By the end of 2027, we will strive to set the proportion of senior medical disciplines at the second level or above the comprehensive hospitals.
Sortors 丨 Wenhui
Recently, the National Committee of Health and Health issued the "Notice on Improving the ability of elderly medical services" (hereinafter referred to as the "Notice"), which clearly states that, it is clearly pointed out that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly stated that, it is clearly pointed out.The comprehensive hospitals with conditions and more than levels shall standardize the establishment of senile medical disciplines in accordance with the relevant requirements of the elderly medical department construction and management guidelines, and strengthen the construction in bed, equipment, personnel and other aspects.By the end of 2027, we will strive to set up 80%of the proportion of elderly medical disciplines in comprehensive hospitals above the second level.
Previously, the goal put forward in the "Notice on Comprehensively Strengthening Elderly Health Services" jointly issued by the National Health and Health Commission and the Aging Office at the end of 2021 "By 2025,At least 60%of comprehensive hospitals in the secondary and above should be established.
Figure: The official website of the National Health Commission
There are more than 6800 companies The hospital set up an elderly medical department
National Bureau of Statistics. At the end of 2023, the population of 60 and over my country reached 297 million, accounting for 21.07%of the total population, of which, of which, of which, of which, of which, The elderly population 65 and above is 216.76 million, accounting for 15.4%of the total population.It is estimated that in 2035, my country will enter the stage of severe aging. At that time, the 60 -year -old population will exceed 400 million, accounting for more than 30%.
Active response to population aging has risen to the national strategy.Healthy aging is considered a means and way to respond to the lowest cost of population aging and the best benefits.
In order to promote healthy aging, the National Committee of the National Health and Health has successively released a number of policy documents aimed at establishing and improving the health service system for the elderly.
At the end of 2019, my countrys first guiding document on the health service system of the elderly- "Guiding Opinions on Establishing and Improve the Health Service System" was released, and it clearly proposed to build a comprehensive and comprehensive and Requirements for continuous, urban and rural areas covered with the elderly health service system.
In terms of the construction of elderly medicine, the goal of the file set is "By 2022, at least 50%of the secondary and above comprehensive hospitals should set up senile medical department."
By the end of 2021, the "Notice on Comprehensively Strengthening Elderly Health Services" further improved this goal, stipulating that "by 2025, no less than 60%of the second and above levels above and aboveComprehensive hospitals need to establish senile medical disciplines. "
With the release of this document, the requirements of the discipline settings will be improved again.
According to the "Board of Statistics of the Development of my countrys Health and Health in 2023", as of the end of 2023, there are 6 national elderly disease clinical medical research centers in the country, with a total of 6877 secondary and above. Comprehensive hospitals have established elderly medical disciplines, 11097 comprehensive hospitals and 27755 primary medical and health institutions to build old -age friendly medical institutions. The national tranquility pilot pilot covers 185 cities (districts).In 2023, among the 65 -year -olds nationwide, 140 million people accepted health management at grass -roots medical and health institutions, accounting for 62.5%.
Elderly medical services must be from a single disease model
to the multi -ill synergy mode transition
In addition to regulating the construction of the elderly medical department, the "Notice" also put forward multiple requirements, including strengthening the construction of elderly medical talent teams, regulating the development of elderly medical diagnosis and treatment services, and regulating elderly medical diagnosis and treatment services, and regulating elderly medical diagnosis and treatment services, and regulating elderly medical diagnosis and treatment services.Enrich the elderly medical services, strengthen the linkage of elderly medical resources, etc.
In terms of the construction of the talent team, the health administrative departments at all levels of the local level should increase the training and training of elderly medical doctors, nurses, and pharmacists.Comprehensive hospitals above the second level should carry out regular professional training of elderly medicine, formulate a sound talent training plan, and strengthen the clinical ability of medical care staff for the elderly.Strengthen the psychological and psychological knowledge and skills training of elderly medical and medical staff to improve their mental health service capabilities.It is necessary to provide the necessary work and learning conditions for the medical staff of the elderly, care about the medical staff, reasonably determine the salary level of the medical medical staff of the elderly, fully mobilize the enthusiasm of the medical staff, and form a stable medical medical team of the elderly.
