The difficult time of the community pension station: struggling between the profit and loss line and feelings

Compared with the development of traditional pension institutions with a relatively mature business model for more than 20 years, the community pension station is more. After 2015, its operating income depends to a large extent on policy subsidies. The sustainable development model is still in the exploration stage. Essence In the context of the impact of the epidemic and continuous control, the community pension station in Beijing is ushered in its own dark moment.

Author: Tian Jin

Figure: Tuwa Creative

Guide

One || Due to the management of seal control, the income of the elderly station has experienced a sharp decline, while the costs such as materials and labor will not rise. The subsidy distribution is linked to the service volume, and the station is worried that the corresponding assessment standards will cause operating subsidies to decrease sharply or even.

面 || The pension station is facing many unexpected difficulties, and the deepest feeling is the uncertainty of the policy. The pension station market has gradually developed from 2016. Until now, the pension station has not yet fully self -hematopoietic ability and the business model is immature, so the reliance on subsidy policies is relatively high.

The community pension station is in a deeper business difficulties.

Wang Yu (a pseudonym), the person in charge of the organization with a number of chain pension stations, said: "In 2019, we barely recovered the early investment after 6 years of operation. It was just prepared to start a micro -profit, but caught up with the epidemic. On the one hand, the community's elderly care. Although the station is not a pure business model, we still have to consider the balance of revenue and expenditure. This year, we may not have profits. On the other hand, from March 13, the elderly and nurses have been closed and controlled in the small stations in a small area. , Great mental stress. "

Take the opportunity to issue the "Beijing Home Pension Service Regulations" in 2015, Chen Lin (a pseudonym), the founder of another pension institution in the pension industry in the pension industry, said: "Three years of the epidemic, our posts have always been in a state of losses. And there are many embarrassing issues in the operation process, including the changes in the policy of institutional operations, knowing that there are misplaced supply and demand for pension services, but unable to change. "

The community pension station, as an old -age service agency that is directly embedded in the community, is often set less than 10 beds, and the scale is usually below 500 square meters. In addition to providing traditional pension -based service services for disabled elderly people, more functions are surrounded by surroundings. The elderly in the community provides services such as inspection and exploration, personal cleaning, day care, psychological comfort, food assistance, cultural and entertainment, etc. The government provides subsidies to cover the service cost of the station. The name form of the existence includes the pension station, the day care center, and the elderly office.

At present, a general point of view of the market is that the pension service pattern should be "9073" or "9064" model, that is, 90%of the home care people, and 7%(or 6%) of the community posts. The pension crowd accounts for 3%(or 4%), and the importance of the pension station is self -evident. As of 2021, Beijing has built more than 1,000 community pension service stations.

However, compared to the traditional pension institutions that have developed for more than 20 years and have a relatively mature business model, the community pension station is more. After 2015, its operating income relies on policy subsidies to a large extent. The sustainable development model is still in the same place. Detailing stage. In the context of the impact of the epidemic and continuous control, the community pension station in Beijing is ushered in its own dark moment.

Wang Yu: Increased control management and unbalanced revenue and expenditure

At present, we have nearly ten pension stations, a post station has a dozen pension beds, and about 100 basic pension services signed by the contract. Under normal circumstances, the posts will radiate 2-3 communities. Most of the government provides free idle space in the community. Decoration and renovation and equipment are partially affordable by the streets and us.

Before the epidemic, the station will set up 3-4 nursing staff, one webmaster, and cooking aunt. In addition to the elderly who take care of the permanent station, we will call for the basic service objects or visits to visit, and provide food delivery services, accompanied medical treatment, etc., and the service is particularly diversified.

However, starting from March 13, all posts have begun to perform first -level prevention and control measures, which means that all the above -mentioned pension services that enter the room have been suspended. Only the way of telephone tour can be adopted. Starting to implement closed management like traditional pension institutions, I don't know when it can be recovered.

Because of the control management, the spiritual pressure of employees and family members is particularly great.

In terms of the elderly, many old people staying in the elderly are dementia, because they do not allow their families to visit. The elderly who do not see that family members will not see that they will be abandoned for a long time, and they will have various emotions. Some elderly people need to go to the hospital when they are sick, but they need 14 days of separation when they return to the pension institution after the doctor. This causes many family members to be troublesome and choose not to send the doctor as much as possible, which eventually causes the elderly to increase the illness.

In terms of employees, the loss rate of the elderly caregiver is relatively high, and recently personnel are even more nervous. In the past four months, one webmaster had resigned, and the other webmaster also proposed to resign, saying that because of continuous isolation at the elderly station, the family's affairs could not be taken care of, which caused a great opinion of the family. In fact, I can understand them completely.

The policy level stipulates that the station can adopt a nursing staff rotation system. However, the caregivers recruited from other places need to be home for 14 days in Beijing, and secondly need to stay in a single interval for 14 days, which means that the new employee takes one month to enter the job. Employees with rotation rest need to be isolated for 14 days when they return. Artificial costs have risen significantly.

The civil affairs department has also been asking us to do a good job of psychological guidance of internal employees. As an institutional manager, I definitely want to give them care appropriately, but the operation of institutional operations is very difficult, and we also need specific policies that care for.

