At 15:00 on May 16, 2024 (Thursday), the National Health Commission held a press conference in the press conference hall of Building 2 of the National Health Commission (No. 38, Beilishi Road, Xicheng District) to introduce the promotion of high-quality development of the integration of medical care and elderly care, and answer questions from reporters.
Deputy Director General and Spokesperson of the Publicity Department of the National Health Commission
Hu Qiangqiang
Friends from the media, good afternoon! Welcome to the press conference of the National Health Commission.
In recent years, the National Health Commission and relevant departments have taken the integration of medical care and elderly care as an important task to implement the Healthy China strategy and actively respond to the national strategy of population aging.
At today's press conference, we will focus on the theme of "promoting the high-quality development of the integration of medical care and elderly care", and introduce to you the relevant situation of the integration of medical and elderly care.
The guests who attended the conference were:
Mr. Wang Haidong, Director-General, Department of Aging and Health, National Health Commission;
Mr. Xu Min, Deputy Director of Shandong Provincial Health Commission;
Mr. Zhang Xifeng, County Magistrate of Jiashan County People's Government, Jiaxing City, Zhejiang Province;
Ms. Zhu Qiong, Director of Community Health Service Center, Kangjian Street, Xuhui District, Shanghai;
Ms. Hu Xue, a nursing staff member of an integrated medical and elderly care institution;
Ask them to answer your questions together.
Now let's move on to today's on-site Q&A session, and please inform your news organization before asking questions. Please raise your hand to ask questions.
Reporter of Phoenix TV
We understand that the demand for the integration of medical care and elderly care is getting higher and higher, how to promote the integration of medical care and elderly care from the national level? Thank you!
Director of the Department of Aging and Health of the National Health Commission
Wang Haidong
Thank you for your question. There are elderly people in every family, and everyone will be old, so everyone is very concerned about the combination of medical care and elderly care. The combination of medical care and elderly care is the combination of medical and health services and elderly care services, which is to provide medical and health services for the elderly at home, community and institutional care on the basis of daily life care. For every elderly person, medical and health services and pension services are indispensable. The integration of medical care and elderly care is an important way for our country to actively respond to the aging of the population, and it is also an effective measure to meet the needs of the elderly for health care services. In recent years, the National Health Commission has vigorously promoted the integration of medical care and elderly care, and has achieved positive results.
The first is to improve policies and measures. The second is to expand the supply of services. The third is to improve the quality of service.
In terms of improving policies and measures, we have incorporated the integration of medical care and elderly care into important documents and important plans, and promoted them at a high level. At the same time, some specific policies and measures have been formulated, such as home community services, institutional services, medical and elderly care connections, and service supervision. At the same time, we have also formulated supportive policies for finance, taxation, price, land, medical insurance, investment and financing, etc., providing policy support for the development of the integration of medical care and elderly care.
We have also come up with a lot of ways to expand the supply of services. Over the years, through specific practice, we have formed four relatively mature service models for the integration of medical care and elderly care. First, medical and health institutions and pension service institutions sign contracts and cooperate to provide services. Second, medical and health institutions carry out integrated medical and elderly care services. Third, elderly care institutions carry out medical and health services in accordance with laws and regulations. Fourth, health services extend to homes and communities. For example, the Community Health Service Center of Kangjian Street, Xuhui District, Shanghai, where Director Zhu, who attended the press conference today, is a grassroots medical and health institution to carry out integrated medical and elderly care services. During the 14th Five-Year Plan period, we also launched a capacity building project for medical and health institutions to support eligible medical and health institutions to build integrated medical and elderly care service facilities and provide high-quality integrated medical and elderly care services. So far, the number of signed pairs of medical and health institutions and pension service institutions nationwide has reached 87,000, and more than 7,800 medical and elderly care institutions with medical and health institution qualifications and pension institutions have been recorded, with 2 million beds, which has effectively increased in terms of service supply.
