The short-term care bed in the Yee Hong Centre on Beijing Street is full of light and fully functional.
Treatment facilities in Yee Hong Centre.
Hand function combination training box.
The elderly are active in front of the Yee Hong Centre.
Big Cities Big Pension 4
The "14th Five-Year Plan" for the Construction of the Old-age Service System in Guangzhou (hereinafter referred to as the "Plan") clearly states that it is necessary to implement the three-year action of building and upgrading the comprehensive old-age service center (Yee Hong Center) in the streets and towns, and promote the construction of at least one street and town comprehensive pension service center (Yee Hong Center) with comprehensive functions such as full care, day care, door-to-door service, guidance to the next, and overall allocation of resources by 2023, and set up at least 1 street and town comprehensive pension service center (Yee Hong Center) with day care, door-to-door service in each village by 2023. The Yee Hong Service Station, a village with functions such as meal assistance and catering, has formed a "1+N" service network with enterprises and institutions as the main body and the community as the link to meet the multi-level service needs of the elderly.
How to build the Yee Hong Center in the town? The reporter recently visited a number of Yee Hong centers in the city, as well as some nursing homes built against the Yee Hong center, to listen to their experiences and views.
Text/Guangzhou Daily all-media reporter Xiao Huanhuan, Wu Wei, Zhang Dan
Photo: Guangzhou Daily all-media reporter Liao Xueming, Wu Wei, Zhang Dan
Beijing Street: The individual needs of the elderly are met
Located in Yanyun West Lane, Yuexiu District, Beijing Street Comprehensive Pension Service Center (Yee Hong Center) is a comprehensive pension service center entrusted by the Party Working Committee and street office of Beijing Street to operate by Yijia Medical Pension Co., Ltd. The reporter visited and saw that it was clean and tidy, very comfortable, and compared with ordinary nursing homes, the functions of this Yee Hong center were much more complete.
The first floor is the elderly canteen, through the "community central kitchen + community pension starlight + dining, catering, food delivery" service model, to provide nutrition packages for the elderly in the jurisdiction; the second floor set up a multi-functional activity area, to carry out calligraphy, painting, handicrafts and other types of interest groups, in addition to rehabilitation training areas, daycare rest areas and other functional areas; the third to fourth floors provide daycare services and short-term care services, there are more than ten full-day care beds, the elderly with day care needs can also be hosted here.
According to the staff, the Yee Hong Center has been in operation for 10 months and has been gradually improving its functions to further provide more intimate services for the elderly in the jurisdiction. In addition to retaining the original elderly canteen food delivery and home care services, short-term care and day care services for the elderly have also been added to further meet the diverse needs of the elderly in the jurisdiction. In terms of full day care, according to the physical condition and disability of the elderly, the price ranges from more than 6,000 yuan to more than 7,000 yuan per month; in terms of day care services, 8 hours of day care is provided for the elderly in the community who are elderly, disabled or suffering from dementia in the jurisdiction, and daily health monitoring, rehabilitation sports, cultural entertainment, lunch and lunch care and other services are provided for the light/moderate elderly; in terms of short-term care services, the center has more than ten 24-hour and 8-hour care beds, providing medium/medium/ Heavy care elderly provide short-term care services with 24-hour full-time care.
In addition to being fully functional, the Yee Hong Centre has also explored the exploration of smart elderly care. "For example, through some wearable devices, we can keep abreast of the physical condition of the elderly, and there is an emergency call device in front of each bed for the elderly." Next, we will further improve the functions and build the Yee Hong Center into a demonstration point for integrated elderly care services. ”
Ms. Zhao's father is now hosting at the Yee Hong Center on Beijing Street, she said that her father is more than 80 years old this year, in the Yee Hong Center one is convenient, the family needs to come to visit the elderly at any time, away from home is more than ten minutes walk, is considered "the elderly do not leave home"; the second is professional, In addition to full-time nursing staff, there are often volunteers who come to do public welfare activities, three meals a day, the father can also chat with peers here and expand the social circle. She told reporters that after her father came here to take care of him, his spirit was obviously much better than before, "Before we all went to work, only the nanny accompanied him; there were more activities in the Yee Hong Center, which was better than being bored at home all day." ”
According to the data released by the Guangzhou Civil Affairs Department, as of September 2021, 176 streets and towns in the city have built 179 Yee Hong Centers, achieving full coverage of streets and towns and gradually radiating village residences.
Hongshan Street:
Established 9 community pension platforms
The Yee Hong Centre on Hongshan Street in Huangpu District was established on December 30 last year and is one of the first Yee Hong Centres to be established in Whampoa District. Unlike most streets, the Yee Hong Centre is not responsible for the operation of the elderly care institution, but the Hongshan Street Community Health Service Center.
Qi Guohua, deputy director of the center, introduced that the establishment of the Yee Hong Center is an attempt at the elderly care service of community medical institutions, and the Yee Hong Center is backed by the hospital, including multiple functions such as home care, community pension and institutional pension.
