The 19th National Congress of the Communist Party of China made a major decision on “Implementing the Healthy China Strategy”，General Secretary Xi Jinping proposed “to provide continuous health management services and medical services for the elderly”，This means that high-level government officials have elevated the health of the elderly to a national strategic level。As the mortality rate of China’s elderly population decreases and different birth cohorts enter the elderly population，In the macro context of “health and active aging”，Issues such as how to provide humane services for disabled and demented elderly people based on appropriate bonus bet365 policies have not yet been fully paid attention to and solved。The focus of the "Healthy China" strategy is to implement precise health intervention for the population，There is a special mention of providing prevention to high-risk groups such as the elderly、Treatment and Rehabilitation Services，Also explore the establishment of an integrated bonus bet365 system for the elderly。Facing the surge in the number of disabled and demented elderly people，How should we respond，Only to break the aging dilemma？

　　The dilemma of aging: the number of disabled and demented elderly people is increasing

The problem of caring for elderly people with disabilities and dementia is an inevitable result of the aging of the population。The "Results of the Fourth Sample Survey on Living Conditions of the Elderly in Urban and Rural China" released by the National Office on Aging show，End of 2017，The elderly population aged 60 and above in my country accounts for 17% of the total population.3%。Estimated to be around 2050，The number of elderly people will reach its peak 4.8.7 billion，34% of total population.9%。The number of disabled and semi-disabled elderly people in 2015 was 40.63 million，As China’s population ages and the degree of seniority increases，Extended life expectancy，It is expected that the number of disabled and semi-disabled elderly people will reach 65 million in 2020。Meanwhile，The incidence of dementia is rising，It has also become a serious hidden danger threatening the health of the elderly。There are currently about 10 million elderly people with dementia in the country，And growing rapidly every year，Ranked first among countries in the world，The incidence of dementia among people aged 65 and above has reached as high as 5.9%。

The diseases of the large number of elderly people with disability and dementia are usually complex，Requires technically complex advanced bonus bet365 and palliative bonus bet365 measures。If no special attention is paid to this special group，This problem will become an important obstacle to China’s economic and social development。British economist Grayton proposed in the book "Centenarian Life - Life and Work in the Age of Longevity": "If we all live to be 100 years old，What should we do with our lives and work？”In private or public domain，Facing the dilemma of aging，For the elderly who are disabled and have dementia who have lived longer，What can we do？

American psychologist Neimeyer once wrote in "Walking in the Valley of the Lost"，“Loss is like the shadow of all possessions”。Lost，This is the cruel reality that disabled and demented elderly people must face。Loss includes health、Relatives、Self-bonus bet365 ability and other content that were originally within reach。Because of the deterioration of their physiological functions，Gradually losing the ability to take bonus bet365 of oneself。This lack has resulted in a huge demand for life bonus bet365 and nursing services，It is increasingly becoming a bonus bet365 dilemma for the disabled and demented elderly。

Elderly disabled and demented elderly，In the intersecting process of disease growth and self-bonus bet365 weakening，It is difficult for single medical bonus bet365 to meet their needs。But at this stage，my country’s bonus bet365 policy for the disabled and demented elderly is not yet complete，Family bonus bet365 is still the mainstream bonus bet365 method，Old people mostly rely entirely on family caregivers for bonus bet365，This is overwhelming for most adult children。Caregiving stress is formed in the process of constant change，Intrinsic and external stressors reduce caregivers’ ability to cope，Resulting in physical and mental damage。Adult child who is the primary caregiver，Will encounter the body、Psychology、Pressure from society and other levels。Disability and dementia have been listed as global public health priorities，It seriously affects the quality of life of the elderly and their families，For the elderly、Caregiver、Having a huge impact on both family and society，Prone to social isolation。

Caring for the disabled and mentally ill elderly is not only a family issue，It is also a social issue。Currently，The whole society has weak awareness of the risks of preventing disability in old age，The development of long-term bonus bet365 services lags behind。Some private long-term bonus bet365 institutions are gradually gaining favor from high-income families，But because the charges are high，Many middle- and low-income elderly families are deterred。The dilemma of balancing fairness and efficiency in elderly bonus bet365，It has become an important challenge for families with disabilities and dementia to face social and economic development。Caregiving myths have confused formal and informal caregivers，Where will the disabled and demented elderly go in the future？

