Witnesses of the Pilot Promotion and Training Society of Long -term Nursing Insurance in Shaanxi Province

Editor's note: One person is disabled and the family is unbalanced. With the increasingly severe population, if a family has a disabled person, for the whole family, it is not only a heavy economic burden, but also a huge spiritual pressure. Long -term care insurance (hereinafter referred to as long -term protection) is a long -term disabled personnel caused by old age, illness, disability, etc., and gives basic life care and medical care funds that are closely related to basic life. The system is a new type of insurance that runs independently outside the elderly, medical care, fertility, work injury and unemployment insurance, commonly known as the "sixth insurance" of social security. The operation of long protection is a strategic measure to actively respond to the aging of the population and promote social and economic development. It is of great significance for improving the social security system and improving people's livelihood. In order to promote the pilot work of our governor's protection, the Shaanxi Provincial Medical Security Bureau held a long -term nursing insurance pilot work site promotion and training conference on September 20. Our reporter was invited to attend the meeting and conducted in -depth interviews with the pilot work of long -term escort.

At the beginning of the autumn rain, Xia Guang was full of sky. The colorful Hanjiang River is full of joy of harvest everywhere. Danggui's fragrance Hanzhong City ushered in more than 40 "medical insurance people" from all over the province. Everyone gathered together to share the experience and gain of the city's exploration of the pilot work of the long -term protection.

The beneficial exploration and practice of long protection in Hanzhong

"Hanzhong Municipal Party Committee and Municipal Government attach great importance to the pilot work of long -term protection, and use it as an important support for the aging of the population and the implementation of the" medical care in Hanzhong "strategy. A series of bold explorations have been conducted in terms of institutional construction and other aspects to promote the formation, improvement, and promotion of the "Hanzhong Model" of the long -nursing system. "Zheng Xuemei, deputy mayor of the Hanzhong Municipal People's Government, said Essence

It is understood that the current population over 60 years of age accounts for 24.31%, and the population over 65 years old reaches 17.71%, which is 5 percentage points higher than the province. At the same time, affected by the exit of the restructuring of the junior line, retirees among the insured employees in the city accounted for 40%, which is much higher than the level of 29.3%in the province.

In October 2020, the State Medical Insurance Bureau officially announced that Hanzhong City was one of the second batch of 14 long -term pilot cities. In order to ensure that the pilot work of long -term care insurance is active and stable, Hanzhong City has successively studied and introduced more than 30 policies and systems in accordance with the requirements of the China Provincial Medical Insurance and Finance Department, and has formed a relatively complete system. In 2021, there were 37,3134 insured in the city. As of the early September 2022, the city has accepted a total of 1,934 disability applications, and has enjoyed a long -term protection of 1,254 people.

In the "Guide to Long -term Nursing Insurance Policy" produced by the Medical Security Bureau of Hanzhong City, the reporter has relevant policies: the city's participating in the employee medical insurance (including retirees) participated in the long -term insurance, pay the long protection insurance premium, and the fund raised each adopting each one to take every each People pay 100 yuan per year, of which personal payment is 50 yuan, deducted from personal accounts, and the funds are transferred to 30 yuan, and fiscal subsidies are 20 yuan; The cost of medical care that is closely related to the basic life, the guarantee object is an insured employee who has been in a severe disabled state for a long period of 6 months for a disabled state; After the process, insured person who meets the conditions for treatment, in accordance with the physical needs, you can choose home -to -home independent care, on -site care, health care institution care, medical institution care, etc., in accordance with no more than 450 yuan, 800 yuan per month, respectively Standard payment benefits of 1100 yuan and 1200 yuan.

The quality of survival of severe disability employees has improved significantly

"The implementation of long -term protection not only greatly reduces the economic burden of patients, but also solves the problem of the family members who do not understand medical care and inadequate care. The patients can enjoy quality care, and they also send humanistic care, so that the disabled persons can get more. More psychological comfort, life is more decent and more dignified. "At the meeting, Song Yi, director of the Hanzhong Medical Insurance Bureau Song Yi, made the exploration, institutional system, and service construction of long -term nursing insurance" Hanzhong model ". Experience exchange report.

Through the next meeting process, the relevant content has been confirmed by reality.