In terms of improving service quality, we have carried out actions to improve the service quality of medical and elderly care institutions for three consecutive years, and improved the service quality of medical and elderly care institutions through self-inspection and rectification. At the same time, we have also implemented the demonstration project of the integration of medical care and elderly care, and selected the first national demonstration province of the integration of medical and elderly care, which is Shandong Province, the first batch of 100 counties (cities and districts) of the integration of medical and elderly care, Jiashan County is one of them, and there are 99 demonstration institutions of the integration of medical and elderly care. We have also compiled a total of 200 cases from the experience of demonstration provinces, demonstration counties (cities, districts) and demonstration institutions across the country into a book in a timely manner for everyone to learn from, promote and use. In terms of personnel training, we have coordinated with the Ministry of Education to set up a special major of "medical care and management" in the undergraduate majors of higher vocational education in the country, and organized the compilation of a series of professional textbooks. We have also launched a nationwide training program to improve the capacity of talents in the integration of medical and elderly care, and have trained more than 100,000 practitioners in the integration of medical and elderly care. At the same time, in terms of intelligent support, we have carried out remote collaborative services combining medical care and elderly care to provide remote medical services for the elderly, and also carried out the development of smart health and elderly care industry.
In short, through these measures, it is necessary to improve the efficiency and quality of integrated medical and elderly care services, and provide high-quality integrated medical and elderly care services for the vast number of elderly people. Thank you!
Reporter of the Voice of China of the main station
As a demonstration province of the integration of medical care and elderly care, what explorations has Shandong made in the development of integrated medical and elderly care institutions and talent teams? Thank you.
Deputy Director of Shandong Provincial Health Commission
Xu Min
Thank you for your question, and thank you for your attention to our work in Shandong. The provincial party committee and the provincial government will build a national demonstration province of medical care and elderly care as an important task, and include it in the province's major projects for the conversion of old and new kinetic energy. In the past five years, the province's integrated medical and elderly care service capacity and the satisfaction of the masses have been greatly improved. Below, I would like to introduce our work from the following aspects.
The first is to increase investment guarantees. It is clarified that medical institutions shall establish a system for the application and filing of pension institutions, and equally enjoy the subsidy policy of pension funds. More than 2.2 billion yuan of provincial funds have been allocated for the construction, operation subsidies and innovation-led projects of medical and elderly care institutions, and the province has reduced or exempted 470 million yuan of taxes and fees for medical and elderly care institutions, and approved more than 6,000 acres of land for medical and elderly care institutions. At present, the number of insured people in the province has reached 50.78 million. A provincial-level medical care and health management service platform has been established, and 1.65 million disabled elderly people have been included in the system to achieve dynamic health management.
The second is to speed up the development of medical and elderly care institutions. By the end of 2023, there will be 962 medical and elderly care institutions with complete certificates and 276,300 beds in the province, ranking first in the country. The standard for the contracted service of family doctors for the elderly aged 60 and above has been introduced, and more than eighty percent of the elderly aged 65 and above have received the service of combining medical care and elderly care. Priority was given to the development of nursing beds for the elderly, with 312,000 nursing beds in nursing institutions, accounting for 72%, and the supply of professional care has increased significantly. At the same time, in order to facilitate the masses to understand the situation of medical and elderly care institutions, we took the lead in using the electronic map of medical and elderly care institutions in Shandong Province to achieve "one-click navigation".
The third is to strengthen the construction of talent team. A total of 231 colleges and universities in the province have opened medical and elderly care majors, and the number of students enrolled in medical and elderly care related majors has reached 330,000. A total of 8,300 key personnel of medical and elderly care and 300,000 elderly care services and management personnel have been trained offline and online. At the provincial level, high and secondary colleges and universities that set up pension majors will be awarded and subsidized 1 million yuan and 800,000 yuan respectively, and graduates of technical secondary school or above will be given incentives and subsidies of 10,000 yuan to 20,000 yuan for entering the pension industry. At the same time, our province has held 5 consecutive sessions of the government-school-enterprise docking exchange meeting for senior service talents, and built a platform for exchange and employment.
In recent years, our province has formed a number of service models with distinctive characteristics and obvious results around the needs of home, community and institutional medical and elderly care services, which has also greatly improved the accessibility of health and elderly care services. Thank you!
Reporter of Macau Monthly
The application of informatization can effectively improve the quality and efficiency of health care services, how can Jiashan County use informatization to provide more convenient services for the local people? Thank you!