"We have registered a nursing home with the civil affairs department, set up 9 community pension platforms, and equipped with home care service personnel." Qi Guohua introduced that the Yee Hong Center covers the entire hospital and the street medical care platform project, facing more than 3,800 elderly people over the age of 60 in the whole Hongshan Street.
Qi Guohua said that they are building a model of "community health service center + Yee Hong center + nursing station", which can provide a full range of overall medical and health care services. Yee Hong Centre and Community Health Service Center are basic, bottom-up and inclusive projects, while Yee Hong Centre is a street-level basic old-age comprehensive service platform with a large workload, and there are currently only 15 full-day beds in Yee Hong Street Yee Hong Center.
In response to the charging situation, Qi Guohua introduced that for example, for 15 beds in the center, the government requires that it be an inclusive charge, so it cannot exceed the maximum nursing level of 7,000 yuan. The approximate price of a bed is between 4,000 yuan and more than 6,000 yuan. "For the elderly in our jurisdiction, the price is still medium or even a little higher." He told reporters that after applying for institutional long-term care insurance, the elderly can enjoy subsidies of up to almost 3,000 yuan.
It is reported that Hongshan Street also had pension service projects before, generally from third-party social work organizations to buy; now, the community health service center integrates medical and nursing resources, taking medical care as the foundation, both opening a civil affairs system pension institution, and taking over the street pension service project, comprehensive coordination, "Although the current operation process is not very smooth, but from medical to nursing, from institutional pension to home care, our Yee Hong center has been fully covered." ”
The reporter saw in the center that the elderly canteen, activity room, and pension beds are all set up. The center has also set up a smart pension platform to meet the needs of 35 households with home care beds for the elderly. The center is located next door to the community health service center, "the elderly living in our Yee Hong center, the biggest convenience is to meet the medical needs, as soon as the body has a problem, you can transfer to the community hospital, if the treatment can not be done, the hospital will also help them transfer to a better tertiary hospital." Qi Guohua said.
Fengyuan Street:
42 full-day beds are in place
The Fengyuan Street Integrated Elderly Care Service Centre (Yee Hong Centre) in Liwan District was just inaugurated on the 29th of last month, and at present, except for the TCM physiotherapy area on the first floor of the center, which is open to surrounding residents, the area above the second floor has not yet been officially opened. The Yee Hong Centre is run by Fengyuan Subdistrict and is currently operated by a guangzhou pension group with rich experience in integrating medical and nursing care.
The head of the center, He Lu, introduced that Duobao Street at the entrance of the center is engaged in "a street of traditional Chinese medicine", so the Yee Hong Center also wants to embed the local Chinese medicine and Chinese medicine culture, and build the Yee Hong Center into a demonstration point for the integration of Chinese medicine and medical care. At present, on the first floor of Yee Hong Center, there are many TCM physiotherapy equipment, such as infrared therapy instruments and Ai Ruibao for smoking wormwood, as well as warm physiotherapy instruments for cervical and lumbar spine care. At about 10:00 a.m., many old neighbors came here to enjoy free Chinese medicine treatments.
Aunt Guo, 66, who lives in Fengyuan Street, has come here for the third time for physiotherapy. "I usually have to take my grandchildren, but also do other housework, lumbar spine, cervical spine has been not very comfortable, at the end of last month came here to do a physiotherapy after feeling much more relaxed, this month insisted on doing it." 」
He Lu introduced that at present, TCM physiotherapy is completely free for neighbors, and during the physiotherapy process, there will be doctors to guide and check the condition of the elderly at any time. He Lu also hopes to promote the Yee Hong Center as soon as possible, "At present, it has been running for more than 20 days, and the response of the people is still very good." ”
It is reported that the Yee Hong Center is currently building a smart pension platform for Fengyuan Street, connecting the elderly with doctors, nurses and social workers. By installing a set of smart devices in the homes of the elderly who have applied for family pension beds, the needs of the elderly are discovered in time and home medical care services are provided. In the future, after the 2nd to 5th floors of the center are officially opened to the public, it will provide full-day care, daycare, on-site services, and coordinate the allocation of various medical and nursing resources. "The total construction area of Yee Hong Center is 1,000 square meters, and there are functional areas such as a university for the elderly, a canteen for the elderly, a smart elderly care center, a party and group activity room, a family bed display area, a comprehensive rehabilitation area, a sports rehabilitation area, a traditional Chinese medicine physiotherapy room, and a residential room, which can provide 42 full-care beds for the elderly."
At present, the Yee Hong Centre is still awaiting the installation of elevators and various acceptances, and is expected to officially open in December.
