The 19th National Congress of the Communist Party of China has made major decisions of "implementing a healthy China strategy"，General Secretary Xi Jinping proposes "To provide continuous health management services and medical services for the elderly"，This means that the government's senior management has raised the health of the elderly to the national strategic height。With the decrease in the death rate of the elderly population in China and entering the ranks of the elderly population，Under the macro background of "Health and Active Aging"，How to rely on proper care policies to provide humanized services for disability and dementia for the elderly, which has not been fully valued and solved。The focus of the "Healthy China" strategy is to implement healthy accurate intervention for the crowd，Among them, it also specifically mentioned to provide prevention to high -risk people such as the elderly、Treatment and Rehabilitation Service，At the same time, explore the establishment of the integration and care system for the elderly。Facing the surging amount of disability and dementia old people，How should we deal with，can it break the predicament of the aging?

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The care of the elderly disabled and dementia is the result of the inevitable results in the process of population aging。The display of the "Fourth Sample Sample Survey of the Life Status of the elderly in urban and rural areas in China" released by the National Aging Office，At the end of 2017，my country ’s 60 -year -old and above elderly population accounts for 17.3%of the total population。bet365 best casino games It is expected to be around 2050，The population of the elderly will reach the peak of 487 million，accounting for 34.9%of the total population。The number of disabled and semi -disabled elderly in 2015 is 40.63 million，With the increase in the aging and aging of China's population，Per capita life extension，It is expected that the disability and semi -disable the elderly will reach 65 million。At the same time，The incidence of dementia continues to rise，It has also become a serious hidden danger that threatened the health of the elderly。About 10 million people in the whole country，and grow rapidly every year，Ranking first in countries around the world，The incidence of dementia in the age of 65 and above has reached 5.9%。

The large number of elderly disabled and dementia, the diseases of the elderly, are usually complex，Measures such as high -level nursing and palliative treatment of technical complex。If you do not pay attention to the special crowd，This problem will become an important obstacle to China's economic and social development。British economist Grayton proposed in the book "The Centennial Life -Life and Work in the Age of Longevity": "If we will all live to 100，What should we do in our lives and work? "In the private or public domain，Facing the dilemma of the aging，It is the older disability and demented elderly for the longer time in the world，What can we do?

American psychologist Neimeyer wrote in "Walking in the Valley of Lost"，"Lost is like the shadow of all property"。Lost，The brutal reality that the elderly must face the disabled and dementia。Lost includes health、A loved ones、Self -care ability, etc.。They are degraded due to physiological function，Gradually lose the ability to take care of life。This missing needs huge life care and nursing bet365 live casino games services，The dilemma of the care of disability and dementia gradually becomes a dilemma of disability and demented elderly。

Older disability and demented elderly，Disease growth and self -care and mutual cross -crossing process，Single medical care is difficult to meet their needs。But at this stage，The care policies for the disabled and dementia of disability and dementia in our country are not yet complete，Family care is still the mainstream care method，Most of the elderly rely on home caregivers，This makes most adult children overwhelmed。The pressure of care is formed in the process of constant change，Internal and external pressure sources will reduce the response ability of caregivers，Cause physical and mental damage。Adult children as the main caregiver，Will encounter the body、Psychological、Pressure at the level of society。Disability and dementia have been listed as a symptoms for priority of public health in the world，It seriously affects the quality of life of the elderly and family，For the elderly、Career、Family and society have a huge impact，Easy to produce social isolation。

Disabled and dementia elderly care is not only a family problem，It is also a social problem。At this stage，The risk awareness of the whole society to prevent disability of the elderly is weak，long -term care service development lag。Some private long -term care institutions have gradually been favored by high -income families，But due to high charges，Many low -income elderly family expectations。Fairness and efficiency balance problem of care of the elderly，It has become an important challenge for the facing social and economic development in the disabled and demented family。Taking care of myths have confused formal and informal caregivers，bet365 live casino games Where will the elderly disabled and dementia go in the future?

