Let the elderly have a more sense of gain. Experts explain the guidance in the field of medical and nursing integration in detail
2022-07-25
Recently, the National Health Commission and other 11 departments issued the "guiding opinions on further promoting the development of the combination of medical care and nursing" (hereinafter referred to as the "guiding opinions"). Promoting the integration of medical care and elderly care is an important measure to optimize the supply of elderly health and elderly care services, and an important way to actively respond to population aging and enhance the sense of acquisition and satisfaction of the elderly. "The guiding opinions directly face the difficult and blocking problems, promote the combination of medical care and maintenance, and make the elderly feel more gain." Liang Wannian, executive vice president of the Vanke School of public health and health of Tsinghua University and President of the China Institute of health of Tsinghua University, said in an interview with people's Daily that the "guiding opinions" is a further improvement of China's policy system, service system, standard system, talent system and information system for the integration of medical care and nursing, and more clearly defines the development direction, positioning and specific implementation path, It has created a good institutional environment for the steady development of the combination of medical care and maintenance in China. Strengthen the construction of community infrastructure service facilities for the combination of medical care and maintenance. "The vast demand for the combination of medical care and maintenance is at the grass-roots level, and we should strengthen the 'weakness' work of the combination of medical care and maintenance at the grass-roots level." Liang Wannian said that the guiding opinions specifically strengthened the construction of community infrastructure services integrating medical care and maintenance. The guiding opinions put forward that conditional community health service institutions, township health centers or community elderly care service institutions, and support service institutions for people living in extreme poverty (nursing homes) use existing resources to internally rebuild and expand a number of community (township) medical and elderly care combined service facilities. Promote the overall planning of community health service institutions and community elderly care service institutions, community rehabilitation stations, township health centers and support service institutions (nursing homes) for the extremely poor, village clinics and rural happy homes, and disabled care institutions. Medical and health institutions are encouraged to carry out integrated medical and nursing services, strengthen the construction of rehabilitation hospitals, nursing homes and hospice care institutions, and transform and increase nursing beds and facilities in elderly care institutions. Encourage large-scale or mainly elderly care institutions that receive disabled elderly people to set up medical and health institutions to improve the quality of diagnosis and treatment services. At the same time, explore the standardized conversion mechanism between nursing beds and medical beds on demand; Support social forces to build professional, large-scale elderly care institutions with outstanding ability to combine medical care and elderly care. Clarify the service content and mode of the combination of medical care and maintenance Liang Wannian believes that the combination of medical care and maintenance crosses the service connotation of only emphasizing a single "maintenance" in the traditional concept of elderly care, and pays more attention to the integration of elderly care services and medical services. In terms of service content, through the integration of prevention, medical treatment, health care, nursing, health management and health promotion, the comprehensive and continuous service of the combination of medical care and maintenance is highlighted. In terms of service mode, we should strengthen people-oriented, advocate the care service mode, highlight health as the center, and emphasize the signing service of family doctors as the starting point. The specific form of service combines institutions with home-based door-to-door service. Expanding the supply of talent resources for the integration of medical care and maintenance, and talent training is an important basis for promoting the integration of medical care and maintenance. Liang Wannian said that by strengthening the training and training of relevant personnel, the guiding opinions encourage ordinary colleges and vocational colleges to set up relevant majors, expand the enrollment scale, and further expand the talent training path of combining college training with institutional training. We should give full play to the role of relevant vocational skill level certificates, and strengthen the training of medical nurses and elderly care nurses who mainly care for the disabled elderly. In addition, medical personnel, especially retired medical personnel, are encouraged to engage in integrated medical and nursing services in relevant institutions, and relevant incentive mechanisms are established; Establish a volunteer service team and encourage volunteers to provide services to the families of disabled elderly people at home. Optimize relevant supporting policies Liang Wannian said that improve the price policy, increase insurance support, revitalize land resources, and implement fiscal and tax preferences... The guiding opinions clearly put forward support policies in multiple dimensions. Innovative price policies. Public medical and health institutions adopt "medical service price + door-to-door service fee", in which the door-to-door service fee can be independently priced by taking into account relevant factors. Strengthen medical insurance support. According to the procedures, the eligible therapeutic medical service items will be included in the scope of medical insurance payment, and the basic medical insurance expenses that meet the regulations will be paid in full. At the same time, explore the implementation of pay per bed for inpatient hospice care, medical rehabilitation and other diseases that require long-term hospitalization and have a relatively stable average daily cost. Promote the pilot of long-term care insurance system, encourage the development of commercial health insurance, build a multi-channel financing mechanism, improve the purchasing power of demanders, and form a multi-level medical care security pattern. (outlook new era)
Edit：sishi Responsible editor：xingyong
Source：http://www.people.com.cn/
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