The Notice also pointedEarly screening and early diagnosis and early treatment.We must adhere to the work goal of maintaining or improving the functional status of the elderly to the maximum extent, improving their independent living ability and quality of life, fully reflecting the characteristics of the elderly medical specialty, standardizing the comprehensive assessment of the elderlyPsychological health.
Encourage the innovative service model of the elderly medical department, and actively absorb the internal medicine, tumor, Chinese medicine, rehabilitation, psychological psychology, nursing, pharmacy, nutrition and other teams to form a multi -disciplinary team to carry out the ageMulti -disciplinary consultation services for specialist characteristics to promote elderly medical services from single disease models to multi -disease co -governance models.
Emphasize the need to implement the functional positioning of medical institutions, and strengthen resource coordination and effective connection between medical institutions.
Professor Zhang Tiemei, the National Senior Medical Center of Beijing Hospital, said in an expert interpretation of the article that elderly medical services are facing complex health status, involving disease prevention, individual chemical diagnosis, rehabilitation, and rehabilitation care and care.The services such as Anning therapy have comprehensive continuous characteristics, which is largely different from the current medical models mainly specialty, and it is also the main point of improving the ability of elderly medical medical services.
The construction of the elderly medical department, is it difficult?
In recent years, the senior medical department has ushered in rapid development.Taking Guangdong Province as an example, as of the end of 2023, the proportion of the establishment of elderly medical sciences in public comprehensive hospitals and traditional Chinese medicine hospitals has reached 77%. Compared with 2022, it has increased significantly by 24%.The goal of 60%.
Despite this, across the country, the independent settings and effective operations of senile medical disciplines still face many challenges.
The development of disciplines is relatively slow, and the lack of professional talents is the most significant problem.
In our country, senile medical disciplines are an emerging discipline, which starts late. The talent structure and expert consensus need to be further improved.Feng Wenmeng, a researcher at the Institute of Public Management and Human Resources of the Development Research Center of the State Council, pointed out in an interview with the Health Client of the Peoples Daily that although my countrys elderly health service system has developed rapidly in recent years, compared with the actual needs of the elderly, there are still large existence of large existence The gap.The gap in elderly medical professionals is huge. At present, most of the elderly medical professionals in the country have been transferred or transferred from other professional fields. Many of them have not received systematic training for senior medical professionalism.
On the other hand, the income of doctors in the elderly medical department is relatively low, and soft incentives such as title selection and education growth are also limited.The gap is larger.
Sun Zhan, Executive Deputy Dean of the Shanghai Elderly Medical Center, told the "medical think tank" that at present, medical institutions are still lacking positive for the construction of elderly medicine.
"People with technology and levels are disdainful, and people with demand are unable to do it. The constructionEssence
The fee is low, and the loss of money is another realistic issue that needs to face.
Jiang Hua, the director of the elderly medical department of Shanghai Oriental Hospital, told the "medical community" that the comprehensive assessment of the elderly is one of the most important skills of the elderly medical doctor.It also includes functional, cognition, mental and psychological state, and social environment. Although the evaluation itself is indispensable than the specialist technology, the charges are much lower.
In addition, the elderly medical doctors are treating more "subtraction" for drug selection to reduce the risk of multiple drugs. In addition, the hospital actually pays medical careFor reasons such as higher costs and long periods of time in bed, most hospitals must first face the risk of losing money when they open an elderly medical department.
According to "Xinhua News Agency", there are front -line doctors admitting that the current medical insurance implementation of single -disease types of paid, but elderly patients who come to the department for hospitalization often have multiple diseases.For example, an old man suffers from three diseases, and medical insurance can only pay according to one disease, which is not matched with the overall diagnosis and treatment concept of elderly medicine.
"Developing the medical department of the elderly still requires specific policies and special funds," the doctor said.
Reference information:
1.Notice "and interpretation
2. Xinhua View Point: How to promote the accelerated development of the elderly medical department and make more people do medical?
3. Medical industry: In less than 10 years, she made the "Old Medical Division" into the top three in Shanghai. How did they do it?
*"The medical community" strives to publish the content of the content and reliability of the content, but do not promise the accuracy of the content;Essence
