderly, for self-care ability, cognitive function, chronic disease prevention and control indicators for assessment.
Chengdu Wenjiang District Wanchun Township Health Center family doctor Gong Yan: We are now doing the limit assessment, then we will be based on the results of the assessment of the targeted screening, screening finished we will carry out targeted intervention.
Wu Jing, director of the Center for the Prevention and Control of Chronic Non-communicable Diseases of the CDC: We have taken a series of measures for the elderly at risk of incapacitation and dementia, such as the management of cardiovascular and cerebrovascular diseases and its risk factors, such as dietary management, such as his weight management, such as some of the aspects of his exercise and so on, comprehensive treatment to promote their . Some of the management.
The Disability and Dementia Prevention and Intervention Pilot Program for the Elderly focuses on interventions for people at high risk of disability with impaired physical function and people at high risk of dementia with mildly impaired cognitive function, and aims to slow the process of development of disability and dementia and to reduce the burden of social care and the economic burden through publicity, training, and empowerment training.
Services for the disabled and demented elderly are in urgent need of attention3With the development of China's aging society, the topic of old age has become a focus of attention for many parties. Data from the seventh national census shows that there are 260 million people aged 60 and above in China, of which 190 million are aged 65 and above.
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 geriatric caregivers? How is the current construction of the system of elderly caregivers in China? Is it able to meet the needs of the huge elderly population care?
Recently, the fifth national "geriatric health care trainer" practical training class was held online, the physician newspaper interviewed the president of the Chinese Society of Geriatrics, the National Clinical Medical Research Center for Elderly Diseases (People's Liberation Army General Hospital), director of Professor Fan Li.
The issue of medical care for the elderly is a "big cause"
"With the development of social and economic development, the people's living standards have improved, life expectancy has been extended, but many older people are faced with a decline in physical function. Chronic diseases, **** disease, disability, dementia people increase year by year. In the face of China's aging status quo, the traditional old-age home care services can no longer meet." Prof. Fan Li pointed out that the medical care of the elderly is the current must focus on the "big cause".
Objectively speaking, China's current pension system is not perfect, the market supply is obviously insufficient, care service standards and other deficiencies, a combination of many contradictions together is very prominent. The more serious is that there is a serious lack of professional elderly care personnel, the level of uneven.
The vast majority of workers in the already insufficient number of elderly care organizations have not been professionally trained, so they can only provide simple care for the elderly, but are unable to cope with the various risks of caregiving. They have long been referred to as pensioners, caregivers, and even nannies, which is not a good name, and they are often treated poorly and not respected by society.
Therefore, it is urgent to accelerate the construction and development of the elderly care system. At the 2019 National Office for the Elderly Director's Conference, Ma Xiaowei, director of the National Health Commission and director of the National Office for the Elderly, has pointed out that the promotion of the establishment of a long-term care service system for the elderly with disabilities should be studied to solve the problem of who to take care of, who to take care of, where to take care of, what to take care of, and who to pay for it.
"The establishment of evaluation standards of medical care for the elderly, according to the general condition of the elderly, the function of various organs and systems, to determine the health status level is the first step in the establishment of elderly care system." At the same time, it is also necessary to actively cultivate specialized geriatric caregivers at all levels and stages, and train them as caregivers who know medical knowledge and basic nursing skills, said Prof. Fan Li. "Beginning, intermediate and advanced caregivers will be certified according to the caregiving skills assessment, so that they can become a social profession, recognized by society, with improved wages and respect." This is an essential force in aging China.