What Is Included on a Community Development Proposal?

Community home-based care for the elderly is a new type of socialized care service model suitable for China's national conditions. In the process of promoting home-based care in the community, various places have explored many effective experiences and practices. Community home aged care services need to be further improved and improved in terms of regulations, policies and systems, and the management level and service quality of community home aged care services need to be further improved.

Proposal on improving community home care services

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Community home-based care for the elderly is a new type of socialized care service model suitable for China's national conditions. In the process of promoting home-based care in the community, various places have explored many effective experiences and practices. Community home aged care services need to be further improved and improved in terms of regulations, policies and systems, and the management level and service quality of community home aged care services need to be further improved.

Community home-based care for the elderly is a new type of socialized care service model suitable for China's national conditions. In the process of promoting home-based care in the community, various regions have explored many effective experiences and practices. However, compared with the growing demand for community-based home care, China's Community home aged care services need to be further improved and improved in terms of regulations, policies and systems. The management level and service quality of community home aged care services need to be further improved. To this end, it is recommended that:
I. Further improving the community home care service regulations and policy system. One is to improve the relevant laws and regulations. When the conditions are mature, the policies concerning community home care service as soon as possible will be upgraded to administrative regulations and up to laws and regulations. The second is to build a complete community home care service policy system, covering talent training, financial support, facilities construction, service charges, community management, social participation, etc., so that the home care service in the community will enter a standardized track. Third, in accordance with the requirements of the State Council's "Several Opinions on Accelerating the Development of the Elderly Care Service Industry", a community home care service plan is formulated, and home care care is integrated into the social security and community service system, and integrated into the overall plan for economic and social development. The third is to strengthen supervision and resource integration, urge the implementation of relevant policies, integrate various service resources, revitalize idle resources, and maximize the use of community home care resources. The fourth is to include funds for community home care services in the annual budget, and establish a multi-channel fund raising method composed of the state, collectives, social organizations and individuals.
2. Strengthen community-based elderly care personnel and team building. First, continue to improve the system of pre-service training, job admission, and regular on-the-job training for full-time service personnel, implement vocational qualifications and technical level certification, and form a complete training and management system. The second is to strengthen publicity, gradually improve and improve the social status of full-time service personnel, and increase the respect of home-based elderly service personnel in the whole society. Extensive publicity and education of new filial piety culture such as filial piety and respect for the elderly has been formed in the whole society to form a respect for the elderly, love the elderly, and help the elderly, cultivate a care culture and create a care atmosphere. The third is to improve the treatment of home-based elderly care workers and the stability of the team by referring to medical staff. The fourth is to select qualified universities and vocational colleges to carry out the training of senior care service professionals, and to cultivate composite talents in life care, medical care, mental health care, cultural education, sports and entertainment, and legal consulting. The fifth is to strengthen the coordination, communication and integration between the health planning department and the civil affairs department, and encourage qualified places to provide career establishment posts in order to attract health technology and health service personnel such as nursing and rehabilitation technologies to engage in professional nursing services.
3. Improving the quality and level of community-based home care services. First, accelerate the study and introduction of management methods for nursing homes with functions such as care for the elderly, medical care, and rehabilitation, and formulate specific support policies to meet the needs of the elderly for the care and health services. The second is to strengthen the cooperation between community care centers and community health service centers to provide medical and health resource guarantees for community home care services. The third is to speed up the construction of smart medical care, and strengthen the remote monitoring, professional guidance and nursing services of family hospitals on home beds. The fourth is to establish a medical contract service relationship between community hospitals and elderly families, increase flexible modes such as "home visits" and "regular home visits", establish health files for community elderly care groups, and do a good job in the prevention and treatment of chronic diseases in the elderly. Targeted treatment and care for elderly people with intellectual disability.
4. Encourage social forces to participate in community home care services. First, the government is committed to nurturing and developing a number of community home care service leading enterprises and dynamic SMEs to form a group of care service industry clusters. The second is to encourage all kinds of social subjects to participate in the construction, operation and management of comprehensive community service facilities, and to set up or operate community elderly canteens, care centers, activity centers and other elderly service projects, to provide home-based elderly with multi-faceted services. The third is to establish social organizations and other incentive mechanisms to participate in home care services and improve the registration system for volunteers. Individuals with conditions are encouraged to participate in home care services through the establishment of non-profit organizations and non-profit organizations. With reference to foreign experience, set up a "time bank" and establish a long-term mechanism of "compulsory care for the elderly in exchange for free nursing care".
V. Exploring the establishment of a long-term care insurance system. On the basis of the existing subsidy policy for old-age care costs, the long-term care insurance system should be established first. Countries such as Germany and Japan have established long-term care insurance systems. Insureds pay when they are young. After the elderly need care or they become ill, they are covered by the nursing insurance. It is suggested that some old-age care expenses be included in the scope of reimbursement by adjusting the medical insurance family bed settlement policy. Long-term care insurance funds are set up by the finance and individuals in accordance with a certain proportion. Based on this, a unified social insurance system is established, and long-term care commercial insurance with government support is launched as soon as possible to meet the needs of people with different needs and income levels. ^[1]