Circular of the State Health Commission on carrying out the work of building friendly medical institutions for the elderly

GWH [2020] No. 457

Health committees and administration of traditional Chinese medicine of all provinces, autonomous regions, municipalities directly under the central government and Xinjiang production and Construction Corps:

In order to implement the requirements of the Fifth Plenary Session of the 19th CPC Central Committee on "comprehensively promoting the construction of a healthy China and implementing the national strategy to actively respond to population aging", promote the solution of the difficulties encountered by the elderly in the use of intelligent technology, optimize the medical environment for the elderly, provide convenience for the elderly, and give priority to the elderly, It is decided to carry out the construction of friendly medical institutions for the elderly throughout the country. The relevant matters are hereby notified as follows:

1、 Work objectives

Through the construction of friendly medical institutions for the elderly, promote medical institutions to fully implement the preferential treatment policy for medical services for the elderly, protect the legitimate rights and interests of the elderly, improve various systems and measures of medical institutions, optimize the medical treatment process for the elderly, provide friendly services for the elderly, solve the difficulties encountered by the elderly in terms of intelligent technology, and carry forward the virtues of respecting and helping the elderly of the Chinese nation, Promote the construction of a friendly society for the elderly.

2、 Scope of application

General hospitals, rehabilitation hospitals, nursing homes and grass-roots medical institutions provide medical services for the elderly. Encourage other medical institutions at all levels to participate.

3、 Construction content

（1） Old age friendly culture.

1. The vision or culture of the organization includes caring for and caring for the elderly, protecting the rights and interests of the elderly, and safeguarding the dignity of the elderly.

2. The employee handbook, code of conduct and other norms have requirements for the attitude, behavior and language of the elderly.

（2） Elderly friendly management.

1. Establish the operation mechanism of elderly friendly medical institutions.

2. Establish technical specifications and continuous improvement mechanism with the characteristics of geriatric services.

3. Establish a long-term mechanism for education and training in gerontology and geriatric knowledge and skills.

4. Establish a two-way referral mechanism for elderly patients and form a collaborative management model of medical alliance.

（3） Elderly friendly service.

1. Provide multi-channel registration service. Improve various registration methods such as telephone, network and on-site appointment, and unblock the appointment and registration channels for the elderly. According to the characteristics of the elderly and the actual situation of medical treatment, provide a certain proportion of on-site number sources for the elderly; The core hospitals of the medical consortium reserve a certain proportion of appointment number sources to the grass-roots medical institutions in the medical consortium to facilitate the elderly to make an appointment for referral through the community.

2. Optimize the service process and establish a green channel for the elderly. There are full-time / part-time social workers to undertake the responsibilities related to elderly services. Registration and charging are equipped with manual service windows and cash charging windows, and intelligent devices are equipped with manual duty. During the period of normalized epidemic prevention and control, the entrance of the institution can assist the elderly without mobile phones or unable to provide health codes to complete the epidemiological history investigation by manually filling in the flow survey form by adding the "no health code" channel for elderly patients and allocating personnel to help the elderly query their health codes, so as to facilitate the medical treatment of elderly patients.

3. General hospitals above level II shall carry out comprehensive evaluation services for the elderly in geriatrics or internal medicine clinics, and give early identification and intervention to high-risk factors of elderly patients to ensure medical safety.

4. Grass roots medical institutions should combine the actual situation and carry out personalized services such as on-site diagnosis and treatment, rehabilitation and care for the elderly who really need them through contract signing, patrol and other ways. Community health service centers and township health centers can conduct remote consultation with superior medical institutions to provide telemedicine services for the elderly.

5. Pay attention to the evaluation and intervention of geriatric syndrome, weakness, disability and dementia, carry out multidisciplinary cooperative diagnosis and treatment, and encourage patients and their caregivers to participate in the formulation and implementation of care plans.

6. Carry out high-risk screening for hospitalized elderly patients, focus on falls, pulmonary embolism, aspiration and bed fall, and establish risk prevention measures and emergency plans and informed notification system after high-risk screening.

（4） Old age friendly environment.

1. The outpatient, emergency and inpatient areas are equipped with auxiliary mobility equipment (such as wheelchairs, flat cars, etc.) and easy to access; there are temporary parking areas and safety signs for the elderly to get on and off at the main entrance and exit; the settings of all entrances and exits, doors, steps, ramps, turns, wheelchair ramps and information identification systems shall comply with the national standard code for accessibility design (gb50763).

2. The logo in the organization is eye-catching, concise, easy to understand and has good guidance.

3. The ground inside the mechanism is anti-skid and non reflective. Barrier free toilet shall be set, and the door width shall be suitable for wheelchair access.

4. The elderly ward is warm and tidy. The ward shall be equipped with clock and prompt board, with moderate temperature and humidity and stable furniture.

4、 Job requirements

（1） Raise awareness and strengthen leadership. Health administrative departments at all levels and competent departments of traditional Chinese medicine should fully understand the significance of building elderly friendly medical institutions for deepening the reform of the medical and health system, establishing and improving the elderly health service system and protecting the health rights and interests of the elderly; strengthen organizational leadership and bring the construction of elderly friendly medical institutions into the focus of the health system Point work; Actively coordinate with relevant departments to strive for support in the staffing and equipment allocation of medical institutions according to the needs of local elderly people for disease diagnosis and treatment, rehabilitation care, hospice care, combination of medical care and other services.

（2） Ensure the quality and pay close attention to the implementation. The administrative departments of health and health at all levels and the competent departments of traditional Chinese medicine should formulate work plans and annual work plans, clarify the division of tasks and specific measures, establish a work assessment mechanism, ensure the work quality of building friendly medical institutions for the elderly, and fully complete the requirements put forward in the guiding opinions on establishing and improving the health service system for the elderly "By 2022, more than 80% of general hospitals, rehabilitation hospitals, nursing homes and grass-roots medical institutions will become elderly friendly medical institutions".

（3） Establish a mechanism to achieve practical results. General hospitals and traditional Chinese medicine hospitals at or above the national level should strengthen the construction of geriatrics departments and the training of geriatrics professionals, and enhance their ability to serve elderly patients. Medical institutions at all levels should take the opportunity of building elderly friendly medical institutions to further strengthen their own management, optimize the medical treatment process of elderly patients and improve the medical treatment of elderly patients Environment, improve their service ability and level, and improve the satisfaction of elderly patients.

All localities shall report the progress of the construction of elderly friendly medical institutions to the National Health Commission and the State Administration of traditional Chinese medicine.

Contact person of aging Department of National Health Commission: Liu Ming

Tel.: 010-62030699

Contact person of medical administration department of State Administration of traditional Chinese medicine: Xue Jingyi

Tel.: 010-59957815

National Health Commission

State Administration of Traditional Chinese Medicine

December 1, 2020