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Everyone has an elderly person, and everyone will grow old. There are thousands of households in the elderly service relationship, which is a key trivial matter for people's livelihood and feelings of people's livelihood.

The seventh national census shows that as of the end of 2020, the city's permanent population was 12.9529 million, of which the population of 60 and over was 2.073 million, accounting for 16.02%. How to meet the masses' needs for high -quality pension services? As the first and only special inquiries of this year's standing committee and this year, the questions at the seventeenth National People's Congress Standing Committee of the Standing Committee of the Municipal People's Congress were loud and answered to Kai Chenggong.

Question: What is the development of home care for home?

Answer: Town street community family connection orderly function complementarity

"I want to ask Li Pingwei, the director of the Civil Affairs Bureau, how will our city do a good job of the construction of the elderly service center of the home community, enhance the function of community pension service, and allow the elderly to enjoy the" side, home, and surrounding '? " The representative was first asked.

"To realize the pension services around, home, and surrounding ', we must have service support. Our support is the third -level pension service system, that is, to build a, one district, county, one center, one center, one center, one community, one community, one community, one community, one community, one community, The site 'pension service facility network. "Li Pingwei answered carefully:" At present, we advocate the implementation of the "center with site" operation mode. The elderly service station extends the service to the family of the elderly, forming an orderly and complementary service system for the connection and functional complementary family of towns, communities, and elderly families. "

The reporter learned that in order to promote the construction of the home care service system, the city is currently starting from many aspects. Including the formulation of the city's unified comprehensive evaluation of the elderly ability, evaluate the physical condition of the elderly, is the classification determined whether it is suitable for home and community pensions or institutional pensions? Establish a regular visits system for the elderly in special difficulties, and adopt weekly telephone and monthly visit to the households to carry out special difficulties for the elderly to visit and visit. For the implementation of the aging transformation of the elderly, disabled, and disabled elderly families incorporated into the income of decentralized insights, poverty alleviation people, low -income objects, and low -income areas.

Carry out the pilot of family pension beds. In 2022, 600 beds were established in the six districts of the city, and the pension service agencies were commissioned to provide professional on -site pension services. It will be promoted in the city in 2023. We will carry out a wide range of food aid services for the elderly, increase the planning and layout of the elderly, and expand the coverage of food aid services. By 2023, the coverage rate of the elderly for the elderly in the community will reach 70%. Promote the integration and development of elderly care services with housekeeping, property and other, expand diverse elderly care services such as helping cleanliness, helping medicine, bathing, and aid, and provide on -site services. And study the implementation of the "wisdom to help the old", such as the help of facilities such as smart bracelets, "one -click" emergency calls, and once the elderly have an accident, they can notify their families or institutions for emergency treatment as soon as possible.

Question: What is the support of institutional construction?

Answer: Develop a list of 34 policy support for 7 categories

"At present, the institutional pension has the contradiction between the" one bed difficult "and 'bed vacantness'. How will the next step be reasonably allocated to the resources so that the low -income people with demand can afford and live in the pension institution?"

In the face of the questions from Wang Xinfa, Li Pingwei replied: "It is necessary to strengthen the government's leading role and promote the development of basic pension services. On the basis of doing a good job of pocket guarantee, the government gives full play to the role of the market, forming public welfare pensions, inclusive pensions, and elderly care, and elderly care for elderly care. The combination of market -oriented pensions can meet the pension service system that is diversified and multi -level demand. "

"In terms of strengthening the construction of public pension service agencies, the government can require enterprises to control costs and limited prices through fiscal investment and enterprise operating public elderly care institutions. This can reduce construction costs and improve service quality. To guide social forces to participate We formulated a list of 34 policy support lists, and greatly improved the construction and operation subsidies of the elderly service agency. For newly -built pension institutions, each bed gives 10,000 yuan in construction subsidies. Given 5,000 yuan construction subsidies to open beds. According to the star level of the elderly institution, each person is given 225-20 yuan per month for operation subsidies. "

It is understood that in terms of urban elderly care services, by the end of 2022, the construction of public demonstration nursing homes in 19 districts and counties (development zones) will be built. By the end of 2023, it will be completed and put into use. At present, the main body of 19 projects is built and 18 are basically determined.

In terms of rural pension services, by the end of 2022, 13 elderly homes have been fully completed. "Originally planned to 70%of the coverage rate of Zhenjie Comprehensive Pension Service Center in 2025. Considering the demand for rural pension service, we plan to adjust this task. From 2023, use three years to promote the comprehensive pension service center of agricultural town streets for three years. Construction to ensure that each agricultural town street has 1 town street comprehensive pension service center or nursing home to achieve full coverage. In the next step, we will make detailed plans and come up with specific plans. "

Question: What is the combination of medical care?

Answer: The family bed gradually pushed away to the city

"How will the Municipal Health and Health Commission fulfill the functions of the elderly health service and promote the construction of the elderly health service system in our city?" "What measures will we take to accelerate the integration and development of medical resources and pension resources?"

