What is the current situation of medical care in China? With China's aging society at this stage, there are many contradictions in "getting old before getting rich". Due to the frequent occurrence, easy occurrence and sudden occurrence of some 'geriatric diseases', the treatment and care of the sick, disabled and semi disabled elderly people have troubled thousands of families. A brief understanding of the status quo of the development of the mode of "combination of medical care and pension" in China.
1、 Definition of combination of medical and nursing
"Combination of medical and nursing" refers to the combination of medical resources and pension resources to maximize the utilization of social resources. Among them, 'medicine' includes medical rehabilitation and health care services, including medical services, health consultation services, health examination services, disease diagnosis and treatment and nursing services, serious illness rehabilitation services and hospice care services, etc.; and 'nursing' includes life care services, mental and psychological services, and cultural activities services. Using the development model of "integration of medical care and nursing", it integrates medical treatment, rehabilitation, health preservation and pension, puts health and medical services for the elderly in the first place, combines the functions of pension institutions and hospitals, and integrates life care and rehabilitation care.
In June 2016, the national health and Family Planning Commission and the Ministry of Civil Affairs issued the "notice on the determination of the first batch of national level pilot units for combination of medical and nursing", and in September, the "notice on determining the second batch of national level pilot units for combination of medical and nursing" was issued. In this paper, 50 cities (districts) such as Dongcheng District of Beijing city were selected as the first batch of national level pilot units, and Chaoyang District of Beijing was selected as the first batch And 40 cities (districts) will be selected as the second batch of national pilot units for the combination of medical and nursing services. It is clear that the pilot units should establish relevant mechanisms as soon as possible, fully implement the key tasks of the work of combination of medical care and nursing, so as to ensure positive progress of the pilot project and receive good social effects.
2、 Statistics of the elderly population in China
According to the United Nations definition of an aging society, more than 10% of the population is over 60 years old, and more than 7% of the population is over 65 years old. By the end of 2016, China's population aged 60 and above has exceeded 230 million, accounting for 16.7% of the population; the population aged 65 and above has reached 15.03 million, accounting for 10.8% of the population. No matter which proportion is far beyond the defined proportion, China has stepped into an aging society. It is estimated that China's population aged 65 and above will reach 155 million by 2018. After 2020, with the family planning generation generally entering the old age period, the average number of children of the elderly population in China will drop to less than 2, and the burden of children's pension will continue to increase.
3、 Statistics of the number of pension institutions in China
The main body of the supply of pension institutions in China is public pension institutions. Other forms of pension institutions are not fully developed and the supply of beds is small, which can not fill the supply gap left by public pension institutions. In 2016, there were 28500 old-age service institutions in China, with 7.8 beds and 33.8 beds per thousand elderly population. Compared with the number of beds in developed countries, there is a big gap. There is a big gap in the demand of the elderly for pension institutions in China. The number of beds in the pension institutions is far less than the demand, and the contradiction between supply and demand is very prominent. It is estimated that the number of pension service institutions in China will exceed 30000 by 2018.
So far, many pension institutions have begun to develop the service mode of "combination of medical care and nursing" as the core. For example, we will provide the elderly with professional health care services with the core of "combination of medical care and nursing care" and "mainly care for the elderly", provide continuous daily health care, health promotion, TCM rehabilitation, pension care and other life convenience services for the elderly, and provide high-quality 'combination of medical and nursing' services for the elderly with different needs.