The county magistrate of the People's Government of Jiashan County, Jiaxing City, Zhejiang Province
Zhang Xifeng
Thank you for your question. At present, informatization and digitalization are also a trend, so how to use informatization and digitalization to empower the integration of medical care and elderly care and improve the quality and efficiency of services is also what we have been exploring and practicing. We have carried out three main aspects of work:
The first is to create a county-wide integrated digital collaboration platform for urban and rural areas. We call it the "Elderly Care and Intelligent Enjoyment" application, which realizes the exchange and sharing of health management data and elderly care service data through the collaboration of 16 departments such as health, civil affairs, and medical insurance. At present, we have accurately collected the health status of the elderly over 60 years old in the county, and dynamically updated the data. For example, after an elderly person who is elderly in an institution goes to the hospital for a physical examination, the relevant data will be uploaded to this digital platform and simultaneously pushed to the elderly care institution to help accurately guide the elderly in meals, medication, rehabilitation and other services.
The second is to do a good job in smart health management. We have built a smart health house that integrates 11 physical signs such as blood pressure, blood sugar, and blood lipids, which is free and open for self-use, and the relevant test data for the elderly will be recorded in the residents' health electronic files after use. If abnormal data is found, the platform will give an early warning to the elderly and their families as soon as possible, and put forward suggestions for health management. At present, the smart health house has achieved full coverage of town and street construction, serving a total of 328,000 elderly people.
The third is to do a good job in remote services on the cloud. Taking advantage of the integration of the Yangtze River Delta, we took the initiative to connect with high-quality medical resources in Shanghai, Hangzhou and other places, and opened remote consultations in all elderly care institutions and medical and elderly care institutions. At the same time, focusing on the needs of the elderly for home medical care, through online ordering, voice interaction and other methods, it provides 91 services for the elderly, such as medical care, life care, and meal appointments, with an annual service volume of more than 1 million person-times. Thank you!
Red Star News reporter
What kind of daily life and medical services can be provided by medical and elderly care institutions? Can it meet the diverse needs of the elderly in chronic disease management, rehabilitation care and psychological counseling? Thank you.
Zhu Qiong, director of the Community Health Service Center of Kangjian Street, Xuhui District, Shanghai
Thank you for your question. Kangjian Street Community Health Service Center is a comprehensive primary medical and health institution, and we have carried out some integrated medical and elderly care services for many years in accordance with the needs of the elderly in the surrounding area. At present, there are 139 elderly care beds and 69 elderly care beds, and 60% of the elderly care beds are disabled and demented. We provide medical services and integrated care services for these seniors.
In terms of providing quality medical services, Kangjian Street is a typical area with a high degree of aging, and the elderly in the jurisdiction have high rates of hypertension, diabetes and cardiovascular diseases. In response to these geriatric diseases, the center focuses on geriatric medicine, further improving the ability of medical staff to identify geriatric care skills and acute and critical diseases of the elderly, and ensuring timely treatment and referral of the elderly. Of course, we have also made use of the high-quality resources of the regional medical alliance to open 18 specialized specialties, and used the construction of grassroots workstations of famous and old Chinese medicine to strengthen the application of appropriate Chinese medicine technology for geriatric bone disease, cardiovascular and cerebrovascular disease and insomnia in the community at our doorstep. At present, we have joined the atrial fibrillation alliance of Zhongshan Hospital affiliated to Fudan University, and cooperated with Xuhui District Central Hospital to build a 5G remote ultrasound clinic to provide telemedicine services for the elderly. In terms of specific services, we provide personalized service packages according to the different health needs of the elderly, including health examination, traditional Chinese medicine health care, disease diagnosis and treatment, chronic disease management, rehabilitation care, and psychological and spiritual support services. In recent years, the health management rate of chronic disease population in our jurisdiction has been increasing year by year, while the total incidence of cardiovascular and cerebrovascular diseases among the elderly in our jurisdiction has been decreasing year by year. At the same time, we also accept third-party social satisfaction evaluations, and the satisfaction rate of the elderly and their families who live in our center is above 99%.