　　A game-breaking move: Integrating the long-term bonus bet365 system

Integrating long-term bonus bet365 system is a diversified service model，Refers to the health needs of the disabled and demented elderly，Provide continuity and flexible bonus bet365 services，Integration can include individuals、Family、Organization、Organization、System、Collaboration between modes，Across communities、Organization、The boundaries between hospitals and social services，Promote the connection of bonus bet365 systems。Long-term bonus bet365 mainly refers to comprehensive personal bonus bet365、Housekeeping、A series of services including assistive devices，A series of long-term support services for those who suffer from chronic health problems (especially the elderly with disabilities and dementia) and are unable to fully take bonus bet365 of themselves。The reason why it came into being，It is the increase in the average life expectancy of the elderly，Health continues to decline，Frequent chronic diseases，Prolonged bonus bet365 time (from basic bonus bet365 needs until death)。It is neither a pure elderly bonus bet365 service，Not purely medical bonus bet365。The former emphasizes life bonus bet365 for the elderly，The latter emphasizes bonus bet365 and rehabilitation。In service，bonus bet365 for the disabled and demented elderly is not the independent responsibility of one party，It is the shared responsibility of family and society，Multiple efforts are needed to maintain the elderly living as independently as possible at home。It puts more emphasis on the elderly’s right to participate and choose in bonus bet365 services，Not just a passive arrangement。

In response to the current aging dilemma and bonus bet365 myths，How to break the situation？Can the integrated long-term bonus bet365 system become the future bonus bet365 direction for the disabled and demented elderly？Specific countermeasures mainly include the following six aspects。

First，Taking into account assessment。Establish an evaluation mechanism for long-term bonus bet365 institutions for the elderly，Implement long-term bonus bet365 institution access management，Responsible for assessing the level of long-term bonus bet365 services for the elderly，Based on the individual’s different self-bonus bet365 abilities，Enable reasonable referrals among different nursing facilities。

Second，Grading service。Disabled and demented elderly people need daily bonus bet365，Also needs medical treatment、Recovery、Nursing and Hospice Services。On the basis of evaluation，Develop a long-term bonus bet365 hierarchical management system based on the different needs of the elderly，That is, different levels of seniors correspond to different levels of long-term bonus bet365 institutions，Make resources more economical，And the service is more precise。

　Third，bonus bet365 Integration。Sources of bonus bet365 include formal and informal systems。Real World，The boundaries between formal and informal bonus bet365 are not clear，There is cooperation between the two、Space of conflict and communion。Changes in national welfare policies will affect the movement of formal and informal bonus bet365 boundaries，In the pursuit of a balance between social and economic goals，Need to readjust the institutional arrangements of formal and informal bonus bet365。

　Fourth，Medical bonus bet365 protection。“Aging in Place” emphasizes trying to help the elderly stay at home。Long-term bonus bet365 and medical health are closely related。The existing medical bonus bet365 system is relatively simple，It is difficult to cope with the bonus bet365 needs of disabled and dementia elderly people。Life bonus bet365、The need for integrated health and social welfare services between acute bonus bet365 and long-term bonus bet365，The goal is to provide "whole-person" services for disabled and dementia elderly people。

　Fifth，Multiple services。To meet the needs of disabled and dementia elderly people，The provision of bonus bet365 will be diversified，Connecting and integrating "home-community-institution"，Gather community social resources，Create supporting measures that are conducive to aging in place，Enhancing family participation in caring for the disabled and demented elderly。

　Sixth，Insurance linkage。Long-term bonus bet365 insurance mainly refers to the form of insurance that provides compensation for the cost of bonus bet365 services for disabled and dementia elderly people who need bonus bet365。This way，Not only can fully meet the needs of disabled and dementia elderly people，Also provides financial relief for family caregivers、Physical and mental load，Improve the quality of life of the elderly and their families。

The "Healthy China 2030" strategy places special emphasis on strengthening long-term bonus bet365 connectivity and strengthening its service chain，From this we can better understand the significance of the country’s strategic importance。The aging population has led to the rapid growth in demand for services for the elderly with disabilities and dementia，Pose more challenges to existing social welfare policies for the elderly。Fairness and efficiency，It is always an issue that the government needs to consider，Moderate social security will take into account both fairness and efficiency in the process of caring for the elderly。Only this，Only by ensuring fairness from the perspective of income distribution，Promote efficiency from the perspective of economic development。The integrated bonus bet365 system will partially alleviate the issues of fairness and efficiency in the unreasonable allocation of resources，It integrates a series of services from home to hospital required by disabled and demented elderly people，Including community medical bonus bet365、Day bonus bet365、Nursing and Recuperation、Palliative bonus bet365, etc.。Use a sentence from Okun in "Equality and Efficiency" as a conclusion，“We need a little more rationality in fairness，A little more humanity in efficiency，When pursuing one of these，Don’t forget the other one”。

　　(This article is a phased result of the National Social Science Fund general project “Research on Integrated bonus bet365 for the Elderly with Dementia in Urban Areas” (19BSH161)

(Author’s unit: Department of Sociology, Shenzhen University Law School)