health news: promoting the combination of medical care and nursing and taking the road of national health — — on-凯发app

since our country entered the aging society in 1999, the medical and health demand of the elderly is increasing day by day. according to the guiding opinions of the state council on promoting the combination of medical and health care and elderly care services, by 2020, medical and health care and elderly care service resources will be orderly shared, and a comprehensive and continuous service network covering urban and rural areas with appropriate scale and reasonable functions will be basically formed. in 2019, the "government work report" proposed to "reform and improve the policy of combining medical and nursing care" and "let the elderly have a happy old age, and the later ones will have a promising future." since its establishment on april 19, 2015, the chinese geriatrics society has continuously explored and practiced the combination of medical and nursing care, and summarized the "three modes", "two standards", "one set of methods" and "five basic experiences" that are closest to the elderly. cracked the dilemma and problem of "nursing homes can not see the sick, hospitals can not raise the old", "the combination of medical care is difficult to land" and "the health industry is not big".

three two one five

make medical care fully integrated

"the most effective way to solve the health problems of the elderly is to promote the combination of medical care, the use of traditional chinese and western medicine, big data and high-tech combined methods, early detection, early prevention, early diagnosis, early treatment." in other words, precision diagnosis, precision prevention, precision treatment. to this end, the cpc central committee and the state council have issued a series of documents, and local governments at all levels have also adopted a series of measures, setting off an upsurge in promoting the work of combining medical and nursing care across the country." according to fan li, president of the chinese geriatric society, in the face of the new situation, the society has taken the "combination of medical care" as a major task since its establishment. arranged a full-time vice president responsible for the establishment of the medical and nursing combination management department and the medical and nursing combination promotion committee to promote, and caught the pilot in 8 places in the country, and finally successfully summed up three models: government-led regional chemical and medical combination model, entrepreneur led scenic area medical and nursing combination model, and the "hospital in the hospital" medical and nursing combination model led by large hospitals.

"by the end of 2018, china's population aged 60 and above had reached nearly 250 million, accounting for 17.9 percent of the total population; among them, 166.58 million people aged 65 and above, accounting for 11.9% of the total population. at present, the elderly need to combine medical care is increasingly prominent, the population structure is aging, about 150 million elderly people suffering from chronic diseases, disabled and semi-disabled elderly people about 40 million, and empty nest families in urban and rural average more than 50%." fan li said that the above three models are for different service objects, there is a strong complementarity, and the construction cost is low, high operating efficiency. at the same time, it basically covers all residents in the region, taking into account the different needs of healthy elderly people, sub-healthy elderly people, chronically ill elderly people, and elderly high-risk elderly people, which is worth promoting.

the "two standards", namely the "basic requirements for the establishment of facilities of medical and nursing combined service institutions" and the "standards for the rating of medical and nursing combined service institutions" and other industry standards, will be officially released by the society at the fifth china geriatrics and technology innovation conference held in chengdu in early may.  

at the same time, in the exploration and practice of combined medical and nursing services, the chinese geriatrics society strives to excavate the treasure house of chinese medicine according to the implementation opinions on promoting the development of traditional chinese medicine healthy elderly care services jointly issued by 12 ministries and commissions such as the state administration of traditional chinese medicine, the national health and family planning commission and the national development and reform commission in 2017. the research has summarized a set of technical programs and products of traditional chinese medicine and natural medicine for treating terminal diseases, treating chronic diseases, promoting rehabilitation and anti-aging, that is, "a set of methods". it aims to promote the health services with traditional chinese medicine characteristics into communities, villages and families, and promote the in-depth development of traditional chinese medicine health care services for the elderly.

"the 'five basic lessons' have been acquired through continuous research, practice and painstaking exploration over the past five years." according to chen yunqi, five basic experiences, one is to adhere to the "government-led, expert guidance, business management" guiding ideology. the integration of medical and nursing care is a major livelihood project. without government leadership, it is difficult to mobilize the enthusiasm of relevant experts and entrepreneurs, and it is difficult to succeed in their undertakings. second, to do a good job in the "regional combination of chemical medicine and nutrition model", we must adhere to the principle of "according to the jurisdiction, the system, the mechanism, the full coverage" deployment, according to the "internet city (district, county), township, village integration" model construction, so as to fundamentally benefit the vast number of people, solve the problem of social health aging in china, and gradually achieve the health of the whole people. the third is to build a combination of medical and nursing service institutions, first of all, to accurately serve the object and clarify the service content. the service object is not accurate, and the service content is difficult to locate, which is the main reason for the sluggish operation of more than half of the elderly care institutions in the country. fourth, the combination of health management and medical care is accompanied and complemented by each other, and the combination of health management and medical care is crucial to the realization of "national health". the focus of health management is the combination of medical and nursing services, that is, the treatment of terminal diseases, the treatment of chronic diseases, the promotion of rehabilitation, anti-aging, so adhere to the "internet health management combined with medical and nursing" is the best model for human health. fifth, the core technology of the combination of medical and nursing services needs to be explored and improved in the natural medicine dominated by traditional chinese medicine.