Because of the control management, our income has also undergone a sharp decline, while the costs such as materials and labor will not rise.

Earlier, our operating income was maintained by the elderly and supplemented by government subsidies. The paid part of the elderly comes from the elderly who are staying at the bed in the station. Many of the elderly people who bed are seriously ill will choose to turn back and forth between the hospital and the station. For the heavy elderly people who are in bed, our stay is about 5,000 yuan/month, which is slightly lower than the charges of the elderly institution. When providing services such as inspection and exploration of basic pension services in January, the government purchases services. Generally, the subsidy is 180 yuan/month signed by an old man.

Under the management of the seal control, the first of which was the service of inspections and visits to telephone tour. When the subsidy distribution is linked to the service volume, when the telephone tour is changed, we are worried that the corresponding assessment standards will cause operational subsidies to decrease sharply or even; secondly, the bedding rate of beds has begun to decline. If the station needs to accept new elderly people, it must be separated for the elderly for 14 days. There are high requirements for isolation environment and whether vaccination, etc., which also causes the beds in the station during the epidemic. Also decrease.

It should be noted that our labor costs, ingredients costs, and cost prevention materials and consumables have improved quickly. But under the epidemic, we dare not increase the price at all. I have done a small -scale survey before. The employees of the elderly are about 4,000 yuan/month, but the average service price of the elderly in the elderly in the elderly is about 6,000 yuan/month. Under the double impact of rising costs and decline in income, the original meager profits of the station were further lowered or even faced losses.

Chen Lin: Uncertainty and dislocation of pension services

We have invested in the construction of over 7 pension stations. The pension station is an important part of the pension ecological chain. It can play a platform role connecting home care and institutional pension. In actual operation, it can be found that compared with traditional pension institutions, many elderly people are also in the pension station -one is that the station is set in the community, which is very close to home. The elderly people who stay in are community neighbors, which is more emotionally acceptable; Secondly, in addition to the failure to provide medical services, the nursing services received by the elderly at the station are equivalent to traditional pension institutions.

However, during the operation of several years, it can be found that the pension station can also face many unexpected difficulties.

The deepest feeling is the uncertainty of the policy. The pension station market has gradually developed from 2016. Until now, the pension station has not yet fully self -hematopoietic ability and the business model is immature, so the reliance on subsidy policies is relatively high. However, it can be seen that some policies have changed once in two or three years, which is difficult to adapt for pension practitioners, and ultimately affect the operating effect of the institution.

For example, the "Beijing Community Pension Service Station Operation Support Measures", which was officially implemented from January 1, 2022, proposed that the pension service station must focus on providing basic pension services for basic pension services. Basic pension services include 4 contents including inspection and visiting, personal cleaning, pension consultants, and call services.

From 2019 to 2021, the subsidy method of the pension station is subsidized for service traffic, that is, the government department will give a certain percentage of subsidies according to the service transaction volume provided by the elderly station. The characteristic of this method is that as long as the elderly are willing to buy a specific service at the station, the government will give the station subsidy accordingly, and we can also provide the elderly with various flexible services. After the change of the basic pension service object in 2022, the assessment method has changed. Only the post station can only get the corresponding subsidy only on the service list of the basic pension service objects that has signed a contract in the responsible area. To this end, we have to re -adapt to the new assessment method. The assessment does not meet the standard, and the subsidy income will be greatly affected.

Similarly, it is because the subsidy method becomes basic pension services to provide basic pension services. The needs of the elderly at home and the services we can provide can be misplaced.

Basic pension service targets include subsistence allowances and low -income families from disorder, dementia, elderly elderly people, etc. There are generally long -term caregivers around the disabled elderly people. They also need some services to help caregivers reduce physical or mental stress. Many elderly people have proposed whether they can replace the visits with other services such as cleaning, laundry, and other services. However, the service list stipulates the specific content of our service. The staff of the station cannot be replaced, otherwise the institution will not receive the corresponding policy subsidies.

For this reason, many elderly people have to reserve time to "cope" to visit at no less than twenty minutes. The original intention of the policy is good, but in the actual operation, the services provided are not what the elderly want. Their feedback is that it is meaningless to visit and chat every week, and it is better to have some practical things. Sometimes the elderly are even unwilling to open the door and refuse to serve the staff. After the epidemic visits, the elderly will hang up directly. But we have to persist, otherwise the task will not be completed and the subsidy will not be available.

Earlier, we have also communicated with the civil affairs department about whether the content can be changed, such as turning the hairline once a month into the service required by the elderly, but it is still waiting for the results.

In fact, from the perspective of the government, they must systematically look at the overall service status. If each station changes the service content, government departments will face many inconveniences when evaluating and regulating the service data of the station according to their own situation, and the amount of service volumeIt is directly linked to the operation subsidy distribution.The starting point and consideration of the two parties can be understood, but in the actual operation, there are dilemmas.I want to enter the state -owned enterprise iPhone14 prelude: agent's pressure of funds, the supply chain for long drought to wait for Apple Japan, to end

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