When they came to the Mayor of the Central Executive Office of Hanzhong, the reporter On the large screen of the long -term care insurance operation monitoring center, the reporter passed the total business list of people. In addition, the service supply, intelligent supervision and other functions in the platform have attracted great attention from the representatives of the conferences who came to observe. From time to time, they asked the person in charge of the center of various questions and evolved the scene of observation into a seminar and exchange venue. Essence

Through the network connection, the reporter saw that the 74 -year -old Wang in Huatai District of Hantai District was conducting rehabilitation training with the help of nursing clerk Qin Jie. According to Qin Jie: Due to diabetes and cerebral sequelae, the sequelae of the cerebral infarction leads to a dysfunction of the upper and lower limbs on the left side. Big problem.

At the entrance of the designated service agency of the designated nursing insurance for the mayor of Hanzhong, a group of elderly people were surrounding the graphic materials on the long -term nursing policy and nursing services: "It's really good now. With this insurance, I lie down in the future. I will lie down in the future. I don't worry about it ... "

At the Hanyang Runfeng Care Product Allocation Center, the participants participated in the hall to help old nursing supplies displayed in the hall. Some representatives also experience and experience. In this regard, the person in charge of the center said: "This year, we explored the addition of bathing special care service projects, nursing product configuration services and nursing utensil rental services. Eligible persons can choose to buy bathing care services separately; nursing product configuration services It is divided into nursing consumables allocation services (diapers, care pads) services and auxiliary tools to adapt to rental (wheelchair, nursing bed) service. "Click the WeChat public account of Kaihan Zhongshi City and the County and District Medical Insurance Bureau. The graphic materials implemented by the danger operation, some of the reports of the disabled elderly people who liked the elderly, made us feel happy and applauded.

The road is long and far away, and I will ask for up and down

"As a city with a relatively backward economic development, Hanzhong also strives to form a pilot task given by the state and achieved the goal of helping Hanzhong's social and economic development goals. The design is relatively mature, the discovery and resolution of the problem is relatively smooth, and the expected goal is better. "This became a consensus reached by the participants.

On the exhibition board of the venue, the reporter saw such content: In October 2021, the on -site training meeting of the pilot on the nursing of the governor was held in Hanzhong. It can be recommended to learn from cities everywhere "; on January 17, 2022, the State Medical Insurance Bureau's Treatment Security Department special letter" thanks "the pilot of the mayor of Hanzhong mayor" accumulated a lot of beneficial experience, and made positive contributions to the smooth promotion of the pilot work " Native

After the meeting invited two experts from the Chinese Academy of Social Sciences and the Taikang Pension Company to conduct online counseling on the content of disabled grade evaluation and informatization construction, the participating representatives "how to further expand the policy coverage, improve the nursing service capacity and level of nursing service capabilities and levels. To solve the focus of the focus of evaluation and enjoy the focus of treatment, what to do with the deviation of social cognition, "and other focal issues, etc., have launched in -depth discussions and exchanges.

In this regard, the person in charge of the Provincial Medical Insurance Bureau's Treatment Protection Division proposed that in the next step, Hanzhong should focus on the national assessment and acceptance, further research and improve the effectiveness of the pilot work: first, to improve the multi -level long -protection insurance system; the other is to explore supplementary supplements Medical insurance and commercial insurance have joined the construction of the long -term protection system; the third is to explore the adjustment of the payment structure, improve the insurance subsidies of difficult groups, and encourage the society to donate to participate in long protection. On the basis of maintaining a fair and moderate guarantee, it is necessary to explore and improve the list of project lists, expand coverage, enrich service categories, and explore the positive incentive mechanisms that pay more. All cities should carefully study the experience and practices of Hanzhong, study the specific situation of the city, and lay the foundation for the expansion of the long -term nursing risk.

The tide is wide on both sides of the strait, and the wind is hanging. Nowadays, the pilot pilot of the long protection has begun to take root on both sides of the Hanjiang River. We have reason to believe that this "flower of happiness" will start from here and open every corner of the three Qin land to benefit millions of households and everyone.

(Reporter Chen Taifu Correspondent Wu Ying Editor: Tian Jiaqi review: Zhang Leley)

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