according to fan li, in order to provide a steady flow of qualified talents for the national medical and nursing services, the chinese geriatric society has written the group standard of "geriatric nurse standards" and the "national geriatric nurse training textbooks", and has set up a national geriatric medicine and care training center based on the general hospital of the people's liberation army, and has established 43 training bases across the country.

in terms of basic occupational requirements, according to the "standards for nursing staff for the elderly", nursing staff for the elderly need to master nursing skills for the elderly, responsible for eating, excreting, washing, changing, cleaning, turning, walking and other daily life of the elderly, and guide the elderly to participate in rehabilitation and health exercise; responsible for communicating with the elderly, assisting in the implementation of mental health programs and psychological counseling; first aid skills, such as cardiopulmonary resuscitation; understand the basic comprehensive assessment of the elderly, and can cooperate with medical and nursing staff to actively observe and record the physical condition of the care object, so as to detect abnormal conditions in time; familiar with the manifestations of common diseases and chronic diseases of the elderly, to provide basic living, psychological, diet, medication, rehabilitation care for the elderly. in addition, we should be familiar with the knowledge of the use of common diseases, understand the type, name, dosage and side effects of drugs for the elderly under care, and strictly follow the doctor's advice to assist the elderly to use drugs; familiar with common home medical care technology, home medical rehabilitation equipment, etc. in less than one year, the society held 54 training courses and trained 7520 elderly photo nurses.

only with people's health as the center can the health industry be bigger

 

74-year-old grandma zhao suffers from arthritis, coronary heart disease and other diseases, mobility is inconvenient, usually need family accompanied rehabilitation treatment. early this year, zhao moved into kanghe home, a daycare center in chaoyang district of shijiazhuang, about a 10-minute walk from her home.

kanghe home is one of the medical units of the shijiazhuang hospital of traditional chinese medicine, for the elderly who have rehabilitation needs, regularly escort to the shijiazhuang hospital of traditional chinese medicine for rehabilitation training, and do routine physical examination for the elderly.

"the staff at the care center always sent us to the hospital in time when we needed medical treatment and rehabilitation most," zhao said. living in the care center during the day is very reassuring, and the elderly can talk home and participate in various activities together. they can also work without the trouble of their children. now i feel that my mental state is much better.

grandma zhao is one of the elderly beneficiaries of the "regional combination of chemical medicine and nursing model" piloted by the chinese geriatric society.

chinese geriatric society honorary president zhang liping, president fan li, vice president lu jun, chen yunqi, consultant jia xueyang, hebei provincial health commission, civil affairs bureau, shijiazhuang luancheng district government and other leaders attended the medical and nursing combination sub-forum held in luancheng district dongxuying village.
    in recent years, the chinese geriatric society has conducted pilot projects of "government-led regional combination of chemical medicine and nursing" in linyi, shijiazhuang and shenyang respectively. shijiazhuang model is based on the shijiazhuang hospital of traditional chinese medicine (2,000 beds) as the center, expanding to surrounding communities and rural areas, forming neighborhood office elderly care service centers and community "small and micro" nursing homes, as well as township and village nursing homes of third-level medical care institutions. at present, three nursing homes, eight street service centers for the elderly and 96 service points have been established. the system directly serves about 60,000 elderly people at home, covering a population of more than 3 million. the shenyang model is led by the shenyang municipal health commission, and relies on medical institutions in some cities (districts, counties), townships and villages to build nursing homes next to form a combination of medical and nursing systems. at present, it has involved three counties (districts), townships and villages, covering a population of 1.3 million people.

