It is reported ' Reporter Sun Gang) Municipal Health Bureau revealed a few days ago, Shanghai was making and accelerating the development of the undertaking of nursing for the aged to plan, rely mainly on government and encourage plural input, strive that it is about 6000 pieces to make the berth of nursing for the aged increase in 2015, the total amount reaches more than 15000, relieve the nursing for the aged tentatively " it is asked that a bed is difficult " .
At the end of 2009, the elderly of household register in Shanghai 60 have been already up to 3,157,000 people, among them 80 years old and the above advanced age 566,500 old men, the elderly of purely old family are 922,100, solitary old man is 188,700. The statistics show, the demand for the berth of nursing for the aged of Shanghai is about 20,700, actual opening berths of organization of 62 nursing for the aged of Shanghai are only 10342 at present.
It is introduced, because of not investing smoothly, the mechanism is not complete, the organization of nursing for the aged of Shanghai is unable to make ends meet for a long time, have influenced setting up enthusiasm greatly. Person in charge shows the mechanism of nursing for the aged of many families candidly, in order to run pressure, the more open berths of nursing for the aged are, it is the more seriously to suffer the loss, so they are still reducing the berth of nursing for the aged gradually. Such as some the intersection of centre district and the intersection of nursing for the aged and institute, will it be every month 2008 about 2 million yuan of business income, expenditure reaches about 2,600,000 yuan, financial subsidy only 50,000 more than every month, nowadays borrow money more than 2 million yuan.
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The expert says, the undertaking development of nursing for the aged needs many kinds of support. The government should devote more efforts to investing at first. Finance offer each the intersection of berth and yuan of subsidies to old people's home at present, insider call upon, pay nursing for the aged corresponding policy of a berth generally, in order to encourage plural input. The medical insurance should offer the preferential policy to the hospital of nursing for the aged and sick bed of nursing for the aged too, increase and attend to expense amount appropriately. To the institute of nursing for the aged at present " Press the bed " Serious current situation, the expert proposes using the international experience for reference, establishing Committee of Experts to assess the condition of the patient of nursing for the aged, implement, grade by stage paying, increase non- essential to in hospital paying the proportion for itself of the old patient for a long time, for the support of medical insurance to the old man who chooses the nursing at home too at the same time, improve the circulating rate of the berth. In addition, the expert also proposes by the Red Cross, helps tiredly to succour the foundation etc. to carry on plural fund-raising and offer funds to succour the service.
Nursing for the aged " The jade of his mountain "
The nursing for the aged also lets the old age attend to for a long time ' Look after) ,Mean the elderly because of accident, disease or weak to cause body, or spirit damage cause and can not take care of oneself at ordinary times, in a relatively longer period, need others for extensive help in the medical treatment, daily life or social activities. Countries all over the world, our country Taiwan, Hong Kong area, have explored many kinds of solutions of nursing for the aged which accord with the truth in the long-term practice, it is sure to enlighten function to have the undertaking development of nursing for the aged of our country.
U.S.A.: Develop and attend to the insurance for a long time
U.S.A. is mainly through the mode of the business insurance, are offering basic guarantee to people at the same time, take the market-based road, develop and attend to the insurance for a long time in a more cost-effective manner. The insurance responsibility for attending to the insurance for a long time generally includes three kinds of nursing types: Professional family nursing, daily family nursing and intermediate family nursing.
Germany and Japan: Set up legally and attend to and ensure the system
Germany is based on strong national power, has adopted the mode of attending to the insurance by force, since 1995, all personnel participating in legal medical insurance were obligated to participate in the society to attend to the insurance. Attend to the insurance and offer family nursing to the ginseng sponsor needing serving it, lose self-care ability and need the regular person that helps to pay and attend to the expenses for those.
Japan is that the second is set up to the legal country that attend to and ensure the system following Germany, implemented " attended to the law of insurance publically " formally in 2000, had already made very good effect at present. The concrete method is: Attended to a manager and assessed the patient's health at first, confirm the service item, choose corresponding nursing attendants; Then one Committee of Experts checks each case, confirm whether the assured are qualified to obtain the insurance premium.
Sweden: Regard supporting parents the goal at home as
Sweden will offer the responsibility looked after for a long time old age to transfer to the local government at the basic level, offer the subsidy funds budget of generality, reduce the use of the organization type service conscientiously by pressure of the balanced revenue and expenditure. Meanwhile, relevant legal provisions, the local government at the basic level must guarantee the old man who live in the community house is needed to serve.
Hong Kong: By " community's treatment " Take as the leading factor
Since 1973, Hong Kong has been looking after and community's voluntary service through the family all the time, let the old man keep and live in the community as much as possible. Look after only in the family and the community just offers the long-term institute to give up the service when can't meet demands of weak old man to look after. There are assistant teams of 138 pieces of house work at present in Hong Kong, the comprehensive service centre of 32 elders, 31 elders attend to the activity centre in the centre, 211 elders, outdoor healthy and blissful bus of an elder's centre for holidays, 4 ministers person in the daytime, and elder's favourable plan, holding and serves, is partial to old person's centre etc. and offering the diversified service to old man temporarily in the daytime.
Strive to increase berth of 6000 nursing for the aged in 5
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