New regulations
What do you care most about providing for the aged? Is it financial support, life care, or spiritual comfort and health care? No matter what the answer is, the support and care that the elderly need is a great challenge for the aging population.
The Regulations on the Promotion of Aged Care Services in Chengdu will be officially implemented on August 1. The regulations put forward exploratory opinions on issues that the elderly are more concerned about, such as "long-term care", and also put forward many support measures for the development of old-age services.
By the end of the year, there were 2,492,800 elderly people over 60 in Chengdu, accounting for 20.59% of the registered population of the city, and the aging rate was 5 percentage points higher than the national average. In the next 10 year, with the development of social aging, the demand for aged care services will continue to increase. In this regard, the "Regulations on the Promotion of Old-age Services in Chengdu" (hereinafter referred to as the "Regulations") came into being and will be officially implemented on August 1 day.
On June 2 1, the Standing Committee of Chengdu Municipal People's Congress held a press conference on the promulgation and implementation of the Regulations, and the responsible persons of relevant units made a comprehensive interpretation of the new provisions of the Regulations.
Focus 1/ Long-term care
Chengdu explores relevant insurance systems.
The long-term care insurance regulations are one of the most striking contents in the regulations. Long-term care refers to providing life care, medical care, psychological comfort and other services for the disabled and semi-disabled elderly, and improving the healthy life quality of the elderly. The establishment of long-term care insurance can reduce the economic burden of the disabled elderly and meet their nursing needs, which is also a concern of the elderly.
Huang Debin, deputy director of the Chengdu Human Resources and Social Security Bureau and director of the Medical Security Bureau, said that it is very necessary to establish a long-term care insurance system from a forward-looking perspective, so the regulations set up the content of "encouraging and supporting financial institutions to develop long-term care insurance and other financial products related to health management and old-age services".
Huang Debin revealed that Chengdu, as one of the first pilot cities of 10 long-term care insurance system in China, is actively exploring the establishment of a long-term care insurance system, and is ready to incorporate it into the social security system. Long-term care insurance is different from the current social insurance such as pension and medical care. Once included in the scope of social security, the social security system of our city will be supplemented and improved.
However, Huang Debin stressed that the long-term care insurance system is still in the stage of research and exploration, and its realization path and institutional framework need long-term investigation and demonstration, so a specific implementation plan has not yet been formed.
Focus 2/ Spiritual Comfort
Supporters should go home often.
The statement in the Regulations that family members have the obligation to support according to law has also received great attention. "Children of the elderly and other people who have the obligation to support and support should fulfill their obligation to provide financial help, life care, medical care and spiritual comfort to the elderly."
How to understand spiritual comfort? Liu Yongchang, deputy director of Chengdu Civil Affairs Bureau, replied that spiritual consolation money is different from the other three obligations of support and care, emphasizing companionship and spiritual care. "For example, supporters should often go home to visit and respect the elderly."
Liu Yongchang said that this is also a requirement to link up with relevant laws and regulations, taking into account the overall situation of home-based care in Chengdu and the understanding of home-based care services.
Focus 3/ Laonian Restaurant
Ensure coverage of all communities.
The 73-year-old Cao is a loyal fan of Changshou Restaurant in Xiqiaohengjie Community, Wuhou District, Chengdu. Because this community can provide three meals a day for the elderly, Cao has not cooked at home for two years.
Such a convenient lifestyle will be enjoyed by more people. The "Regulations" stipulate that district (city) and county people's governments should plan and set up canteens and food aid points for the elderly according to local conditions to ensure that the disabled services provided for the elderly cover all communities.
The encouragement and encouragement of service personnel in the regulations is also worthy of attention. According to the Regulations, the people's governments of cities, districts (cities) and counties should reward and subsidize graduates of ordinary institutions of higher learning or vocational colleges who have worked in public and public welfare pension institutions for more than three years, as well as nursing staff who have worked in the same pension institution for more than three years.
Priority 4/ Support measures
New pension institutions can get subsidies.
A number of support measures stipulated in the Regulations are highlights, including taking out more than 50% of municipal welfare lottery public welfare funds to support the development of old-age services, and this proportion will gradually increase.
The "Regulations" put forward corresponding provisions on construction subsidies and bed subsidies for the newly built and rebuilt socialized pension institutions and community pension service facilities, as well as the elderly registered in this city. Liu Yongchang, deputy director of Chengdu Civil Affairs Bureau, said that according to the current implementation standards, a new public welfare pension institution will be built, and each bed will be subsidized by 1.2 million yuan; Subsidy per bed for newly-built non-public welfare pension institutions 1 10,000 yuan.
