Guowei Lingfa [2022] No. 25
Each province、Autonomous Region、The People's Government of the Municipal Municipality，All Ministries and Commissions of the State Council、Direct institutions:
Promoting the combination of medical care is an important measure to optimize the supply of elderly health and pension services，is actively responding to the aging of the population、An important way to enhance the sense of gain and satisfaction of the elderly。In recent years，The policy of medical care and nursing is continuously improved，Get positive progress，But in policy support、Service Ability、There are still some difficulties in the construction of talent construction。Relevant departments in various places must adhere to the guidance of Xi Jinping's new era of socialism with Chinese characteristics，Careful implementation of the Party Central Committee、Decision and deployment of the State Council，Further improvement policy measures，Efforts to solve the problem of difficulty blocking points，Promoting the development of medical care，Continuously meet the needs of the health and elderly service for the elderly。Agree with the State Council，The following opinions are now put forward:
1. Develop home community medical care combination service
My stake betting appAll places must establish and improve home medical services specifications in combination with actual conditions、Technical Guide and Workflow，Clear relevant policies，Supporting conditional medical and health institutions as home disability (including dementia，Same below)、Chronic disease、Old age、Disables and other elderly who are inconvenient or difficult to provide a family bed、On -site visits and other home medical services。Promotion"Internet+Medical Health"、"Internet+Nursing Service"，Innovative methods provide convenient home medical services for elderly people with demand。(National Health and Health Commission、Department of Industry and Information Technology、National Bureau stake betting appstake online sports bettingof Traditional Chinese Medicine、stake betting appThe State CDC, etc. are responsible for division of responsibilities，Local people's governments at all levels are responsible for implementation。The following people's governments at all levels are implemented，No more list)
(2) Enhance the service capabilities of the community medical and nutrition.Implementation of community medical and nutrition capabilities，Conditional community health service agencies、Township Health Center or community pension service agency、Special Personnel Support Service Institutions (Penalty Home) uses existing resources，Internal and expanded a group of communities (townships) medical and nursing service facilities，The focus is on disability、Chronic disease、Old age、Disables such as disabled or difficulty or difficult for the elderly provide medical and nutritional combination services。Do a solid basic public health service，Actively promotes the implementation of the service project of the elderly health and medical and nursing combination，Strengthen the prevention and early intervention of elderly diseases。Give full play to the combination stake betting appstake online sports bettingof Traditional Chinese medicine and traditional Chinese and western medicine in health care、Advantages of chronic disease prevention and control，Promoting Chinese medicine into the family、Enter the community、Entry institution。Where conditions permit can be accommodated、Agree、Volunteer principles，Free to vaccinate influenza for the elderly、Pneumonia and other vaccines。Based on the signing service of family doctors in the elderly，Steady improvement of disability、Chronic disease、Old age、Disables such as disabled or difficulty or difficult for the elderly family doctors sign the service coverage rate。(National Health and Health Commission、National Development Reform Commission、Ministry of Civil Affairs、Ministry of Finance、Ministry of Natural Resources、Ministry of Housing and Urban -Rural Development、National Bureau of Traditional Chinese Medicine、National CDC、The China Disabled Persons' Federation, etc. are responsible for division of responsibilities)
2. Promoting institutions to carry out in -depth medical and nursing combination services
(3) Support medical and health institutions to carry out medical care services.Encourage medical and health institutions to set up medical service stations at the elderly service agency in accordance with laws and regulations，Provide embedded medical and health services。Promote the medical service of medical and health institutions to expand on -site medical services to the elderly institution，Provide a family bed for the elderly who are eligible to stay in the elderly institution、On -site visits and other services。Optimize the layout of medical resources in various places，Through new built、Reform and expansion、Transformation Development and other methods，Strengthen the rehabilitation hospital、Nursing Home (center、Station) and the construction of Anning therapy institutions，Support the development of the Department of Medicine and Anning The Institute of Medicine，Support the transition of medical and health institutions in regions of regions of rich medical resources，Rehabilitation、Nursing and Medical Nursing Combination Service。Promote the construction of a friendly and health care institution for the elderly，It is convenient for the elderly to see a doctor for medical treatment。Public medical and health institutions carry out home medical services、Medical Nursing Combination Signing Service，and the secondary and below public medical and health institutions that are rich in medical resources use existing beds to carry out pension services，Strictly implement relevant specifications，Increase income is included in the unified management of income of medical and health institutions。(National Health and Health Commission、National Development Reform Commission、Ministry of Civil Affairs、The State Administration stake betting appstake online sports bettingof Traditional Chinese Medicine, etc. is responsible for division of responsibilities)