accompanied by xu futian, president of linyi charity federation, jiang xinli, former director of civil affairs bureau, and jiang kaitian, chairman of kaixuan medical care group, fan li, president of china geriatrics society, visited the planning vision of kaixuan medical care group in linyi.
    the triumph mode of linyi city is led by the civil affairs department of linyi city. in that year, vice mayor zhao aihua and former director of the civil affairs bureau jiang xinli dared to take the lead and entrusted 4 public nursing homes and 50 community health stations to private entrepreneur jiang kaitian, which quickly opened up the situation. today, linyi is not only a pilot to learn to catch, but also a typical combination of medical and nursing care by the shandong provincial government. with 660 beds in the private kaixuan hospital as the center, four public nursing homes and 50 community health service stations have become day care centers, with more than 2,100 beds for the elderly, covering a population of more than 2 million. "the common feature of the above is that according to the idea of 'according to the jurisdiction, into the system, create a mechanism, full coverage', the government plays a leading role, relying on the existing public medical institutions or elderly care institutions, the formation of large, small, medium or city (county, district), township, village three or four level network structure, so that the combination of medical and nursing services are implemented, and the formation of medical and nursing integrated services." this model can solve more than 90% of the middle-aged and elderly people in the region's community care and home care problems, can fully reflect the government's responsibility, action and responsibility. we think this model should become the mainstream model to promote the combination of medical care and maintenance in china." fanley stressed. according to chen yunqi, the combination model of medical care in scenic areas is also known as the "medical care base", which is oriented to the national service, and is a model dominated by entrepreneurs to provide medical care combined services for the national dynamic elderly, and is a strong supplement to the regional model. the main targets of this model are healthy, sub-healthy and chronic elderly people, and the main tasks are "treating non-disease, treating chronic disease, promoting rehabilitation and anti-aging". the focus of discipline construction is to build a brand for the treatment of chronic diseases and specific diseases around the six chronic diseases stipulated by the state, combined with local characteristics and advantages, so that the combination of medical and nursing service agencies in the scenic area will become the top center for the prevention and treatment of chronic diseases or a specific disease.

chengdu qingcheng international nursing center, the main building, a hospital, nursing home, health management center in one.

hainan wuzhishan city rendi mountain pension base panorama.

the chinese geriatric society has practiced the model of combination of medical and nursing care in scenic areas such as qingcheng mountain in chengdu, wuzhi mountain in hainan, baisha and other places, and has built a combination of medical and nursing service institutions such as chengdu qingcheng international medical and nursing center, rendi mountain health care base and four seasons spring hot spring town. "one of the key pilot units is the qingcheng international medical care center that i learned to jointly grasp with the chengdu municipal government, which is a complex composed of three parts of secondary hospitals, nursing homes, and health management centers, chairman li yuanqing is determined to create an international brand, in addition to the introduction of the people's liberation army general hospital and sichuan provincial people's hospital, but also the introduction of japanese brands." academician fu xiaobing called it the "three nursing" center, that is, the medical nursing center, the nursing center, and the nursing center, which can provide the integrated service of "medical nursing and health" and is well received by the masses and friends at home and abroad." fanley introduced.

shengjing hospital nursing home in shenyang, the lower 10 floors are 500-bed hospital, the upper 10 floors are 1000-bed nursing home.

the combination model of "hospital within hospital", also known as the research-based combination model, usually refers to a tertiary hospital with strong technical strength and a large nursing home built next to it. fanley example

said, such as shenyang zhongji shengjing hospital is a private entrepreneur chairman li jie rent a group of giant building, 10 floors below 500 beds of geriatric hospital, 10 floors above 1000 beds

a high-end nursing home. li jie has a famous saying, to make medical care and pension "zero" distance. this model is suitable for the elderly and high-risk elderly in the central areas of big cities, so that these

"shuanggao" elderly people can enjoy "zero" distance medical treatment, "zero" distance health services, and "zero" distance life care and love at the door and in the hospital.

lu jun, vice president and secretary general of the chinese geriatric society, told us that the society has done seven or eight types of pilot models of medical and nursing combination across the country, and finally believes that the above three models are the most scientific, practical, can reflect the idea of "people's health as the center", and can make the government, enterprises and the broad masses of the people are satisfied with the model. at the same time, it will also help build a policy system and social environment for the elderly, filial piety and respect for the elderly, promote the healthy aging of our society, and raise the level of medical care to a new height."

the combination of medical care and health management is accompanied

"to implement the combination of medical and nursing care, we must accurately serve the target." fanley explained that hospitals are usually medical-centered, while nursing homes are life-centered. the combination of medical and nursing care refers to the overlapping part of medical and nursing care, which is centered on health management. health management includes health examination, health assessment and health service, and the health service under the health management mode is the combination of medical and nursing services.

fan li pointed out that the "medicine" in the combination of medicine and care refers to the treatment of terminal diseases, the treatment of chronic diseases, the promotion of rehabilitation, anti-aging, the purpose is to treat diseases, prevent diseases, early detection, early treatment, late disease, no disease. therefore, the main service object of the combination of medical and nursing should be healthy, sub-healthy and chronic diseases of the elderly.