Secondly, in terms of integrated care services, most of the disabled and dementia elderly people we live in have a variety of chronic diseases, some of them are bedridden for a long time after cerebral infarction and fracture, and some are patients with dementia. We also integrate the capabilities of various departments and wards of the center to carry out integrated care for the elderly, including basic care, specialist care, and life care, which greatly reduces the risk of falls, bedsores, and gastric catheter detachment of the elderly, and the incidence of bedsores in our hospital is currently zero. At the same time, our center has also set up a team of nearly 200 volunteers to provide companionship and psychological support services for the elderly. Our family doctors, as assessors, participate in the Shanghai Unified Needs Assessment for Elderly Care and obtain long-term care insurance services for the disabled elderly who need to meet the requirements in the jurisdiction. In 2012, our center also opened a palliative care clinic and ward, and currently has 20 beds in the palliative care ward, providing comprehensive services of comfortable care, symptom control, humanistic care and psychological support for the elderly with palliative care needs. Thank you!
Reporter of China News Service
Many elderly people want to be able to get health care services at home, what other measures do we have in terms of home community services? Thank you.
Director of the Department of Aging and Health of the National Health Commission
Wang Haidong
Thank you for your question. Indeed, more than 90% of the elderly now want to care for the elderly at home, so the National Health Commission has been committed to promoting the increase of home-based community medical care services, and has done a lot of work in this regard.
The first is to improve the ability of home-based community medical care and elderly care services. The second is to enrich the content of home-based community medical care and elderly care services. The third is to ensure the sustainability of home-based community medical care and elderly care services.
The first is to improve service capabilities. We have organized and carried out an action to improve the capacity of community medical care and elderly care. Relying on community or township medical and health and elderly care service institutions, improve service capacity, focusing on providing integrated medical and elderly care services for the disabled, dementia, chronic diseases or long-term bedridden elderly, and increase the supply of integrated medical and elderly care services. At the same time, we also encourage community and township medical and health institutions and elderly care service institutions to make overall planning and adjacent construction as much as possible when building, and the location should be close to each other, so that the elderly can get medical and elderly care services nearby. At the same time, we have also launched "Internet + Nursing Services" to increase the supply of home care services. We have taken the elderly as a key group to carry out family doctor contract services, etc., which are all measures to enhance the ability of grassroots home-based communities to integrate medical care and elderly care.
The second is to enrich the service content. We have carried out a project on the management of the elderly in basic public health services, as well as a project on the integration of health and medical care for the elderly. We have provided health management services for 127 million elderly people aged 65 and above, integrated medical and elderly care services such as rehabilitation guidance and nutrition improvement guidance for more than 54 million elderly people, disability assessments for more than 12 million elderly people, and care services for nearly 6 million disabled elderly people. At the same time, we have also formulated guidelines for the integration of medical and elderly care services at home and in the community, guiding medical and health institutions to provide eight integrated medical and elderly care services for the elderly, including health education, health management, medical rounds, family hospital beds, home medical care, traditional Chinese medicine, psychological and spiritual support, and referral services.
The third is to ensure the sustainability of home-based community medical care services. We have clarified the price policy of "door-to-door service fee", and when public medical and health institutions provide door-to-door medical services for the elderly, they will adopt the method of "medical service price + door-to-door service fee" to support public medical and health institutions to carry out door-to-door medical services for the elderly. At present, Henan, Shaanxi, Fujian and other provinces have formulated specific relevant medical insurance policies to support medical and health institutions to provide home-based medical services urgently needed by the disabled, demented, bedridden and elderly elderly.
In short, through these three measures, we strive to expand the supply of integrated medical and elderly care services in the home community to meet the service needs of the elderly. Thank you!
Reporter of Nanfang Daily Nanfang +
The practice of many places has proved that the development of the integration of medical care and elderly care has also led to the development of local industries.
Deputy Director of Shandong Provincial Health Commission
Xu Min
Thank you for your question. It should be said that the integration of medical care and elderly care is a people's livelihood project that conforms to the will of the people, wins the hearts of the people, and promotes development. In recent years, Shandong's medical and elderly care industry has achieved rapid development, and while we meet the needs of the elderly for health care services, we have also stimulated the medical and elderly care industry, realizing the mutual promotion and virtuous cycle of business and industry. We have carried out the following three main aspects of work:
The first is to strengthen planning and guidance. The provincial government has issued a provincial development plan, clarified the added value of the medical care and health industry, the number of leading enterprises and other phased work goals, determined the key tasks in seven areas, and strived to exceed 700 billion yuan by 2027, gather more than 1,200 leading enterprises with strong demonstration and leading role, and promote the high-quality development of medical care and health and related industries.