　　Breaking moves: Integrate long -term care system

Integrated long -term care system is a diversified service mode，refers，Provide continuous and elastic care services，Integration can include individuals、Home、Institution、Organization、System、collaborative cooperation between mode，Cross the community、Institution、The boundary of the hospital and social service，Promoting the connection of the care system。Long -term care mainly refers to comprehensive personal care、Housekeeping、Auxiliary tools and other series of services are inside，Long -term time -long -term sexual support services that cannot fully care for themselves for chronic health problems (especially disabled and dementia)。The reasons for the birth of the response，It is the average expected life span of the elderly，The degree of health continues to decline，Diverse chronic diseases，Taking care time is stretched (from the needs of basic care until the death)。It is neither pure pension service，It is also not pure medical care。The former emphasizes the life care of the elderly，The latter emphasizes nursing and rehabilitation。In service，L forces and demented elderly care is not a unilateral independent responsibility，but the common responsibility of family and society，Need to work hard to maintain the elderly to live at home as much as possible。It also emphasizes the power and choice of participation and selection of the elderly，Not simply passive arrangements。

For the current phase of aging dilemma and care of myth，How can I break the game? Can the integrated long -term care system become the future care direction of disabled and demented elderly people?。

First，Take into account assessment。Establish an evaluation mechanism for long -term care institutions bet365 Play online games for the elderly，Implementation of long -term care institutions access management，Responsible for evaluating the level of the elderly to receive long -term care services，Depending on the individual's different self -care ability，Reasonable referral in different elderly facilities。

Second，Holocated service。disability and demented elderly need daily care，Also need medical、Rehabilitation、Nursing and Hiring Care Service。On the basis of evaluation，Formulate long -term care grading management system according to different needs of the elderly，That is, the elderly at different levels corresponding to long -term care institutions at different levels，Make resources more save，and the service is more accurate。

third，Care integration。The source of care includes formal and informal systems。Real World，Formally and informal care boundaries are not clear，There are cooperation among the two、Conflict and Gong Rong Space。Changes in the national welfare policy will affect the formal and informal care boundary movement，In the balance between social and economic goals，The institutional arrangement of formal and informal care needs to be adjusted。

fourth，Medical Security。"aging in the ground" emphasizes that trying to assist the elderly stay at home。Long -term care and medical treatment has an interlocking relationship。The existing medical system is relatively single，It is difficult to deal with disability and dementia elderly people to take care of the needs。Life care、Each medical care and social welfare services are required between acute medical care and long -term care，The target is to provide "whole person" service for disability and demented elderly。

Fifth，Multi -service。In order to meet the needs of disabled and demented elderly，Care forms will be diversified，Link and integrate "Home -Community bet365 live casino games -Institution"，Gathering community social resources，Create supporting measures that are conducive to local aging，Enhance the degree of participation of family care and disability and dementia。

Sixth，Insurance linkage。Long -term nursing insurance mainly refers to insurance form for compensation for the cost of nursing service for disabled and dementia.。This method，Not only can it fully meet the needs of disability and dementia，can also alleviate the economy of family caregivers、Body and psychological load，Improve the quality of life of the elderly and families。

"Healthy China 2030" strategy specially emphasizes strengthening long -term care connection and strengthening its service chain，From this to see the significance of the country's high attention。The aging of the population causes the rapid growth of the service needs of disability and dementia for the elderly，Make more challenges to existing elderly social welfare policies。Fairness and efficiency，It is always a problem that the government needs to consider，Moderate social security will take care of fairness and efficiency during the care of the elderly。Only this，Only to ensure fairness from the perspective of income distribution，Promote efficiency from the perspective of economic development。Integrated care system will partially partially mitigating the problem of fairness and efficiency in the unreasonable allocation of resources，It integrates the series of services from the family to the hospital for integrating disability and dementia，Chanchen Community Medical Care、Daily care、Nursing and Nourishing、Prices treatment, etc.。A sentence of using Okun in "Equality and Efficiency" as a conclusion，"We need to be more rational in fairness，More humanity bet365 best casino games among the efficiency，When pursuing one of them，Don’t forget another "。

　　(This article is the State Social Science Fund general project "Research on the Integration of Urban Dendrobium Elderly" (19BSH161) phased achievement)

(Author Unit: Department of Sociology, School of Law of Shenzhen University)