Every morning at 8 o'clock, Chen Xiaoyuan, a volunteer of the New Era Civilization Practice Station in Wuzhang Village, Xiangshan Town, Chongren County, Fuzhou City, Jiangxi Province, will appear at the "Happiness Home" home-based elderly care service center on time. She will bring the breakfast carefully prepared by the canteen master and deliver steaming hot breakfast to the empty nest elderly with mobility difficulties in the village. By the end of 2023, the permanent population of Fuzhou City will be 3.5626 million, with 18.54% of the total population being aged 60 and above Chen Sufang, Director of the Civil Affairs Bureau of Fuzhou City, said that as an underdeveloped area with mountains and hills accounting for 80% of the total area, the growth rate of the elderly population in Fuzhou has significantly accelerated in recent years. How to meet the growing demand for elderly care, especially in rural areas, is an important issue that Fuzhou needs to face. Fuzhou City is one of the pilot areas for comprehensive reform of the elderly care service industry in China. In recent years, Fuzhou City has vigorously promoted the construction of the elderly care service system, including rural elderly care, which has been included in the evaluation of high-quality development and rural revitalization strategies at the city and county level. Multiple plans have been formulated, such as the "14th Five Year Plan for the Development of the Elderly Care Service Industry in Fuzhou City", and 28 policy documents related to the development of home-based and community-based elderly care services, reform of public elderly care institutions, and basic elderly care service lists have been issued. In terms of improving the elderly care service system and innovating the supply of elderly care services, a number of practical achievements have been explored according to local conditions, providing useful experience for the development of the elderly care service industry. The Third Plenary Session of the 20th Central Committee of the Communist Party of China emphasized the need to accelerate the filling of the gaps in rural elderly care services. This makes us full of confidence in solving the problem of elderly care in rural areas and connecting the 'last mile' of elderly care services, especially in mountainous areas! "Said Chen Sufang. Tailored to local conditions, improving rural elderly care supporting services. In the kitchen of the "Happiness Home" in Lukeng Village, Xicheng Township, Lichuan County, Fuzhou City, Wu Shuigui's waist tied apron moved left and right in front of the stove, adding rice, water, ingredients, and cutting meat, while the wok sizzled and sizzled... wisps of fragrance flowed straight into people's noses. Villagers can dine here at noon and evening, and the fruits and vegetables in the field can also be sent to the cafeteria to offset their meal expenses, which is both economical and convenient. Lukeng Village is located deep in the mountains, about 40 kilometers away from the county seat. It is the most remote village in Lichuan County, and like many other villages, it has faced difficulties in providing housing, dining, and transportation for left behind elderly people. In recent years, Lichuan County has launched a comprehensive construction project for elderly care service stations (Happiness Home) to address this issue. What if there is insufficient operating funds? Adopting the method of "the elderly pay a little, the village contributes a little, and the government supplements a little", the elderly pay a portion of the meal expenses appropriately, the village collective economic income allocates a portion of the funds, and the county and township finance arranges a portion of the subsidies. What if there is a shortage of service personnel? According to the approach of "Party building+home-based elderly care services", actively guide village "two committee" cadres and party members to actively participate in service work, and encourage local elites, enthusiastic villagers, and volunteers to provide caring services for the elderly. In the past, most of the 153 public elderly care institutions had problems such as inadequate management, low occupancy rates, and substandard fire safety facilities Li Zhiqiang, Deputy Director of the Elderly Care Service Center of Fuzhou Civil Affairs Bureau, said that Fuzhou has introduced a reform plan for public elderly care institutions, fully utilizing vacant public places such as vacated school buildings and office buildings, integrating small and scattered township nursing homes, and building 63 regional center nursing homes, effectively solving the problems of poor conditions, few personnel, and low service levels in previous township nursing homes. Starting from September 2023, Guangchang County in Fuzhou City has launched the "Lotus Heart Respect for the Elderly" campaign, adopting the approach of "village collective economic operating income as the main source, supplemented by government subsidies, personal payments, and social donations", to create the first batch of "Lotus Township Respect for the Elderly" that integrates 15 canteens, lecture halls, and discussion halls, providing dining, health care, learning and other services for more than 500 elderly people. At the same time, the county has established a paired assistance mechanism for rural "three chiefs" (district chief, district chief, and grid chief) and "one elderly and one young". 856 rural "three chiefs" have helped 878 elderly people over 70 years old solve 1120 practical problems. In the mountainous areas of Fuzhou, there are many elderly people who find it difficult to travel, and various regions have formed "motorcycle delivery teams" and "errand light cavalry" for this purpose. Lichuan County has established three systems for regular visits, daily visits, and paired assistance of party members and cadres. Li Xinu, who lives in Xinzhuang Village, Tanxi Township, Lichuan County, has suffered a stroke and is unable to move her legs and feet. After learning about the situation, Ye Xiaomei, the women's director and member of the delivery team in Xinzhuang Village, delivers meals to the elderly's doorstep every day, and also helps them with medicine, cleaning, and haircuts. Improving "software and hardware" to meet the diverse needs of the elderly. The Health and Elderly Care Service Center in Qiuxi Town, Linchuan District, Fuzhou City is an independent courtyard consisting of three connected three story residential buildings with a total construction area of 3250 square meters. It has 80 beds and is equipped with complete facilities such as activity rooms, kitchens, and restaurants to meet the daily needs of the elderly. The nursing staff took care of us very carefully, often measuring our blood pressure and temperature, and even organizing us to make dumplings and sing. We lived very comfortably here 75 year old Wang Quanfu said with a smile. Linchuan District is an agricultural region with a large number of elderly people. The district actively explores the elderly care model that combines medical care and elderly care, and builds elderly care centers next to central health centers in various townships to achieve the integration of the two institutions. Zhou Meihe, Director of the Civil