(4) Improve the service capabilities of the medical and nutrition of pension institutions.On the basis of finding out the number of elderly people such as disability，Combined with the needs and wishes of check -in，A variety of measures such as differentiated subsidies，Promote the transformation of the elderly institution to increase the nursing bed and facilities，Specialization of supporting social forces、scale、Pension institutions with outstanding medical care ability，Mainly receiving disabled elderly people who need long -term care。All places should guide supporting support for pension institutions、Medical and health institutions carry out signing cooperation，Provide an appointment for the green channel for the elderly institution、On -site visits and other services，Do a real cooperation mechanism and content，Improve the Quality of the Signing Service for Medical Nursing and Nursing。Encourage large or mainly receiving elderly elderly institutions to set up medical and health institutions，Support the establishment of a medical and health institution to strengthen capacity building，Improve diagnosis and treatment service quality。(Ministry of Civil Affairs、National Development Reform Commission、National Health and Health Commission、National Bureau stake betting appstake online sports bettingof Traditional Chinese Medicine、stake betting appThe State CDC, etc. are responsible for division of responsibilities)
3. Optimized service connection
(5) Strengthen the sharing of medical care resources.All places must promote community medical care、Pension Service、Public service facilities such as helping disabled and disabled coordinate layout、Resource sharing。Promote community health service agencies and community pension service agencies、Community Rehabilitation Station，Township and Township Health Center and Separate Personnel Support Service Institutions (President)，Village Clinic and Rural Happiness、Planning for the disabled care institution、Adjacent to construction，Take a variety of effective ways，Realize resource sharing、Service Connection。Incorporate the medical and health institutions set up in the elderly institution into the management of medical consortia，Lead hospital in the combination of medical treatment、Rehabilitation Hospital、Nursing Home (center、Station) Establish a two -way referral mechanism，Provide integration、Continuous service，Implementing medical treatment、Rehabilitation、Nursing、High -efficiency collaboration of elderly service resources。Encourage the grassroots to actively explore relevant institutions' old -age beds and medical beds to regulate the conversion mechanism on demand。(National Development Reform Commission、Ministry of Civil Affairs、Ministry of Natural Resources、Ministry of Housing and Urban -Rural Development、National Health and Health Commission、National Medical Insurance Bureau、National Bureau stake betting appstake online sports bettingof Traditional Chinese Medicine、The China Disabled Persons' Federation, etc. are responsible for division of responsibilities)
(6) Actively play an informatization role.Relying on the National Health Information Platform and"Jinmin Project"，Construction of the national health My stake betting appinformation management system、National Pension Service Information System，Fully grasp the health and pension status of the elderly，Classification Classification to carry out related services。Implementation of the development action of the smart health care industry，Develop health management、Pension Care、Rehabilitation Assistant Class、Chinese medicine digital intelligent products and home service robots，Meet the health and pension needs of the elderly。(National Health and Health Commission、Department of Industry and Information Technology、Ministry of Civil Affairs、The State Administration stake betting appstake online sports bettingof Traditional Chinese Medicine, etc. is responsible for division of responsibilities)
4. Improve support policy
(7) Improve price policy.Public medical and health institutions provide on -site medical services for the elderly and other people，Take"Medical Service Price+Home Service Fees" is charged。Medical services provided、Drugs and medical consumables，Applicable medical price policy implemented by this medical and health institution。On -site service fees can be comprehensively considered by public medical and health institutions、Human cost、Traffic costs、Supply and demand relationship and other factors autonomous determination。Signed by a family doctor、long -term nursing insurance and other service items provided funding guarantee，No charge for repeated fees。Public medical and health institutions carry out pension services，An income separately accounting or a single -column check management，Toll standards should consider service costs comprehensive consideration、Supply and demand relationship、Factors and other factors of the masses，In principle, it is executed after being approved by the competent price department，With bidding conditions，Encouragement to determine through bidding。(National Development Reform Commission、National Health and Health Commission、Ministry of Civil Affairs、Market Supervision General Administration、The State Medical Insurance Bureau, etc. are responsible for division of responsibilities)
