With the development of society, the problem of providing for the aged has become a hot topic of social concern. Chinese leaders also pointed out that we should actively deal with the aging population, and the concept of the combination of traditional Chinese medicine and providing for the aged has been put forward again. What is the mode of the combination of traditional Chinese medicine and providing for the aged? What is the prospect of China's providing for the aged industry?
The combination of medical care and pension means 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. The combination of medical treatment and pension is the core content and the most basic service mode of pension service. Medical treatment is the basis of pension service. Under the healthy China strategy, the combination of medical treatment and pension will be the biggest opportunity for the development of pension service industry.
Broad prospects for the pension industry
1. The elderly population continues to grow
At present, China has become the country with the largest elderly population in the world. According to the latest data of the National Bureau of statistics, there are 240.9 million people aged 60 or above, accounting for 17.3% of the total population, of which 158.31 million people aged 65 or above, accounting for 11.4% of the total population. When the population aged over 60 accounts for 10% of the total population in a country or region, or 7% of the total population is over 65 years old, which means that the population of the country or region is in an aging society. The proportion of the elderly population in China seriously exceeds the standard.
It is reported that in 2000, 7% of China's population was over 65 years old, and since then it has continued to rise. In 2005, China's elderly population over 65 exceeded 100 million, reaching 100.55 million. In 2007, 7% of China's elderly people were over 65 years old. In 2016, China's elderly population over 65 years old exceeded 150 million. In 2017, China's elderly population further increased to 158.31 million, and the proportion of the elderly over 65 years old soared to 11.4%. It is reported that in the past decade, China's elderly population over 65 has been growing, with a year-on-year growth rate of 3.0% in 2008 to 5.5% in 2017.
2. Supply of pension institutions is less than demand
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 elderly care institutions in China, with 7.8 million beds and 33.8 beds per 1000 elderly people. 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 supply of beds in 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.
As China's pension industry has just begun to develop, there is no really mature model. It is estimated that the market of China's pension industry will reach 13 trillion yuan by 2030. In recent years, the combination of medical care and pension, as a new type of pension model, has a bright future. At present, the domestic pension market segmentation of the combination of medical care and pension is not mature, and the business model still needs to be explored.
Prospect of the mode of combination of medical care and nursing care
1. Combination of community hospital and pension
At the same time, relying on the community grid service, the family doctor model is implemented to provide home-based elderly care services for the community elderly. At the same time, based on the government's medical and nursing policy, a multi-level service system of "combination of medical and nursing" is constructed. Including, according to the needs of the elderly with different income, build a multi-level medical and nursing service system.
2. Apartments for the elderly
This is a kind of continuous care apartment for the elderly with the concept of combination of medical care and nursing care and characterized by rehabilitation. The customized environment and personal service give the elderly a new experience. At the same time, there will also be corresponding medical resources into the apartment community to specifically serve the elderly in the apartment. It is reported that at present, some enterprises have also carried out the trial operation of this type of pension projects, and more and more elderly apartments will be put into operation in the future.
3. Pension institutions invest in hospitals
At present, pension institutions are still the main choice of a pension model, but the level of medical conditions is uneven. Under the trend of the combination of medical care and pension, pension institutions should invest in medical resources, build their own hospitals and improve the medical level. In addition, the government should give appropriate subsidies to the construction and operation of pension institutions. In particular, private capital into the tax, land supply, planning and construction and other preferential policies formulation and implementation. At the same time, strengthen the supervision of nursing professional team, including the training and training of professional nursing personnel, work with certificates, and ensure the quality of service.
4. Hospital to carry out pension service
The elderly care institutions run by hospitals can share the existing medical resources of the hospital and provide more professional medical services. At the same time, the hospital should also cooperate with hierarchical diagnosis and treatment to establish a close referral system. For example, higher level hospitals can provide high-quality medical services and professional nursing to primary hospitals, primary hospitals can make appointment for consultation in superior hospitals at any time according to the disease needs of the elderly, so as to realize mutual referral and intercommunication among primary hospitals, rehabilitation centers, pension centers and superior hospitals; establish green channels for pre appointment to ensure that the reasonable medical needs of the elderly are effectively met.