The second is to increase financial support. The provincial government issued the "Shandong Province New and Old Kinetic Energy Conversion Fund Management Measures" to provide fund support for the development of the province's medical care and health industry. A total of 6 provincial-level medical and health industry funds have been set up, with a subscription scale of 16.47 billion yuan for industrial funds, 1.17 billion yuan for provincial guidance funds, and 238 projects including medical and elderly care institutions.
The third is to strengthen policy guidance. Optimize the policies and measures of the medical care and health industry, and guide market players to provide multi-level and diversified health care products and services to the elderly around key areas such as health care for the elderly, rehabilitation assistive devices, and smart medical care. At present, the development trend of the medical care and health industry in our province is good, and it has become a new growth point for economic and social development. In 2023, the added value of the province's medical care and health industry will reach 611.1 billion yuan, an increase of nearly 50% compared with 2018, and the added value of the medical care and health industry will account for 6.6% of GDP, which will play an obvious role in supporting and driving economic and social development, especially the integration of medical care and elderly care. Thank you!
21st Century Business Herald reporter
In rural areas of the mainland, there are more left-behind elderly people, and their demand for services in the integration of medical care and elderly care is also more urgent. May I ask, in the work of promoting the integration of medical care and elderly care, how to extend the integration of medical and elderly care services to rural areas? Thank you.
The county magistrate of the People's Government of Jiashan County, Jiaxing City, Zhejiang Province
Zhang Xifeng
Thank you for your question. Jiashan is located in the core area of the Yangtze River Delta, is one of the areas with a relatively balanced development of urban and rural areas, thanks to such development advantages, home care has become a common choice for the elderly in Jiashan rural areas. In recent years, the aging of Jiashan is also gradually deepening, and the number of elderly people over 60 years old in the county has reached 131,000, of which 92,000 are in rural areas. In order to meet their health care needs, we have mainly done three aspects:
The first is to continue to increase investment. Since 2018, 18 medical and elderly care projects have been implemented, with a total investment of more than 1.2 billion yuan. In particular, the work tentacles will be extended to the towns and villages, and vigorously create an adjacent model, to promote the construction of 80% of the county's pension institutions and town-street health centers, village clinics and other primary medical resources adjacent to the construction, the distance is within 500 meters, and the walk is about seven or eight minutes, realizing the basic pension medical treatment "not out of the village, not out of the town".
The second is to innovate the working mechanism. We have taken the lead in formulating a long-term care insurance system in Zhejiang Province, which includes the disabled and dementia elderly into the coverage of long-term care insurance and provides basic medical care and life care services. At the same time, vigorously promote the sinking of medical care services, in the village elderly care center and other elderly gathering places set up roving medical points, medical staff at least once a week to the roving medical point service, for the elderly in rural areas to provide "doorstep" diagnosis and treatment, dispensing and other services, the annual service volume of more than 130,000 person-times.
The third is to promote the "two-bed integration" of family hospital beds and family pension beds. Since 2023, we have gradually promoted the integration of family hospital beds and home care beds, arranged for family doctors and elderly care workers to come to provide medical, nursing, rehabilitation, life care and other superimposed services for the elderly, and included bed construction fees and home service fees in the reimbursement scope of medical insurance. At present, 456 elderly people in rural areas have been provided with home care beds for the elderly, and family hospital bed medical services have been provided for the elderly in need.
Therefore, from towns and villages to the doorstep and then to the home, our work of combining medical care and elderly care is also deepening, which really makes it convenient and affordable for the elderly in rural areas and reduces the burden. Thank you!
Reporter from China.com
The leasing of venues, medical facilities, and rehabilitation equipment for the integration of medical care and elderly care requires a large amount of capital, as well as the participation and investment of social capital. What are the specific measures to encourage and support social forces to participate in the integration of medical care and elderly care? Thank you.
