Newly-built residential areas are provided with old-age facilities, and embedded community old-age subsidies are given.

Newly-built supporting communities need supporting kindergartens, so can we provide facilities for the elderly? According to the data of Guangzhou's report on the development of the cause of the aged in 20 17 and the elderly population data manual, by the end of 20 17, the registered elderly population in Guangzhou was 16 18500, accounting for 18.03% of the registered population. The population of Yuexiu, Haizhu and Liwan is aging by more than 20%, entering a moderate aging stage.

At present, the layout of old-age care institutions does not match the demand for old-age care services. During the two sessions this year, the Guangzhou Municipal Committee of the Democratic Progressive Party submitted a collective proposal, "Promoting embedded pension institutions to enter the community, so that the elderly can enjoy a happy retirement life at home", suggesting that the old-age service facilities should be included in the construction of new residential areas and the facilities standards should be formulated. In the old city and the completed residential areas, we can integrate various old-age service institutions, such as canteens for the elderly, day care centers and starlight homes for the elderly, and build embedded community old-age service facilities through purchase, replacement and lease.

condition

Three districts have entered into moderate aging.

There are only 2 1 community pension institutions in the city.

According to the data released by Guangzhou Municipal Committee on Aging, by the end of 20 17, the total elderly population in Yuexiu District and Haizhu District reached 289,000 and 25 13 respectively, and the aging rate in this district was 24.5% and 24.2% respectively. The population in Liwan District and Baiyun District is196,900 and165,300 respectively, and the aging rate in this area is 26.8% and 16.7% respectively. According to the aging rate, the aging rate of the population exceeds 20%, and it has entered a moderate aging. Guangzhou's three districts have entered a moderate aging stage (Yuexiu District, Haizhu District and Liwan District).

The proposal of "promoting embedded pension institutions to enter the community and let the elderly enjoy a happy retirement at home" shows that there are more elderly people in Yuexiu, Liwan, Haizhu and Tianhe, but limited by land use, rent and other factors, the number of pension institutions is small, the scale is small and there are few beds. For example, there are only 2,276 old-age beds in Yuexiu District and Haizhu District, with 45 old-age beds16, only 8 old-age beds per thousand, and 18 old-age beds; In Baiyun District, there are 16665 beds for the aged, and there are10/bed for the aged for every thousand elderly people.

The proposal shows that the current pension service system in Guangzhou is based on home, supported by the community and supplemented by institutions. Home-based care and community-based care are the main ways of providing old-age care services, but there is still a big gap between the services currently provided and the needs of the masses. According to the survey of "Ways and Needs of Providing for the Aged" conducted by the Municipal Bureau of Statistics at the end of 20 1829, among the respondents of 1829, 82.8% have elderly people in their families, 97.6% are providing for the aged at home, 2.0% are providing for the aged in institutions, and only 0.6% are providing for the aged at home in communities. Their choice for that way of providing for the elderly in the future are: family pension 68.8%, institution pension 15.3%, and community pension 10.5%.

At present, the dining service in the dining hall for the elderly is widely used in Guangzhou, but there are only 2 1 home in the community and only over 3,000 beds in the urban day care places. The services needed by the elderly, such as day care, full-time care, home visits, short-term residential care, rehabilitation care after discharge from serious illness and family respiratory services, have not been fully developed.

interview

The elderly hope to provide semi-trusteeship service near the community.

In order to understand the wishes and thoughts of the elderly on supporting nursing homes in the community, the reporter visited some communities in Guangzhou yesterday and asked the views of local elderly residents. Most of the elderly interviewed agree with the proposal of supporting the community to run nursing homes.

Huang, a community resident of Guangta Street, is 8 1 year old. She is from Guangzhou. Since all the children have their own families, she has lived alone for decades. On weekdays, Huang Popo takes care of the housework alone, often having morning tea with friends or strolling around the house, leading a comfortable life.

Because Huang had lumbar surgery last year, her legs and feet became more and more inflexible, and she had the idea of staying in a nursing home. "Although my children and grandchildren will come home to accompany me every two or three days, it will be safer if someone can take care of me at all times when I am old." Huang said that if you live in a nursing home, you should be close to home. First, you don't have to be familiar with the environment, you can often see old friends; Secondly, it is convenient to go home and reunite with family members. Therefore, most of the elderly people interviewed, including Huang, expressed their approval for the proposal of running a nursing home in the community and were full of expectations.

