As the country with the largest elderly population in the world, where the large-scale Chinese elderly will achieve the most beautiful "sunset red" is a major issue related to "old people have a basis". In recent years, in the face of the "silver wave" brought by aging, planning measures have been launched in many places to actively explore a new model of community home-based elderly care service. "Silver wave" strikes The focus of pension in China is on families and communities The seventh national census data show that China's population aged 60 and over has reached 264 million. It is predicted that during the 14th Five Year Plan period, the national elderly population will exceed 300 million. For a long time, China's elderly care has formed a "9073" pattern, that is, about 90% of the elderly care at home, about 7% of the elderly care in the community, and about 3% of the elderly care in institutions. In recent years, with the focus of public opinion on elderly groups such as "living alone", "empty nest" and "disability", it is more urgent to improve elderly care services in communities and families. In October this year, Wang Haidong, director of the aging health department of the National Health Commission, told the media that the focus of elderly care services in the future should be on home and community, vigorously strengthen the supply of elderly care services at home and community, build a 15 minute elderly care service circle, and improve the accessibility and quality of home-based elderly care services. Recently, the opinions on strengthening the work of aging in the new era issued by the CPC Central Committee and the State Council also proposed to "build an elderly care service system and health support system coordinated by home-based community institutions and combined with medical care and health care", "based on home-based elderly care, improve the service capacity of community elderly care through new construction, transformation and leasing". In addition, The document also proposes to "encourage adult children to live nearby or live together with their elderly parents". How to "move" the nursing home into the home? Explore the construction of new elderly care community in many places In recent years, aiming at the supply of home-based community elderly care services, we have innovated ideas and services in many places, and actively explored a community elderly care model to meet local needs. For example, in Guangzhou, Guangdong, a nursing station focusing on door-to-door nursing services is built in the community to undertake medical and nursing services for elderly care institutions, community care institutions and the elderly at home. Carry out on-site care services, promote the construction of family pension beds, and provide on-site services by pension service institutions to realize the "three entry" of aging transformation, intelligent equipment and professional services. In Qingdao, Shandong Province, the Baiyang oasis home under construction in the international health industry cluster of the city aims at a sanatorium level health community to build a new medical and nursing community of "every family has a doctor, can care at all times, often do physiotherapy and everyone knows health preservation". With family doctors as the core, the community collects health data in real time through intelligent wearable devices and gives timely feedback on abnormalities, provides residents, especially the elderly, with five-level health services of "safety first aid", "diagnosis and referral", "prevention and early warning", "management improvement" and "group ecology", and establishes a professional and personalized life-cycle health management service system. In Sichuan, since last year, Sichuan has fully implemented the project of improving the quality and efficiency of home-based community elderly care services, piloted the construction of smart elderly care communities, created a "15 minute elderly care service circle" in home-based communities, and established an information platform for the elderly, which can collect and analyze the information data of the elderly in its jurisdiction; Provide elderly care services such as first aid, safety protection and remote care for the elderly through platforms, Internet of things and other technical equipment. The key that cannot be ignored Pension community should not emphasize development and ignore service The "silver wave" not only brings new challenges to economic and social development, but also gives birth to huge new consumption potential, providing a broad space for the development of aging industry. Recently, according to the data of enterprise investigation, there are more than 280000 pension related enterprises in China. In 2020, the number of registered enterprises exceeded 51000, with a year-on-year increase of 22%. From January to November this year, more than 49000 related enterprises were added, with a year-on-year increase of 19%. The market space is broad and there are many exploration cases in various places, but the problems existing in the construction of medical care combined with elderly care community in China can not be ignored. The China community development report (2019-2020) released by Social Science Literature Publishing House and other institutions last November mentioned that China's "combination of medical care and elderly care" elderly care service model started late. The vast majority of community health service institutions have weak service awareness, insufficient medical service capacity and low residents' sense of identity, so they can not really provide convenient services for community residents. In addition, the content records of community residents' health archives are incomplete, inaccurate, inconvenient to access, low actual utilization rate, lack of unified planning and design with relevant medical institutions outside the jurisdiction, and can not realize interconnection and sharing of information, resulting in data fragmentation between systems, forming a "island phenomenon" of vertical information system, which can not provide effective information for disease prevention. Yang Ge, associate researcher of the Institute of population and labor economics of the Chinese Academy of Social Sciences, recently issued a document saying that community elderly care services and home-based elderly care services are effective supplements to the traditional family elderly care model, reduce the pressure of family elderly care, and can provide life care, housekeeping services, rehabilitation care, medical first aid, cultural entertainment and spiritual comfort for the home-based elderly. However, At present, there are still some problems in home-based community elderly care services in China, such as insufficient coverage, limited service capacity, lack of professionals, low degree of diversification and marketization. Song Qing, director of the World Association of Chinese doctors and member of the general practitioner branch, analyzed the shortcomings of the current community construction of the combination of medical care and nursing care. At present, most of the elderly care communities focus on development rather than supporting facilities, real estate sales and elderly care services, "Some elderly care communities will implant some elderly care devices and wearable devices, and even some developers will purchase a hospital near the community for supporting, etc., but they still lack professional supporting services and health services. Hardware devices may bring more anxiety and discomfort.". How to combine "medicine" and "maintenance" Truly integrate health services into family life Obviously, in China in the future, families and communities are bound to bear the burden of providing for the elderly. How to promote the gathering of high-quality service resources around, around and around the elderly, and how to fully combine "medicine" and "support" in families and communities are the questions that must be answered. "The core of the elderly care community is service, not how advanced the residential environment is." Song Qing said that the elderly care community should redefine the relationship between people and the community, upgrade health management services in the living function of the house, and integrate the health management with family doctors as the core and the elderly care system supported by nursing into life. Song Qing said that in terms of personnel, family doctors should establish a long-term and stable service relationship with residents, carry out the whole process of health management of residents' health, and provide professional, convenient and continuous basic medical services to solve residents' common diseases, frequently occurring diseases and sub-health status. "Many elderly people may not get sick in the next ten or twenty years and do not necessarily need to see a doctor, but they do need professional personnel to help them with nutrition, exercise, health care and other care services." In terms of facilities, Song Qing said that the health hardware support of the community should be fully integrated with the health management software services, and the health services should be truly integrated into the community management through the combination of residential health element design, intelligent wearable device support and the management of all health data. "Taking first aid as an example, if an old man falls, the family can timely capture the signal of the patient's fall through the biological radar and convey it to the property and family doctor. At this moment, the community will open the access control, elevator and barrier free passage at the first time to ensure the smooth access of the ambulance. At the same time, the family doctor will enter the house in time to deal with the emergency for the patient until the ambulance arrives Doctor. " Experts said that the elderly care community combined with medical care should completely break the separation between community living function and health services, provide differentiated, professional and accurate services for the elderly, and deeply integrate the elements of elderly care and health into the familiar life scenes of the elderly. (outlook new era)