Director of the Department of Aging and Health of the National Health Commission
Wang Haidong
Thank you for your question. Indeed, as you said, the development of the integration of medical care and elderly care needs the support of social forces. The National Health Commission has been encouraging and supporting social forces to participate in the development of integrated medical and elderly care, hoping that through the participation of social forces, the majority of elderly people can receive guaranteed quality, affordable and sustainable integrated medical and elderly care services. We have taken measures in three main areas:
First, in terms of examination and approval, it will facilitate the development of integrated medical and elderly care services by social forces. Where an elderly care institution applies for the internal establishment of a clinic, a health room, an infirmary, or a nursing station, the administrative examination and approval shall be cancelled and the record management shall be implemented. For those who apply to set up a second-level or lower medical institution, set up a "two-in-one" certificate for approval and practice registration. At the same time, medical institutions with legal personality apply for the establishment of pension institutions, do not need to set up a new legal person, nor do they need to register as a separate legal person, and can carry out pension services by changing the registration items or service scope. At the same time, we also require all localities to implement "one window" for new applications for the construction of integrated medical and elderly care institutions, if they involve the approval of relevant departments at the same level.
Second, in terms of construction, it provides a multifaceted guarantee for social forces to carry out integrated medical and elderly care services. For example, there is no planning limit on the total number of areas in which the community runs medical and elderly care institutions. Support social forces to build specialized, chained, and large-scale medical and elderly care institutions, and those who meet the requirements can enjoy preferential policies in terms of taxes, investment and financing, and land use. At the same time, the medical institutions in the eligible pension institutions will be included in the designated management of medical insurance in a timely manner, and the total amount of medical insurance can be reasonably determined in combination with the characteristics of chronic diseases and comorbidities of the elderly, and the qualified places are encouraged to prepay some medical insurance funds in advance for medical institutions that provide medical and elderly care services, so as to reduce its operational pressure. At the same time, on this basis, we also encourage local governments to introduce more specific and targeted supportive policies to support social forces to participate in the development of medical and elderly care.
Third, in terms of investment, it provides financial support for social forces to carry out integrated medical and elderly care services. For example, encourage qualified localities to support the development of the integration of medical care and elderly care by setting up industrial investment funds, and Shandong has done a very prominent job in this regard. Encourage insurance companies, trust and investment companies and other financial institutions to set up medical and elderly care institutions as investment entities. Through the government's procurement of services, support medical and elderly care institutions to provide basic public health services and basic elderly care services for the elderly.
Through these measures, we have effectively improved the enthusiasm of social forces to participate in the development of the integration of medical and elderly care, and at present, more than 5,500 of the medical and elderly care institutions with medical and health institution qualifications and the registration of elderly care institutions are organized by social forces, accounting for more than 70% of the total.
In the next step, we will continue to improve support policies, encourage and support social forces to continue to participate, develop and expand the integration of medical and elderly care services, provide more high-quality integrated medical and elderly care services for the elderly, promote the industry with the cause, promote the cause with the industry, and realize the coordinated development of the cause and the industry. Thank you!
Reporter of Guangdong Radio and Television Station
At present, most of the elderly in mainland China care for the elderly at home, what services can medical and elderly care institutions provide, so that the elderly, especially the empty nest elderly, the lonely elderly, the disabled elderly and other groups of home care more convenient and safe? Thank you!
Zhu Qiong, director of the Community Health Service Center of Kangjian Street, Xuhui District, Shanghai
Thank you for your question. Kangjian Community Health Service Center attaches great importance to providing home-based medical and elderly care services for the elderly in need, and we mainly focus on two parts:
First, do a good job of referrals and referrals. If the family doctor learns from the family that the symptoms of the elderly person at home have changed due to hypertension, diabetes or other chronic diseases, or if new symptoms suddenly occur, our family doctor will visit the elderly person to evaluate the elderly person, and if they meet the conditions for hospitalization, they can be referred to the elderly care ward of our center for treatment. When the condition of the elderly exceeds the scope of the center's diagnosis and treatment, they will be transferred to a higher-level medical institution for treatment through the Shanghai hierarchical diagnosis and treatment system or the Xuhui District appointment and referral platform. After treatment, if the condition of the elderly is reduced but still needs rehabilitation, they can be transferred back to the elderly care ward of the center for further treatment. After treatment, the elderly who have improved their condition can be directly transferred back to the nursing home or home care. Several links are linked to each other, breaking the walls of the hospital, focusing on the elderly, so that the elderly in different scenarios can enjoy the whole chain of medical and elderly care services. In 2023, the center's family doctor team conducted more than 2,600 follow-up visits for the elderly after discharge from secondary and tertiary hospitals.