Aunt Dai, who is also a resident of Guangta Street community, agrees with the service mode of semi-trusteeship. Aunt Dai believes that she has flexible hands and feet, can take care of herself, lives in the community, and there is no need to live in a nursing home in the community. It would be great if the nursing home supported by society could be like a student care center. For the elderly who are healthy and have convenient legs and feet, "nursing" service can be provided during the day, and the elderly can go home to rest at night, or when the elderly need help at home, the nursing home can provide on-site service. In this way, the elderly can realize home-based care for the elderly.

In addition to three meals a day, medical security, nursing services, etc. Most of the elderly people interviewed also hope that community nursing homes will have entertainment, leisure, chat and other service functions. Deng Bo, who lives in Dongfeng Road, has no children. He is more concerned about death. "When the old man died, he had poor self-care ability and needed psychological comfort. I hope that the supporting nursing homes can provide hospice care services. " Deng Bo said. At the same time, Deng Bo is also very worried. Will the service quality of community nursing homes be insufficient?

In terms of community nursing home fees, some elderly people suggest that elderly people who reach a certain age can enjoy old-age care services free of charge. Most of the old people interviewed said that the acceptable part of their own expenses was 1000~2000 yuan per month.

Taking care of the elderly during the day and going home at night can reduce expenses.

According to the suggestion of "promoting embedded pension institutions to enter the community and making the elderly happy at home", the embedded pension model is the integration of institutional pension and community home pension. By integrating the resources of old-age care services around the community, we will provide professional, personalized and convenient old-age care services for the elderly nearby. Su Huaying, the Guangzhou Municipal Committee of the Democratic Progressive Party, said that in this case, the elderly can enjoy various old-age services without leaving the community. Old people stay in a familiar environment and get life and spiritual care, which really does not affect their children's lives and can get along with them more.

For the elderly, supporting the elderly nearby can also effectively reduce the burden of providing for the elderly. At present, the monthly expenses of semi-self-care elderly people in high-end private pension institutions are generally more than 5,000 yuan. Community pension only needs to buy some services, or take care of it during the day and go home at night, which can reduce the expenses of pension. For institutions, high upfront investment can also be avoided. She believes that embedded community pension institutions can reduce land requirements, and can also be built through community allocation, integration of existing resources, and revitalization of vacant buildings, with relatively low cost.

suggestion

Create "10 Minute Community Home Care Service Circle"

It is suggested to "promote embedded old-age care institutions to enter the community, so that the elderly can enjoy a happy retirement life at home", improve the Layout Plan of Guangzhou Old-age Care Facilities, further optimize the layout of old-age care institutions, incorporate old-age care facilities into new residential areas, and formulate facilities standards. In the old city and the built residential area, we can integrate various old-age service institutions, such as canteens for the elderly, day care centers and starlight homes for the elderly, revitalize idle properties, venues and facilities of community clubs, governments and institutions at all levels, and build embedded community old-age service facilities through purchase, replacement and lease. Reduce the entry threshold, support social forces to use idle properties in the old city or build community embedded pension institutions in new residential areas.

At the same time, the proposal said that we can learn from Shanghai's experience, explore the development of embedded community care services, and create a "10 minute community home care service circle".

Endowment subsidies for embedded communities.

The Guangzhou Committee of China Democratic Progressive Party thinks that the embedded community pension subsidy policy should be given, and it can learn from the operation and management experience of Beijing community pension service post, and give three kinds of subsidies: service flow subsidy, foster care flow subsidy and chain operation subsidy.

The Guangzhou Municipal Committee of the Democratic Progressive Party also suggested guiding social forces to participate in the operation of embedded community pension institutions. According to its suggestion, we should take the mode of "public construction and private operation" as the leading factor and encourage social forces to participate in the operation of embedded community pension institutions. At the same time, brand institutions are encouraged to operate embedded community pension institutions in chain, enjoy resources such as team, medical care and material procurement, reduce operating costs, and build a community affordable pension service platform. In addition, pension institutions are encouraged to carry out embedded chain operation, multi-point operation and extended service chain to improve the accessibility and convenience of home community pension services.