Recently, the State Council issued the national plan for the development of the cause of aging and the elderly care service system during the 14th Five Year Plan period. The plan proposes to promote the coordinated development of the cause of aging and industry, build and improve a comprehensive, inclusive and diversified elderly care service system, and significantly improve the sense of access, happiness and security of the elderly.

Now let's learn more about the specific contents and what new changes will be brought to more than 200 million elderly people in China.

Focus on difficulties and worries, hope to focus on a better life

The national plan for the development of the cause of aging and the elderly care service system during the 14th Five Year Plan period proposes that during the 14th Five Year Plan period, we should basically establish the institutional framework of the national strategy to actively respond to population aging, effectively coordinate the development of the cause of aging and industry with high quality, and accelerate the improvement of the elderly care service system and health support system with the coordination of home community institutions and the combination of medical care and health care, We have initially formed a pattern in which the whole society actively responds to population aging.

Hao Fuqing, deputy director of the social development department of the national development and Reform Commission: it is mainly to focus on the urgent needs and hopes of the elderly, focus on the good life of the elderly, provide basic elderly care services for all the elderly, and ensure that the elderly have a sense of security. In particular, we should do a good job in the service security of widows and widows, lonely, difficult, elderly and disabled elderly groups. Vigorously develop the silver economy, meet the multi-level and diversified needs of the elderly, and enable the elderly to enjoy high-quality services in terms of clothing, food, housing and transportation, life care, rehabilitation care and spiritual culture.

According to the data of the seventh census in 2020, China's elderly population has reached 264 million and will exceed 300 million by the end of the 14th five year plan. Facing the global problem of population aging, the national plan for the development of the cause of aging and the elderly care service system in the 14th five year plan clearly states that China is fully qualified, capable and confident to solve this major issue.

Chen Gong, director of the Institute of population studies at Peking University: "the 14th five year plan" should be said to be an important and critical period in which the entire structure of our population has changed. On the basis of the early stage, how can we cope with the acceleration of the aging of our population and the increasing challenges. This new plan is the most confident one I have seen in our aging plan.

Take the bottom line to ensure that the basic pension service security is in place

China's elderly population is large and aging is fast. The construction of elderly care service system first lies in taking a good bottom line. The newly released "plan" proposes to strengthen the government's function of guaranteeing the basic pension and ensuring that the basic pension service security is in place.

Focusing on the "urgent difficulties and expectations" of the elderly on social security, pension, medical and other livelihood issues, the plan proposes to continuously expand the coverage of basic old-age insurance and realize the national overall planning of basic old-age insurance for enterprise employees as soon as possible; Gradually realize the direct settlement of outpatient expenses across provinces, expand the reimbursement scope of chronic disease drugs for the elderly, and bring more chronic disease drugs into the centralized volume procurement, so as to reduce the drug burden of the elderly.

We should adhere to the bottom line of public welfare and family planning for the elderly and disabled, and provide public welfare services for the elderly with special financial difficulties and disabled families. We should improve the coverage of public pension institutions, establish a regular visit system for the elderly with special difficulties, and prevent the risks of basic life safety. By 2025, the establishment rate of nursing homes and the monthly visit rate of the elderly with special difficulties will reach 100%.

Strengthen the ability of home-based community elderly care services

At present, China has formed a "9073" pension pattern, that is, about 90% of the elderly choose home-based pension, about 7% of the elderly rely on community support for pension, and 3% of the elderly live in institutions for pension. The demand of the elderly is the direction of policy development. The national plan for the development of the cause of aging and the elderly care service system in the 14th five year plan proposes to strengthen the service capacity of home-based community elderly care, so that the elderly can spend their old age happily at home.

Aunt Shu, who lives in Huangpu District, Shanghai, has difficulty moving. Her wife, uncle he, is also in her 80s. The old couple customized a care "service package" of 5800 yuan per month according to their own needs. What services does this "service package" have?

Nurse Yang Chunhua: I come here once a week to measure blood pressure, blood sugar and heart rate for my grandparents and help him with drug management.

In addition to the nurse Xiao Yang coming to check the old man regularly every Thursday, what worries the old couple is the door-to-door service of three nurses six days a week. Xiao Zhang, a nurse, is good at rehabilitation massage and making local dishes. She comes to the old man's house at 10 a.m. every day to clean up the house, massage and massage the old man, relieve the meridians, and leave after lunch.

Shanghai citizen he Laobo: it's all done according to the standards. It's done very well. We're very satisfied. We've treated her as our own family.

The other two nurses also have their own strengths. They come to the old man's house in the afternoon and evening to wash and cook for the old man, clean up the housework, accompany the old man at night, cut their feet and have a haircut, etc.

Different from ordinary hourly workers and nannies, this new home-based elderly care model in Shanghai provides professional care of professional elderly care institutions. It takes streets and towns as the basic unit and carries out planning and layout according to the "15 minute service circle" to ensure timely response to services.

Nurse Yang Chunhua: in case of emergency, we will send someone to the door immediately within 15 minutes.

This new pension model also uses new intelligent technology. Through the sleep detector in bed, the pension institution can detect aunt Shu's sleep status in real time and remotely.

Miao Tingting, operation director of happy home nursing home: the more green, the better her sleep. If there are large fluctuations, we can know from the background that we can make a pre assessment of some of her diseases.

Shen Min, deputy director of Shanghai Civil Affairs Bureau: at present, we have conducted a pilot in 8 streets in the central urban area of Shanghai, and 16 elderly care service institutions have participated in this pilot. At present, the stable signing service object has exceeded 1000 elderly people, and the number of signing is still rising.

In order to enable more elderly people to spend their old age at home, the national plan for the development of the cause of aging and the elderly care service system in the 14th five year plan proposes to build a catering service system for the elderly in urban and rural areas, create a number of standardized community restaurants for the elderly with traceable ingredients, safety and sanitation and reasonable prices, and focus on complementing the shortcomings of catering services in rural areas and outer suburbs, Guide market players such as takeout platforms to participate in meal assistance distribution.

At the same time, we should develop bath and cleaning services for the elderly; Establish a home-based elderly care patrol care service system to provide emergency rescue services for the elderly; Organize and guide property enterprises, retail service providers and social work service institutions to expand their old service functions, and provide services such as purchasing daily necessities, catering takeout, housekeeping appointment, collection and payment, registered medicine collection, spiritual comfort and so on; Foster a new format of life services for the elderly, provide "menu style" nearby and convenient services for the elderly, and encourage "children to place orders online and the elderly to experience services".

We should also promote the extension of medical services to home-based communities, and support qualified medical and health institutions to provide home-based medical services such as home sickbeds and home visits for the elderly who are disabled, chronically ill, old age, disability and other elderly people with mobility difficulties or real difficulties.

Source: CCTV