(8) Increase insurance support.Timely incorporate medical and health institutions in the eligible elderly care institutions in time into medical security fixed -point management。According to the characteristics of the combination of medical care，Reasonably determine the total medical insurance control indicators of medical and health institutions in the elderly institutions，Explore the treatment of Anning、Medical rehabilitation, etc., requires long -term hospitalization and average daily costs.，Encourage conditions where conditions permit to provide medical insurance funds prepaid to the designated medical and health institutions providing medical care and health institutions。Incorporate qualified therapeutic medical service projects in the procedure into the scope of medical insurance payment，Payment in full payment that meets the prescribed basic medical insurance costs。Steady Promoting Pilot of Long -term Nursing Insurance System，Adapt to the demand for basic nursing guarantee for the elderly for the elderly。Encourage commercial insurance to prevent health care for the elderly、Health Management、Rehabilitation、Nursing, etc. incorporate the guarantee scope。(National Medical Insurance Bureau、National Health and Health Commission、Ministry of Civil Affairs、Ministry of Finance、The China Banking Regulatory Commission、The State Administration stake betting appstake online sports bettingof Traditional Chinese Medicine, etc. is responsible for division of responsibilities)
(9) Active land resources.Medical and Land、Social welfare land can be used to build medical care and nursing combination projects。Allows to revitalize the use of existing free commercial houses in the town、Factory、School House、office room、Training facilities and other facilities provide medical care combination services，and apply the transition period policy，Continue to use land in five years according to the original purpose and rights type。Improve Land Support Policy，Priority to ensure the need to receive the medical and nursing of the elderly for the elderly for the elderly。Allows and encourages collective land for collective construction land for the construction of medical and nursing combination projects。(Department of Natural Resources、Ministry of Housing and Urban -Rural Development、The Ministry of Agriculture and Rural、National Development Reform Commission、National Health and Health Commission、The Ministry of Civil Affairs and other division of responsibilities is responsible for division of responsibilities)
(10) Implement fiscal and tax discounts.For conditions, you can support the development of medical and nutrition through related industrial investment funds。Implementation of relevant tax preferential policies，Support social forces to provide multi -level、Diversity medical care combined service。Methods through government purchase services，Unified comprehensive evaluation of the ability of the elderly，Supporting eligible medical and health institutions to provide basic public health for the elderly、Family Doctor Signed and other services，Supporting eligible pension institutions with basic pensions for the elderly、Family Pension bed contract signing and other services。(Ministry of Finance、People's Bank My stake betting appof China、Taxation General Administration、The China Banking Regulatory Commission、National Health and Health Commission、Ministry of Civil Affairs、National Medical Insurance Bureau、stake betting appThe State CDC, etc. are responsible for division of responsibilities)
5. Multi -channel citations to cultivate talents
(11) Strengthen talent training training.Accelerate the training of talents in the lack of medical and health services，Press the elderly medicine、Nursing、Rehabilitation、All medical talents such as general science，Pension caregiver、Dean of the Nursing Home、Elderly social workers and other elderly care services and management talents are included in related training items。Encourage ordinary universities、Added health and pension -related majors and courses in vocational colleges，Expand the scale of enrollment，Adapt to industry needs。Vigorously carry out training in the field of medical and nursing combination，Give full play to the role of professional skills level certificates，Further expand the talent training path of talent training combining college training and institutional training。Encourage providing medical care positions for the practice of teachers and student internships for relevant colleges。(Ministry of Education、Ministry of Human Resources and Social Security、National Health and Health Commission、Ministry of Civil Affairs、The State Administration stake betting appstake online sports bettingof Traditional Chinese Medicine, etc. is responsible for division of responsibilities)
(12) Guide medical personnel to engage in medical care services.Recruitment of grass -roots health talents、Use and train to tilt to medical and health institutions providing medical care and nursing services。Depending on the public medical and health institutions to carry out medical care and nursing combination services，Reasonably verify the total performance salary。Public medical and health institutions when internal performance distribution，For the completion of home medical services、Medical personnel with better services such as medical care and nursing are given proper tilt。Supporting medical staff, especially nurses with retired and retired and clinical experience, to provide medical and health institutions for medical care and nursing services，and the service institutions to provide medical care services to provide medical care services。Encourage retired medical staff to go to medical and health institutions and pension service institutions to provide medical care services to carry out volunteer services。(National Health and Health Commission、Ministry of Human Resources and Social Security、Ministry of Education、Ministry of Finance、The Ministry of Civil Affairs and other division of responsibilities is responsible for division of responsibilities)