At the scene, the representatives of Hou Xuedong and the representatives of Wei Da Baozhu were very concerned about the topic of medical care. Fan Junrong, director of the Municipal Health and Health Committee, said that in March 2021, "the city took the lead in starting the pilot work management pilot management of home bed service management at home in the province. As of now, Lianhu District has established a total of 386 family beds. In July, the city's family bed promotion meeting was held to expand the pilot work to the city six districts and Xixian New District, and gradually pushed away to the city. "This year, our city will deepen home medical care services and carry out community" embedded, miniaturized, miniaturized, miniaturized, miniaturized, miniaturized, miniaturized, miniaturized, miniaturized, miniaturized, miniaturized, miniaturized, small, and small By the end of 2022, the proportion of nursing beds of grass -roots medical and health institutions will reach 30%by the end of 2022. Explore the construction of close medical and nursing consortia, improve the quality of medical and nursing contracting services, explore and promote the "1+N" (city ninth hospital with several elderly care, medical and support institutions signing cooperation) medical care combination model, establish a secondary listing, county, county The class hospital is a close medical consortium of the leading unit, the community health service center (town health center), and the medical and nursing institution as a member to promote the business collaboration and two -way referral mechanism between the institutions to provide the elderly with the treatment period. Rehabilitation care, stable life care, and medical care, pension and care services that are integrated with dying care.

On behalf of Wang Xiaoping, he asked the Municipal Medical Insurance Bureau: "How will the role of medical insurance funds in the care of medical insurance funds in pension services in the combination of medical care and nursing?"

Feng Liwen, director of the Municipal Medical Insurance Bureau, replied: "As of now, a total of 41 medical and nursing medical institutions in the city have been included in the medical guarantee point, and a total of 42 rehabilitation items involved in the elderly are included in the scope of medical insurance payment. When the assessment confirmation is shortened, the application is not limited by the quarterly declaration time, and the application is accepted as soon as possible. At the same time, improve the service level of the elderly care office, and reasonably deploy the service office of the two levels of the city and county (district). Window, priority reception, priority acceptance, and priority service. Optimize service processes and time limit for high -frequency matters for the elderly groups, and promote medical insurance services' online "hand -in -handing" to help the elderly cross the 'digital gap'. "

Question: What is the talent team?

Answer: Let the elderly service staff increase their income and have a head

Asked the scene, Zhang Bingchun asked the Municipal Human Resources and Social Affairs Bureau: "How much is the gap in the city's elderly service personnel? How to mobilize schools, training institutions, and social forces to do a good job of training and training of various types of elderly service talents?"

Lu Guangwen, director of the Municipal Human Resources and Social Security Bureau, replied: "After calculation, the demand for service personnel in our city's elderly care institutions in 2022 was about 20,200, and there were 7,124 service staff in the elderly institutions, with a gap of about 132,000. The 7124 service personnel of the service agency can basically meet the current talent needs. In 2022, it is planned to add 7700 beds to the 1: 6 industry standard ratio. Work."

In response to the problem of "difficulty" and "difficult to stay" in the pension service industry, the Municipal Human Resources and Social Security Bureau will improve the sense of professional honor of employees. "Strengthen subsidy subsidies. Including entry subsidies, job subsidies, trainee subsidies, etc. At the same time, the salary guidance line of enterprises is issued every year to steadily increase the salary level of personnel, so that our elderly service personnel can increase their income and have the heads. The professional skills level of personnel, establish a 5 -level professional level promotion channel, and authorize units (institutions) to comply with qualified units (institutions) to conduct independent evaluations, and take multiple measures to improve the sense of professional honor and social recognition of pension service personnel. "

At the same time, it is encouraged to guide colleges and vocational colleges to establish high -skilled talent bases and skilled master studios, etc., and give corresponding subsidies. Universities, vocational colleges or social organizations that have won the World Skills Contest and National Skills Competition will give rewards ranging from 100,000 to 500,000 yuan.

Question: What is the promotion of the old transformation?

Answer: The renovation of the old community does not meet the standard and cannot pass the review

"What is the progress of the aging transformation of old urban communities in our city? What difficulties and problems exist, and how do you plan next?"

When answering questions from Wang Xuechao, the director of the Municipal Housing and Urban Construction Bureau Xie Ningyuan said: "Formulate the" Guidance Manual of the Reconstruction of the Old Community in Xi'an ", and in the review plan review Through the review. During the project implementation process, the aging renovation is the focus of supervision. Those who have not been implemented in accordance with the design plan shall not pass the acceptance. In the past three years, the city's application for the subsidy funds of the provincial provincial subsidy is 5.928 billion yuan. Transformation. "

In response to the difficulty of supporting the old community area and the large demand for pension funds, Feng Tao proposed a countermeasure: "First, the pension of community pensions is an important part of the transformation of the old community, actively apply for the funds of China and the provincial funds to make up for the gap in transformation funds. Establish a fiscal funds to lead the reward mechanism. For eligible pension institutions, rent discounts and fund subsidy rewards in the leased state -owned public housing. Pension care facilities and community center. "

(Zhang Duan, a reporter from Xi'an Newspaper All -Media)

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