(2) Give play to the role of traditional Chinese medicine. Community health service institutions and township hospitals provide TCM diagnosis and treatment, TCM health status appraisal and evaluation, TCM health management and other services for the elderly. Strengthen the promotion of appropriate technologies of traditional Chinese medicine, and popularize health care knowledge of traditional Chinese medicine and easy-to-master health care technologies and methods such as massage, dressing, scrapping, cupping and health exercises in community pension institutions and service facilities for poor people (nursing homes). Develop TCM rehabilitation services and popularize miniaturized and specialized TCM rehabilitation equipment and appropriate rehabilitation technologies suitable for grass-roots units and communities.
(3) Strengthen team building. Support medical staff to participate in the combination of home community medical care and support, and expand the service team. Community health service institutions, township hospitals and community pension institutions, and service facilities for destitute people (nursing homes) should pay attention to the construction of relevant professional, management and service personnel according to actual needs, increase training, and continuously improve management and service levels. Medical staff working in community pension institutions and service facilities (nursing homes) medical and health institutions can refer to the implementation of relevant incentive policies for primary medical staff. Strengthen the continuing medical education of medical staff, organize relevant personnel to participate in the training of combining medical care with nursing care, and improve the talent ability.
(4) Improve the level of informatization. Give full play to the functions of "Internet+medical health", "internet plus nursing service" and "internet plus pension service", carry out smart and healthy pension service, and establish a telemedicine service system based on the superior hospital of medical association. Community health service institutions and township hospitals should establish electronic health records for the elderly in combination with basic public health services and family doctors' contract services. Through information technology such as the Internet, we can explore the development of smart home community health care service for the aged, promote regional medical care information exchange and data sharing, and improve service efficiency and level. Strict implementation of network security and medical care data confidentiality regulations to ensure the safety of personal information of the elderly.
(5) Improve the facilities. Conditional community health service institutions, township hospitals or community pension institutions, and support service facilities (nursing homes) for destitute people can use existing resources to internally rebuild and expand community (township) service facilities that combine medical care with nursing care, focusing on providing health education, preventive health care, disease diagnosis and treatment, rehabilitation care and hospice care for disabled, chronically ill, aged and disabled elderly people, taking into account daily life care. Newly-built community health service institutions in cities can build community medical and nursing service facilities internally. The old-age service area in the newly-built and expanded community medical and nursing service facilities shall be set in an independent building or building partition, and the partition management shall be strictly implemented. Community health service institutions and township hospitals use existing resources to provide old-age services, involving construction, fire protection, food safety, health and epidemic prevention and other related conditions. On the premise of ensuring safety, it can be directly registered for the record according to the existing qualifications.
Three. Related requirements
(1) Strengthen organizational leadership. All localities should attach great importance to improving the ability of community medical services as an important measure to implement the national strategy of actively responding to the aging population and the healthy China strategy, promote the development of medical undertakings and meet the needs of people's livelihood, accelerate the promotion, and ensure that awareness, measures, responsibilities and implementation are in place.
(2) Do a good job in funding. The National Development and Reform Commission arranges investment in the central budget to support the construction of a chain and standardized community home-based care service network, providing services such as disability care, meal assistance, bath assistance, cleaning and medical assistance, and supporting medical institutions to carry out the service of combining medical care with nursing care. The financial department arranges funds to support the local implementation of basic public health services such as health management for the elderly, health care for the elderly combined with medical care, and train professional and technical personnel in geriatrics and medical care. A comprehensive assessment of the ability of the elderly will be carried out through the government's purchase of services.
(3) Strengthen work coordination. All relevant departments should strengthen coordination, strengthen policy convergence, and implement and improve relevant measures. In accordance with the responsibilities of the departments, the administrative department of health shall, jointly with the civil affairs department, organize and implement actions to improve the capacity of community medical care and security, and guide all localities to improve the capacity and quality of medical care and security services. Housing and urban-rural construction departments shall give guidance to the construction of relevant institutions and facilities, and promote the enjoyment of public service facilities. Fire rescue institutions shall carry out fire supervision and spot checks according to law, supervise and guide relevant institutions and facilities to do a good job in fire publicity and training and emergency drills. The medical security department will timely include qualified medical services into the scope of medical insurance payment according to procedures. The competent department of traditional Chinese medicine strengthens the supervision of traditional Chinese medicine services and the training and promotion of appropriate technologies of traditional Chinese medicine. The Federation of Disabled Persons organizes and cooperates with the work of combining medical care with nursing care for the disabled elderly in the community.
(4) Pay attention to summary and promotion. Encourage all localities to explore and improve policies and measures, service models, convergence mechanisms, and personnel training. , innovative experiences and practices. The provincial health administrative departments shall submit their work and progress to the National Health and Wellness Committee in a timely manner. The National Health and Wellness Commission, together with the Ministry of Civil Affairs and other departments, will intensify guidance, strengthen exchanges and summaries, publicize and popularize good experiences and practices, and promote effective actions to improve the ability of combining medical care with nursing care in communities.