Home-based care for the aged refers to a service form that the government and social forces rely on the community to provide life care, domestic service, rehabilitation care and spiritual comfort for the elderly at home. It is a supplement and update to the traditional family pension model, and it is an important content of developing community service and establishing China's pension service system.
Home care service object
Home-based care for the elderly is mainly promoted by the government purchasing services, and the service targets are limited to a small range: the "three noes" elderly, and the expenses are mainly borne by the government. In some places, the elderly are encouraged to buy their own services, and the government gives appropriate subsidies.
Home care service form
1. Day care service: provide life care, rehabilitation and spiritual comfort services for the elderly through the home care service center.
2. On-site nursing service: The service staff will provide nursing service for the elderly who live in their own homes but can't take care of themselves completely, the elderly who are ill in bed for a long time, and the elderly who have no children or whose children are not around.
3. Harmonious service: Combine like-minded elderly people in a special place provided by the home care service center, so that the elderly can play their own interests and specialties, relieve their body and mind, and expand their contacts.
Home care service content
1. Life care: provide general care and special care services such as rest, catering, haircut and housekeeping for the elderly.
2. Medical care: provide rehabilitation, mental health, hospice care, health education and other medical services for the elderly.
3. Legal rights protection: provide legal advice, legal aid, judicial maintenance and services to safeguard the legitimate rights and interests of the elderly, such as support, property and marriage.
4. Culture and education: provide services such as schools for the elderly, reading, painting and calligraphy, distance learning and training for the elderly.
5. Physical fitness: provide activities places, rest and fitness facilities, fitness teams and other services for the elderly.
Safeguard measures of home care service center system
1. Formulate the development plan of home care service.
Governments at all levels should closely combine local conditions, scientifically study and formulate the development plan of home-based care services in local urban and rural communities, incorporate it into the overall plan of local economic and social development and community construction, and make overall arrangements to promote the rapid and healthy development of home-based care services.
2. Increase government investment and rationally allocate resources.
Governments at all levels should change their functions, gradually increase investment with economic development and social progress, study and formulate policies and measures of "civilian-run assistance", and encourage and support social forces to participate in and set up home-based care services. Governments at all levels should make overall consideration of the construction of home care service facilities, team building and operation management, and rationally allocate resources. Conditional areas can set up special funds, set up funded projects, and explore a home-based care service model that adapts to local characteristics.
3, the implementation of preferential policies to support home care services.
We will implement the current preferential tax policies for aged care services, exempt the aged care services provided by nursing homes from business tax, and exempt all kinds of non-profit aged care services from self-use real estate and land property tax, urban land use tax, etc.
4. Establish and improve the community home care service network.
Integrate resources, establish and improve the community home care service network. According to the local community construction planning and the actual needs of the elderly, we should coordinate with various departments to integrate resources, build comprehensive home care service centers, home care service sites and other basic service facilities in urban communities and most rural towns, vigorously promote the development of professional services for the elderly such as medical care, rehabilitation nursing, recreation and sports, information consultation and education for the elderly, and build a community service network for the elderly to provide a variety of services for the elderly. Attract the elderly who take care of themselves to go out of their homes to receive services and participate in community service facilities for the elderly; For the elderly who can't take care of themselves, we will send someone to take care of them to meet their needs in life care, medical care, cultural entertainment and psychological comfort. Relying on the urban community information platform, the elderly hotline, emergency rescue system, digital network system and other forms of help and services are generally established in the community to build a convenient and effective information system for the elderly.
5. Strengthen the construction of service team.
Strengthen the construction of home care service team combining specialization and volunteers. Encourage all kinds of vocational training institutions to carry out vocational skills training for home care service personnel, and issue corresponding vocational qualification certificates if they pass the examination. Conscientiously implement the professional level evaluation system of professional social workers, scientifically define the positions and responsibilities of professional social workers in home care services, and strengthen the absorption and training of social workers. At the same time, strengthen the professional ethics education of home care service personnel, and improve and improve the overall quality of the service team.
Vigorously develop community home-based care volunteer organizations, encourage and support community residents and community units to provide various forms of home-based care services for the elderly.
It is necessary to gradually improve and improve the status and treatment of home care service personnel. Closely combine with the implementation of the evaluation system of social workers' professional level, and implement corresponding material treatment for professionals who serve the aged at home; For qualified personnel engaged in home care services, they shall enjoy corresponding employment and re-employment support policies according to regulations.
6. Actively cultivate and develop home care service organizations.
According to the principle of transformation of government functions and separation from enterprises, institutions and associations, the service functions that can be separated from the government in home care services should be given to social organizations and non-profit organizations as much as possible, and to markets and enterprises. Governments at all levels should actively cultivate and standardize the management of all kinds of home-based care services, and encourage home-based care services to develop a service model of continuous radiation, chain operation and unified management.
7, the establishment of home care service management system.
Local governments should strengthen the management and supervision of home-based care services and establish corresponding working mechanisms. Establish home care service centers and sites in districts, streets (towns) and communities (villages), and be entrusted by the government to be responsible for the implementation and management of home care services in this area. Its main responsibilities are: to establish an information base for the elderly, publish information on the service demand and social service supply of the elderly, and evaluate the qualifications of the elderly at home who enjoy government subsidies; Review the relevant qualifications of home-based care service personnel, accept the service information feedback from the clients, and inspect and supervise the service quality. Undertake other pension services entrusted by the government.
8, strengthen the leadership of home care services.
Governments at all levels should fully understand the importance of developing home-based care services under the new situation, put them on the government's work agenda, and work hard to formulate policies and measures in line with local conditions according to the spirit of this opinion. All relevant departments should strengthen cooperation and actively support the development of home care services. Offices of working committees on aging at all levels should conscientiously perform comprehensive coordination functions, cooperate with relevant departments, and actively promote the development of home-based care services.