Promote "big health" elderly services to enhance the level of elderly services in the city

　The report of the Nineteenth National Congress of the Communist Party of China stated that "people's health is an important symbol of national prosperity and national prosperity", and it is necessary to "actively respond to population aging...promote the integration of medical care and elderly care, and accelerate the development of aging undertakings and industries". At present, 23.43% of the city's registered permanent residents are over 60 years old, and the degree of aging ranks third in the country. The average life expectancy is 81.6 years old, which has reached the level of developed countries or regions. The problem of how to achieve healthy longevity is prominent. However, the "Report on the Health Status of Tianjin Residents" shows that the leading cause of death for the elderly aged 65 and above in our city is heart disease, accounting for 32% of the total number of deaths. Do our best to ensure that the elderly in our city live a healthy and dignified life, instead of struggling to survive the treatment after being old and seriously ill. We must promote the concept of "big health" and integrate health concepts into elderly care services. In order to effectively improve the level of elderly care services in our city, realize the health and longevity of the elderly, and build a healthy Tianjin, the following suggestions are put forward: 1.
　　Change the traditional concept of "treatment-centered" elderly care services, and establish a concept of
　　"treatment-centered" comprehensive health care services for the aged The traditional old-age care service concept focuses on the treatment of illness, which not only costs the family and the society high economic costs, but also causes the elderly to suffer from illness and have a low quality of life. General Secretary Xi Jinping emphasized that the people's health should be placed in a strategic position of priority development, and the healthy life of the elderly is what it should mean. As a value concept, the "big health" elderly care service in our city should be based on social development, changes in elderly care needs, and changes in the spectrum of diseases, highlighting "prevention as the center, moving the gate forward", focusing on "preventive treatment of diseases"; promoting a healthy lifestyle , promote self-health management to reduce the occurrence of diseases; strengthen early diagnosis, early treatment, and early rehabilitation; pay attention to the risk factors that affect the health of the elderly, pay attention to the spiritual and mental health of the elderly, and help the elderly realize their own value; promote the health industry development to better meet public health needs. Adhere to the government's leadership, the participation of the whole society, joint construction and sharing, everyone's self-discipline, the health of the whole people, and the realization of the integrated development of health, medical care and nursing. By improving the quality of life of the elderly, enhancing the happiness of the elderly, and building a healthy Tianjin.
　　2. Under the guidance of "all-round and full-cycle services", build a comprehensive health care service supply system
　　Adjust and optimize the health service supply system. In accordance with the requirements put forward by the General Secretary, build a comprehensive health care service supply system that "focuses on popularizing healthy life, optimizing health services, improving health protection, building a healthy environment, and developing the health industry" to provide comprehensive and full-cycle services for the elderly in our city. health service. First, in the process of formulating public policies and allocating public resources, the government adheres to the development concept of "big health + elderly care", and actively guides multiple subjects such as communities, elderly care institutions, hospitals, social organizations, and all residents to intervene in health care services in multiple dimensions. The second is based on the community, highlighting the cornerstone role of the community in comprehensive health care services, strengthening community health management for the elderly, implementing basic public health services for the elderly, strengthening the management of chronic disease patients, and increasing the rate of filing health records for the elderly . Encourage the exploration of socialized service models for home-based elderly care services in the community through the purchase of services, agreement trusteeship, and self-service operations, and provide free or low-paid day care, nursing, and reasonable catering services for the elderly in the community. The third is to provide combined health, medical and nursing services for the elderly, and integrate health care into the combined medical and nursing services. Add geriatric departments and geriatric outpatient clinics; explore the establishment of rehabilitation hospitals, expand rehabilitation outpatient clinics, and include them in the scope of medical insurance; develop health care, hospice care and other services; promote health care and nursing services in elderly care institutions; implement traditional Chinese medicine disease prevention and health projects. In community hospitals, TCM preventive health care is strengthened, and a TCM disease prevention service system is preliminarily established. The fourth is to care for the mental health of the elderly, provide mental health counseling for the elderly, and establish a positive and happy attitude towards life. Help the elderly to correctly view the changes of physical aging, and solve the psychological burden of the elderly who are afraid of getting sick, lonely, and useless.
　　3. On the basis of "preventive treatment of diseases", establish a comprehensive health care service guarantee mechanism
　　Improve the integrated operation mechanism of health, medical and nursing care to provide guarantee for the development of health, medical and nursing care in our city. The first is to increase the integration of resources and build a financial investment mechanism for the elderly's comprehensive health care. Through policy guidance and support and other measures, provide financial guarantee for the integrated development of health, medical care and elderly care in our city. Increase investment in health publicity and education, enriching healthy life, etc. The second is to support the development of the elderly care service industry that focuses on prevention and "prevents diseases" through policy preference. Implement the reform measures of "one system and three modernizations", simplify the approval procedures, and increase the support for private capital to participate in the health, medical and nursing service industry. The third is to improve the construction of sports, cultural entertainment, activity venues and other infrastructure for comprehensive health care. The fourth is to improve the healthy elderly care market and the participation mechanism of social organizations and volunteers, and build a large health elderly care service team. Taking the needs of the elderly as the starting point, through communities, social organizations, and volunteers, we provide diversified services such as life care, spiritual comfort, and health care. Pay attention to the construction of a comprehensive health care team, and improve the vocational education system for the elderly. The fifth is to build a comprehensive health care information service guarantee system. Actively promote the development of the smart elderly care industry, and effectively realize the effective connection between individuals, families, communities, institutions and healthy elderly care resources. Taking advantage of the opportunity of Tianjin's construction of a smart city, build a smart elderly care ecological chain, and provide the elderly with services such as health management wearable devices, self-service health monitoring equipment, smart elderly care monitoring equipment, home service robots, and Internet health consultation.
　　4. Starting from the "elderly people's comprehensive health needs", expand the objects and scope of elderly care services. Build a health, medical and elderly care
　　pattern that is based on just-needed elderly care and health care and fitness, to meet the comprehensive health needs of the elderly. Expand the objects of comprehensive health care services, and gradually cover the disabled, demented, semi-independent and elderly people who need care to the young and healthy elderly; the elderly care service projects have changed from just-needed medical care, rehabilitation, nursing, etc. to "rehabilitation and health care". The extension of the "big health" industry centered on health care and entertainment; from medical services based on "diagnosis and treatment" to health care services oriented toward "rehabilitation of traditional Chinese medicine and chronic disease management" to meet the needs of the elderly's life and spiritual services need. Focusing on the "big health" of the whole life cycle of the elderly of all ages, expand services in the fields of traditional Chinese medicine pension and rehabilitation, chronic disease management and health management, health care and pension, ecological pension, entertainment for the elderly, residence and pension, and high-end health care.
　　5. Do a good job in publicity work based on the principle of "prevention first, move the gate forward", promote the healthy lifestyle of the elderly, and realize self-health management
　　Pay attention to the impact of the environment and lifestyle on the health of the elderly, do a good job in publicity work, and reduce the impact of external factors such as air pollution, water pollution, obesity, and second-hand smoke on the health of the elderly. Innovate the means of health education, standardize the content of health education, do a good job in health education for the elderly, improve the health literacy and personal health awareness of the elderly, make the elderly the first person responsible for their own health, pay attention to healthy lifestyles, strengthen disease prevention and Active health promotion to realize self-health management.

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