"therefore, the combination of medical and nursing services is essentially a service for the increasing demand for health as people's living standards improve." facing the new era, new needs and new institutions, we should have new ideas, new theories and new standards, and cooperate with the government to lead and promote the construction and development of integrated medical and nursing service institutions." fanley stressed.

fan li also pointed out that the party central committee and the state council put forward the combination of medical care, but also put forward health management, and required the implementation of universal health management, the whole life process health management. practice tells us that the core of health management is health service. the core of health service is the combination of medical and nursing care, which is the service of treating terminal disease, treating chronic disease, promoting rehabilitation and anti-aging. "therefore, health management without the combination of medical and nursing services has no substantive meaning; without health management, there will be no continuity of service. if the service becomes fragmented, health management will not be effective. "fanley said.

the core technology of combining medical and nursing services lies in natural medicine, which is dominated by traditional chinese medicine. traditional chinese medicine embodies profound philosophical wisdom and the chinese nation's thousands of years of health concepts and practical experience. it is a treasure of ancient chinese science and a key to the treasure house of chinese civilization. in-depth study and scientific summary of chinese medicine is of positive significance to enrich the world medical cause and promote the life science research.

chen yunqi pointed out that the outline of the healthy china 2030 plan and the implementation opinions on promoting the development of healthy elderly care services of traditional chinese medicine both clearly propose to give full play to the unique advantages of traditional chinese medicine in the construction of healthy china, especially its unique role in the prevention and treatment of common diseases, frequent diseases and chronic diseases, and its leading role in the treatment of incurable diseases. the synergies in the treatment of major diseases and the central role in the rehabilitation of diseases. in fact, it is the party central committee and the state council that has pointed out the direction for us to promote the work of combining medical and nursing care. the combination model of chinese and western medicine will become the best model in the field of human life and health, in which traditional chinese medicine will make revolutionary contributions to human health. we should work hard to explore, in-depth summary, brave to assume the mission and responsibility, so that it can better serve the whole people's health and serve the construction of a healthy china.

smart medical care enhances the sense of gain of the elderly

 

in chen yunqi's view, "internet combination of medical care health management" is an effective way to achieve national health. "to implement the whole-life process health management and national health management required by the state, we must rely on modern high-tech technologies and platforms such as the internet, big data and artificial intelligence to achieve online management, offline services, intelligent evaluation and big data applications." otherwise, it is difficult to achieve high efficiency, high efficiency and high effect, and it is impossible to achieve the goal. the various models we have captured have made full use of internet digital technology. otherwise, the integrated construction of "city, county, township and village" and the integrated services of "medical and health care" are all empty talk. therefore, we call 'internet health management combination of medical care = national health.' '" chen yunqi believes.

chen yunqi said that through the internet, families, communities, hospitals and nursing homes can be interconnected, and appointments, online consultation, remote consultation and online medicine purchase can be achieved without leaving the house, making ";smart medical care and smart pension" a reality.

in the past three years, with the help of the chinese geriatric society and the strong support of the medical association of traditional chinese medicine hospital in shijiazhuang, dongxuying village in shijiazhuang, hebei province, has developed a mode of "combining medical and nursing care" in rural areas in exploring the rural "combination of medical and nursing care" model, and has become the first "internet medical and nursing care demonstration village" successfully guided by the chinese geriatric society. the practice of the past few years has also proved that in order to solve the problem of medical care in the vast rural areas, it is also necessary for the government above the county to form a regional chemical and medical care model integrating "county, township and village" with the idea of "presenting a system according to the jurisdiction, creating a mechanism and covering the whole", so as to fundamentally solve the problem. otherwise, due to the quality of personnel, lack of training and systematic guidance and other problems, a single rural medical and nursing combination institution, no matter how good the construction is, is difficult to have good results and benefits.

shenyang and linyi have basically realized the trinity of hospital, nursing home and health management center, interconnection, medical and health information sharing, and highly integrated intelligent health management platform, so that residents (villages) can enjoy smart medical and intelligent elderly care services without leaving the community and village, and residents (villages) have a full sense of gain.

fan li finally stressed that promoting the combination of medical care is a great new cause with bright prospects and broad roads, but there are still many difficulties and problems that need to continue to study and explore. "the member units and all members of the society should continue to work hard and struggle hard, especially to actively respond to the requirements of the party central committee and the state council on social organizations to actively participate in poverty alleviation, and actively participate in medical and health poverty alleviation work." we should organize teams to go deep into rural areas, mountain areas and old revolutionary base areas, and apply our advantages and achievements in combining medical and nursing care to the construction of healthy poverty alleviation and healthy villages and towns, and contribute our strength to the early realization of the health of the whole people and the construction of healthy china." "fanley said.