Private nursing homes: Upgrading to yee Hong centres
The reporter learned in the investigation that for the construction of the Yee Hong Center in the town street mentioned in the "Planning", many nutrition institutions for the elderly are also eager to try. Located in Dongsha Street, Liwan District, Sanatorium & Yi Elderly Home is a veteran pension institution that has been operating for more than 20 years. It is a beautiful place to stay and is very suitable for the elderly. Today, the nursing home has about 200 beds. Dean Shen Shiwei told reporters: "The "Planning" requires Guangzhou to achieve 75% of nursing beds in old-age institutions during the '14th Five-Year Plan' period, and build a basic old-age service system for all the elderly, focusing on the elderly with economic difficulties and urgent care. We have been following this direction. ”
Shen Shiwei estimated that with the acceleration of aging, in another 10 to 15 years, the demand for Yee Hong center with comprehensive functions such as full daycare, daycare, door-to-door service, guidance to the next, and overall allocation of resources will be greater, "I estimate that there must be at least two in a street to meet the demand, and it will also extend to the village level." ”
To this end, Shen Shiwei's nursing home has been upgrading software and hardware since last year to gradually meet the construction standards of Yee Hong Center and provide most of the first 24 basic pension service projects in Guangzhou. For example, he said, if the full-day care services and home care services provided by nursing homes are to provide day-care services and home care services for the elderly in the community, more than a dozen full-time nursing staff with nursing qualifications need to be added; at the same time, it is also necessary to professionalize and upgrade meals and catering services. Since last year, the hospital has added a special catering area, added some rehabilitation facilities and recreational facilities, and opened a comprehensive activity area, and the entire campus is now rejuvenated.
In addition, most of the beds in the nursing home are nursing beds, and the nursing staff basically has the level of caring for the severely disabled elderly, and has a comprehensive medical center that can monitor the health and physical condition of the elderly. In the past three years, the nursing home has spent no less than 1 million yuan on software and hardware upgrades.
Shen Shiwei said that the government now encourages social forces to participate in the construction of the Yee Hong Center, but the threshold for the construction of the Yee Hong Center is relatively high, and he hopes that after upgrading the nursing home in 1 to 2 years, it can meet the service standards of the Yee Hong Center. "We now have a goal to strive for, that is, to build against the standards of the Yee Hong Center, improve the service function, improve the service level, and hope that it can finally be included in the scope of government-led Yee Hong Center construction."
Difficulty: Care of the severely disabled elderly
Engaged in the pension industry for more than 20 years, Shen Shiwei also has a relatively deep insight into this industry. He believes that at present, whether it is community pension or institutional pension, the most urgent thing is to solve the care problem of the severely disabled elderly who account for about 20% of the elderly population. Today, more than 60% of the elderly who live in the nursing home are disabled, and this part of the elderly basically occupies more than 90% of the nursing resources. "We have no problem serving the severely disabled elderly, and if there is government support, other comprehensive functions will not be a problem after being transformed and upgraded."
In recent years, with the gradual increase in the reimbursement ratio of long-term care insurance, the elderly who live in the nursing home, including bed fees and nursing fees, can be reimbursed up to 2500 yuan, and the nursing costs of the completely disabled elderly in the nursing home are only 4000 yuan / month, that is to say, the elderly family only needs to pay about 1500 yuan / month, which is affordable for ordinary families. Therefore, looking at the next decade, with the increase of the elderly population and the increase in the reimbursement ratio of long-term care insurance, the demand for the elderly to stay in nursing homes will also increase significantly. Shen Shiwei said that even if the functions of the Yee Hong Center continue to improve in the future and the level of intelligent old-age care is further improved, the "program" of grasping the severely disabled elderly cannot be lost.
Having 24 features ready is no easy task
The reporter learned that the 2021 edition of the Guangzhou Old-age Service List provides the city's elderly with 24 basic old-age services in 5 categories covering the supply and demand docking, service supply, service guarantee, medical and health care, and rights and interests protection of all the elderly, including care needs assessment, meal assistance, basic life care, family pension beds, day care, temporary care, long-term care and other projects. Even if the Yee Hong Center, which has been built so far, is not easy to fully possess these 24 functions; and ordinary private pension institutions need to have such comprehensive functions, they need to upgrade both software and hardware.
Chen Yingzhi, head of the Summer Palace in Datang Street, Yuexiu District, told reporters that the construction of a fully functional Yee Hong Center is very necessary and can provide special services for the families of the elderly in the jurisdiction. The Town Street Yee Hong Center has comprehensive functions such as full daycare, day care, door-to-door service, etc., and the elderly with different needs can find their own services here. The reason why the Summer Palace where Chen Yingzhi is located has been full for a long time is because the location is on the edge of the residential area, the check-in is very convenient, and the service provided is also very suitable for the needs of the elderly, so now you want to stay in line. "The service we provide is not in the whole, but in the specialty." Chen Yingzhi said.
After the introduction of the "Plan", many pension institutions are very excited and have the momentum of "doing a big job". Taking Chen Yingzhi's nursing home as an example, the aging transformation of the nursing home has been carried out in the past few years, and the nursing home is also improving the function of the standard of the Yee Hong Center on the standard town street, and looks forward to entering the vision of the construction of the Yee Hong center in the town street in the future, and can get more financial support from the government. "Yee Hong Centre provides us with a comprehensive standard of service for a nursing home. However, in the future improvement of nursing homes, it is necessary to make embroidery efforts, implement point-to-point services, and serve the elderly well. Chen Yingzhi said.