Second, do a good job of door-to-door medical services. Our center has 5 family doctor teams, the elderly are the key service groups, especially at home disability and dementia, the elderly, the elderly, the elderly, the disabled, disease rehabilitation or terminal, discharge period still need treatment but the elderly are incapacitated, we through the family bed rounds, temporary visits, and home medical treatment, etc., for these elderly to carry out suture removal, dressing change, catheterization, gastric tube, bedsore nursing guidance, as well as traditional Chinese and Western medicine rehabilitation treatment and other door-to-door services, so that the family does not have to go back and forth, greatly reducing the pressure of the family to provide for the elderly.
In 2023, we have built nearly 400 family hospital beds for the homebound elderly in our jurisdiction, and more than 2,100 home medical services have been visited. We will also hold various health science lectures for the common and frequent diseases of the elderly, and enter nursing homes and neighborhood committees to deliver health science knowledge to the door. Thank you!
Reporter of Sansha Satellite TV
We know that the work of a caregiver is very hard, especially caring for the elderly, which requires extra patience and confidence. What problems may caregivers encounter in the process of caring for the elderly, and how can they deal with and solve them? Thank you!
Nursing staff in integrated medical and elderly care institutions
Hu Xue
Thank you for your question. I am a nurse in a medical and elderly care institution in Beijing, most of the elderly in my institution are disabled and demented, and the average age is over 85 years old, in the process of caring for them, a little improper can easily cause various complications, for the care of these elderly people, we need to be particularly careful and patient. When the family sent the elderly to us, we also felt a great responsibility.
Caring for the elderly is actually hard, but it is a job responsibility that we should do. I also majored in Elderly Services and Management at university, mainly studying management and life care. For example, every two hours for the elderly who have been bedridden for a long time to turn over to prevent bedsores, as well as to feed the elderly, wash, trim nails, etc., we also need to pay attention to the emotions of the elderly, because many elderly children are not around for a long time, there will be a lot of emotions. There are also many elderly people whose hearing, vision, and communication skills have declined, so we need to be more patient to listen to them, and they feel that there are some problems that we need to help them solve, and we can't feel very troublesome. Understand them more, talk to them more, and make them feel that they are the same with us as at home.
Because we are a medical and elderly care institution, we not only provide life care for the elderly, but also provide some medical services. Once, when I was doing my rounds, I walked to Grandma Wang's room and suddenly found her lying on the bed, sweating profusely, having difficulty breathing, including purple lips. Based on Grandma Wang's past medical history and some medical knowledge I learned in school, I preliminarily determined that she was a sign of heart failure, so I quickly gave her oxygen and monitored her vital signs. At the same time, the doctor reported to the doctor, and the doctor came to the old man's bedside as soon as possible, and after the doctor came, according to the old man's symptoms, he judged that she had a heart failure attack. Through the green channel, we contacted the higher-level hospital and referred the elderly to the higher-level hospital for treatment. The family is very grateful to us, and I myself feel very happy that the elderly have been treated, which makes me feel that this job is very valuable.
In the future, I will continue to do a good job in integrating medical care and elderly care services for the elderly. Thank you!
Deputy Director General and Spokesperson of the Publicity Department of the National Health Commission
Hu Qiangqiang
If there are no more questions, that's it for our live Q&A session. At today's press conference, we focused on the theme of "promoting the high-quality development of the integration of medical care and elderly care" and answered everyone's questions. Next, we will continue to hold a series of press conferences on the theme of "Promoting the High-quality Development of Health and Protecting the Life and Health of the People".
Thank you, distinguished guests, thank you media friends, this is the end of today's press conference.
Source: Healthy China