There is support, help and legal responsibility. The "Regulations" pointed out that if the nature of the use of government-funded old-age service facilities is changed without authorization, subsidies, subsidies and related expenses will not only be recovered, but also a fine of 654.38 million yuan to 300,000 yuan will be imposed.
In addition, the "Regulations" put forward requirements for the layout of the construction of old-age service facilities. When setting up old-age service facilities in different districts and levels, the per capita land use shall not be less than 0. 1 m2.
Focus 5/ Combination of medical care and nursing
Old-age care institutions can open rehabilitation hospitals.
Focusing on home-based care for the elderly, the "Regulations" specifically refined the specific content of basic medical and health services. Mao Huoping, member of the Party Committee and secretary of the Chengdu Municipal Health Planning Commission, said that 60% of primary health care institutions in Chengdu have established cooperative relations with community pension institutions, providing basic medical care, health education, health consultation, physical examination, psychological consultation, traditional Chinese medicine care and other services for the elderly.
At the same time, Chengdu has set up 2,487 family doctors, with a total of 6,543.8+8,000 households and 4.3 million people, with a signing rate of over 35%. 1155,000 elderly people signed contracts, with a signing rate of 48%.
Support old-age care institutions to apply for the establishment of elderly hospitals, rehabilitation hospitals, nursing homes, hospice care institutions, etc. , or the establishment of infirmary and nursing station, is the main theme advocated by the regulations.
typical case
Providing for the aged in a familiar environment is most popular with the elderly.
Thirty-five "combination of medical care and nursing" institutions in Chengdu are included in the scope of medical insurance agreement management.
On the afternoon of June 2 1, a two-story building was not trapped by the sultry heat in the courtyard of No.9 Huangzhong Street, jinniu district, Chengdu, and many old people were walking and chatting in the backyard and terrace.
Since the opening of 20 12, this 25-bed community service center for the elderly has been full, surrounded by dozens of elderly people living at home, enjoying all kinds of on-site services provided by it.
This is a point of Chengdu Sunset Social Pension Service Center in this city, and it is also a microcosm of Chengdu's home-based pension service model. The "home-based care for the aged" service emphasized in the Regulations also found the answer here.
Liu Yongchang, deputy director of Chengdu Civil Affairs Bureau, said that the active development of community-based pension with the integration of home and institutions is based on the actual needs of the elderly. "Provide services such as life care, domestic service, catering and distribution, convenient shopping, medical care, psychological care, emergency assistance, and activity places for the elderly in their familiar living environment."
Take Chengdu Sunset Social Pension Service Center as an example. At present, there are 62 micro-pension institutions in the community, with 1260 beds providing home-based care services. "At present, the elderly live in 1 143 people, and at the same time provide regular home service for 324 1 elderly people." The relevant person in charge informed that the elderly showed great love for the community pension service center.
This demand of the elderly is also reflected in the planning and layout of community pension in Chengdu. Liu Yongchang informed that according to the "Three-year Action Plan for the Construction of Community Nursing Homes in Chengdu (-20 18)", 200 community nursing homes will be built in Chengdu in the next three years to achieve full coverage of the streets in the central city, the resident towns of district (city) and county governments and the community nursing homes in small cities in the "Thirteenth Five-Year Plan". Among them, 72 construction tasks will be completed this year. In addition, Chengdu will build 666 community day care centers this year.
"The combination of medical care and nursing is the key word," Huang Debin said. The Chengdu Municipal Bureau of Human Resources and Social Security will promptly include the medical institutions that carry out the "combination of medical care and nursing" business and the internal medical institutions of the old-age care institutions into the scope of the municipal medical insurance agreement. "At present, all 35 institutions have been included."
Popular question and answer
Q: What is the goal of combining medical care with nursing care in Chengdu?
A: By 20 17, all kinds of old-age care institutions will be able to provide basic medical services, the establishment rate of health records for the elderly will reach 80%, and nursing beds will account for more than 30% of the total number of old-age care beds; The contracted service rate between community day care centers and community health service centers (township hospitals) has reached more than 80%, and the number of elderly nursing beds in general hospitals above the second level accounts for more than 5% of the total number of beds in the hospital.
Q: At present, more and more elderly people are staying in old-age care institutions. What is the consideration of the medical insurance department?
A: There are two considerations: First, medical institutions organized by pension institutions provide medical services according to law, which can be included in the management of designated medical insurance agreements in Chengdu.
Second, the establishment of medical service institutions should make overall planning and functional orientation. The medical institutions set up by the old-age care institutions are generally small in scale and limited in service capacity, and the service targets are mainly the elderly. We believe that its internal medical institutions should focus on outpatient treatment, and medical insurance can open outpatient credit card business. Those who need hospitalization can be referred to other large medical institutions for treatment.