(Thirteen) Growing the disabled care service team.Methods such as emergency assistance and care skills training，Improve the care ability and level of family caregivers for disabled elderly people。Strengthen medical caregiver for the elderly mainly for nursing disability、Training of pension caregivers。Encourage volunteer service personnel to provide asthma service for the family members of the elderly who care for the disabled。(Human Resources and Social Security Department、National Health and Health Commission、Ministry of Civil Affairs、National Bureau stake betting appstake online sports bettingof Traditional Chinese Medicine、Emergency Department、The Central Youth League Central Committee is responsible for division of responsibilities)
6. Strengthen service supervision
(14) Strengthen industry supervision.Incorporate medical care services into the medical and health industry、Comprehensive supervision and quality work assessment content of the elderly service industry，Incorporate medical and health institutions in the elderly institutions into medical and health institutions"Double Random、One Open "supervision random check range，Incorporate medical and health institutions into pension services into the pension institution "Double Random、One Open "supervision random check range，Guide relevant institutions to continuously optimize medical care combination services。Relevant departments must strengthen information sharing，Improve the duties of each department、Each responsibility、Cooperate with each other、The coordinated supervision mechanism of common management，Focus on promoting outstanding problems that affect service quality and safety。(National Health and Health Commission、Ministry of Civil Affairs、Market Supervision General Administration、stake betting appThe State CDC, etc. are responsible for division of responsibilities)
(15) Responsibility for preventing and controlling infectious diseases and production safety.A medical and health institutions in the elderly institutions must strictly implement the requirements of infectious disease prevention and control and medical institutions infection prevention and control，Proper arrangement of internal and external services，Resolutely prevent disease spread。Places where medical and health institutions provide elderly care services shall implement partition management with the medical service area，A physical isolation、Independent settings。During the period of major infectious diseases in the region，Places where medical and health institutions provide elderly care services shall be equipped with full -time medical staff and other necessary staff in accordance with the epidemic situation，Non -emergency must not cross the use of facilities and equipment with the medical service area、Materials, etc.，It really needs stake betting appto be used，Strictly implement prevention and control measures。Relevant departments should strengthen supervision stake betting appand guidance，Promote the implementation of responsibility，Resolutely prevent epidemic risk。Related institutions that must urge the provision of medical and nursing services in various places strictly implement the responsibility of safety production and fire safety.，Timely eliminate hidden safety hazards，Maintain the safety and legitimate rights and interests of the elderly。It is strictly forbidden to use flammable, combustible color steel plate materials to build a place with personnel activities。Do not have safety production and fire safety conditions、There is a major hidden safety hazard，It is handled in accordance with laws and regulations。(Responsible for the division of responsibilities according to the division of responsibilities)
Relevant departments in various regions must strengthen organizational leadership，Incorporate the development of medical care and nursing into the economic and social development plan and national health、Medical and Health Service System、Related plans such as the development of aging career and the elderly service system。Establish and improve the coordinated promotion mechanism of multiple departments，Mobilize social forces to participate extensively，Based on pension services，Support for medical and health services，Promoting the organic connection of medical and nutrition，Improve and implement various policy measures。The National Health Commission and the Ministry of Civil Affairs and other departments strengthened the supervision and guidance of the problem of breaking the difficulties of the combination of medical care and nursing in various places。Strengthen policy training and propaganda guidance，Organize the implementation of a medical and nursing combination demonstration project，Timely summarizing and promoting typical experience，Promote the combination of medical and nursing combination of high -quality development。
The National Development Reform Commission of the National Health and Health Commission
The Ministry of Education's Ministry of Civil Affairs
The Ministry of Human Resources and Social Security of the Ministry of Finance
Ministry of Housing and Urban -Rural Development of Natural Resources Department
The General Administration of Market Supervision of the Ministry of Emergency Department
National Medical Insurance Bureau
July 18, 2022
(Information disclosure: active public)
