On May 16, the National Health Commission held a press conference to introduce the promotion of high-quality development of medical and elderly care. Wang Haidong, director of the Department of Aging and Health of the National Health Commission, said that in recent years, the National Health Commission has vigorously promoted the integration of medical care and elderly care and achieved positive results. The second is to expand the supply of services. The third is to improve the quality of service. During the "14th Five-Year Plan" period, the National Health Commission launched a project to build the capacity of medical and health institutions to support qualified 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, 87,000 pairs of medical and health institutions and elderly care service institutions have signed contracts across the country, and more than 7,800 medical and elderly care institutions have been qualified and registered as elderly care institutions, with 2 million beds.
Informatization and digital means empower the integration of medical care and elderly care
Wang Haidong emphasized that in terms of intelligent support, remote collaborative services combining medical care and elderly care have been carried out to provide remote medical services for the elderly; carried out "Internet + nursing services" to increase the supply of home nursing services; The development of the smart health care industry has been carried out to improve the efficiency and quality of integrated medical and elderly care services.
Using informatization and digital means to empower the integration of medical care and elderly care, Zhang Xifeng, head of the People's Government of Jiashan County, Jiaxing City, Zhejiang Province, shared his experience at the press conference, and the county has mainly carried out three aspects of work:
- The first is to create a county-wide integrated digital collaboration platform for urban and rural areas. It is called the "Intelligent Enjoyment of Elderly Care" application, which realizes the exchange and sharing of health management data and pension service data through the collaboration of 16 departments such as health, civil affairs, and medical insurance. At present, the health status of the elderly over 60 years old in the county has been accurately collected, and the data has been dynamically updated. 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. It has created a smart health house that integrates 11 physical signs such as blood pressure, blood sugar, and blood lipids, which is free of charge and self-service, and the relevant test data of 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. Zhang Xifeng, the county magistrate, said that at present, the smart health house has achieved full coverage of the construction of towns and streets, 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.
Zhu Qiong, director of the Community Health Service Center of Kangjian Street, Xuhui District, Shanghai, also introduced that the community health service center has opened 18 special disease specialties by using the high-quality resources of the regional medical alliance, and used the construction of grassroots workstations of famous and old Chinese medicine to strengthen the application of appropriate traditional Chinese medicine technology for geriatric bone disease, cardiovascular and cerebrovascular disease and insomnia in the community at the doorstep. At present, it has joined the atrial fibrillation alliance of Zhongshan Hospital affiliated to Fudan University, and cooperated with Xuhui District Central Hospital to build a 5G remote B-ultrasound clinic to provide remote medical services for the elderly.
With the support of the three major measures, more than 70% of the socially run medical and elderly care institutions are integrated
Wang Haidong said that 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.
First, in terms of examination and approval, the National Health Commission has facilitated 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, all localities are required 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 within 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 will be reasonably determined in combination with the characteristics of chronic diseases and comorbidities of the elderly, and the qualified localities will be encouraged to prepay some medical insurance funds in advance for medical institutions that provide medical and elderly care services, so as to reduce the operating pressure. At the same time, on this basis, local governments are also encouraged to introduce more specific and targeted supportive policies to support social forces to participate in the development of medical care 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 medical and elderly care integration by setting up industrial investment funds. 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. Wang Haidong introduced that at present, among all the medical and health institutions with medical and health institution qualifications and the record of pension institutions, more than 5,500 are organized by social forces, accounting for more than 70% of the total. Wang Haidong said that in the next step, we will continue to improve the 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 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.
Source | Big health pie
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