Affairs Bureau of Linchuan District, stated that "medicine" and "care" are interrelated. If you take good care of yourself, you will get sick less and reduce the burden on doctors; Good medical treatment can prolong life and promote better health. Linchuan District's active exploration in rural "medical care and elderly care" is a microcosm of Fuzhou City fully utilizing various resources and adapting to local conditions to create a new platform for rural elderly care. Integrate service functions and do a good job in "integration" articles; Enrich service content and implement "demand" articles; Enriching service capabilities and making a lasting effort... Rural elderly care institutions across Fuzhou are gradually achieving normalized operation by optimizing resource allocation and establishing long-term mechanisms. In response to the problem of elderly care institutions being unable to see patients in the past, Lichuan County has promoted the signing of long-term cooperation agreements between local health centers and elderly care service stations. The content includes the establishment of mini medical institutions, the long-term deployment of medical staff in nursing homes, the establishment of health records for the elderly, weekly scheduled visits, annual health check ups, and a focus on the diagnosis and treatment of common chronic diseases among the elderly. Shili Village, Rifeng Town, Lichuan County has centralized the functions of the elderly canteen, children's companion home, and village clinic into the "One Elderly and One Small" Happiness Home. Among them, the village clinic has specially set up a thermosensitive moxibustion treatment room. Rao Lin, a doctor at the village clinic, said, "Elderly people generally face the problem of musculoskeletal pain. They often go to the clinic for heat sensitive moxibustion treatment before meals, and then go to the cafeteria for meals after treatment. This treatment can be directly covered by medical insurance." In addition to significantly improving medical services, regional nursing homes in various parts of Fuzhou are also constantly innovating in management to further meet the spiritual and cultural needs of the elderly. The nursing home provides haircuts for the elderly every month and organizes regular entertainment activities. The elderly have a regular life and a more outgoing personality! "Zhang Xiaofei, the director of the Xunkou Town Center Nursing Home, was deeply impressed. Liu Debin, an elderly person at the Xunkou Town Center Nursing Home, said, "Originally, living alone made it very lonely without anyone speaking. After moving into the nursing home, the volunteer service team often performed cultural and artistic performances for us, and our mood was much better than before. We focused our efforts on strengthening the weakest link." We conducted a self-assessment of the elderly's abilities. Based on the assessment results, these elderly people were classified into three levels, namely self-care elderly, semi disabled elderly, and fully disabled elderly. According to different ratings, we will develop different care plans, accurately quantify the elderly care needs, and provide suitable elderly care services, "said Hong Chunmei, the person in charge of Lufang Township Elderly Care Service Center in Jinxi County, Fuzhou City. The elderly in rural areas who are extremely impoverished, disabled, or semi disabled are one of the most difficult groups in society. Their support services are the most important and weak part of the rural elderly care service system. Fuzhou focuses on the actual situation of the care needs of extremely poor, disabled and semi disabled elderly people in the elderly population. In addition to making good use of various regional elderly care service centers, 11 county (district) level welfare homes have also been transformed into centralized care institutions for extremely poor and disabled elderly people. Currently, more than 330 rural extremely poor and disabled elderly people in the city have achieved centralized care, "said Jiang Yuke, head of the Elderly Care Service Department of Fuzhou Civil Affairs Bureau. Fuzhou City has accelerated the formation of a rural elderly care service pattern supported by the "Three Ones" through strengthening organizational leadership, increasing funding investment, and innovating work measures, such as "one county, one center", "one township, one battlefield", and "one village, one place", steadily promoting centralized care and support for them. Wang Donglan, an elderly person from Lichuan County, is 92 years old this year. A few years ago, she suffered a stroke that left her partially paralyzed and unable to live without others. Her children are also busy and unable to take care of them. The need for full-time supervision, enormous mental pressure, and high caregiver fees are the troubles of Wang Donglan's family, and also the common elderly care difficulties faced by many families. The dilemma of caring for disabled elderly people is highlighted by the phrase 'one person is disabled, the whole family is unbalanced'. To alleviate the difficulties faced by the masses, Lichuan County has introduced a comprehensive plan for centralized support, promoting centralized care for extremely poor and disabled individuals. Based on the living characteristics of extremely poor, disabled, and semi disabled elderly individuals and the requirements of centralized care, aging friendly renovations have been carried out, with nursing staff provided in a ratio of 3:1 for extremely poor and disabled individuals. The proportion of nursing beds in elderly care institutions has reached 70.1%. Upon learning of the opening of the Lichuan County Social Welfare Center to the public, the children obtained Wang Donglan's consent and sent her here, paying 3600 yuan per month. The vocational skills training and training station for elderly care workers in Fuzhou City is located in our center. According to the latest national standards for healthcare workers, we regularly provide skill training for nursing staff Introduction by Wan Fang, Executive Vice President of Lichuan County Social Welfare Center. After being partially disabled at the age of 90, Zhou Fajin was originally taken care of by his four children in rotation. But some children live outside Lichuan County, and the elderly have to travel back and forth between the two places, which makes their health somewhat unbearable. During the Chinese New Year, I discussed with my younger siblings and decided to send her to live at Desheng Medical Care Center. My home is nearby, so I will come and take care of her when I have free time, "Zhou Fajin's son Liu Wangsheng told reporters. Fuzhou is a pilot city for comprehensive reform of the national elderly care service industry. Next, we will conscientiously implement the deployment of the Third Plenary Session of the 20th Central Committee of the Communist Party of China on improving the system of guaranteeing and improving people's livelihoods, accelerate the filling of the gaps in rural elderly care services, deepen the reform of rural elderly care services, improve the level of care services with practical measures, and continuously enhance the well-being of rural elderly people Chen Sufang said. (New Society)