Develop an implementation strategy for my country’s community integrated medical and nursing bet365 apuestas service model，It must be within the space of the community，Resolve "who to bet365 apuestas for"、What to take bet365 apuestas of、Who cares、How to take bet365 apuestas、The specific question of "who pays"，This is the key content of the supply-side reform of integrated medical and nursing bet365 apuestas services，It is also the basic essence of the "Healthy China" strategy。Only this，Only in my country can integrated community medical and nursing bet365 apuestas services truly meet the needs of the elderly for a healthy elderly life。

The community is the basic unit of life for the elderly。In the "9073" pension mode，Institutional medical and nursing bet365 apuestas services、Community medical and nursing bet365 apuestas services、Integrated home medical bet365 apuestas service，Together constitute the basic pattern of my country’s integrated medical and nursing bet365 apuestas service model。Among them，The urban community integrated medical and nursing bet365 apuestas service model uses day bet365 apuestas centers as the carrier、Provide life bet365 apuestas services and health services for the elderly。Under the "Healthy China" strategy，Effective implementation of community medical and nursing bet365 apuestas services，The service objects should be further clarified，Maximize resource utilization efficiency；Determine basic and differentiated service content，Realizing accurate identification of the needs of the elderly；Building a supply pattern with the participation of multiple entities，Achieve effective supply of continuity services；Formation of diversified service supply forms，Realize optimization and integration of resources；Explore stable financing methods，Ensuring sustainable advancement of services。This is also one of the basic contents of the "National Medium and Long-term Plan to Actively Respond to Population Aging"。

　　Basic self-bet365 apuestas + mildly disabled elderly people: service recipients of combined community medical and nursing bet365 apuestas

From the current point of view，Community medical and nursing bet365 apuestas service resources are still limited，Under this constraint，The service objects should be further clarified，To ensure that the rigid needs of community medical bet365 apuestas and nursing bet365 apuestas can be met first。Using community day bet365 apuestas centers as space carriers to provide integrated medical and nursing bet365 apuestas services，Has the following basic characteristics: There is a short distance in space between the elderly and the community day bet365 apuestas center，But it’s not zero distance，This is a significant difference between the community service model and the home service model。This shows，Elderly people who receive integrated medical and nursing bet365 apuestas services in the community should be able to walk independently or be assisted by family members to community integrated medical and nursing bet365 apuestas service facilities。

Generally speaking，All elderly people have needs for integrated medical and nursing care services，But it can still be further classified according to the degree of disability: healthy elderly (ADL assessment 100 points)、Elderly people who are sick but able to take care of themselves (basically self-care，That is, ADL assessment >80 points；Mild disability，That is, ADL evaluation 61-80 points)、Elderly people who are sick but unable to take bet365 apuestas of themselves (moderate disability，That is, ADL evaluation 41-60 points；Severe disability，That is, ADL evaluation 21-40 points；Total disability，ADL assessment <20 points)。Based on this classification and the realistic constraints of community medical and nursing bet365 apuestas service resources，The target group of community medical and nursing bet365 apuestas services can be identified as: the elderly who are sick but can take bet365 apuestas of themselves，That is, the elderly who are basically self-bet365 apuestas and mildly disabled。Resource-rich areas can further expand the scope of community-based medical and nursing bet365 apuestas services。

　Medical and nursing bet365 apuestas: basic content of community medical and nursing bet365 apuestas services

Community day medical and nursing bet365 apuestas services for the elderly with basic self-bet365 apuestas and mild disabilities，Need to comprehensively assess the basic and differential medical and nursing needs of these two groups，To achieve precise and effective supply。On the one hand，Provide basic medical and nursing bet365 apuestas services，Mainly includes health education、Health consultation、Preventive health bet365 apuestas、Vaccination、Basic life bet365 apuestas、Sports and Entertainment、Mental health, etc.，These services are universal，It is the common needs of the elderly with different health levels，Helps reduce the probability of disease、Control the disabled situation、Maintain the ability to act independently、Keep a good attitude, etc.；On the other hand，On the basis of basic medical and nursing bet365 apuestas services，Providing differentiated medical and nursing bet365 apuestas services。Mainly includes participating in social governance for the elderly who can basically take bet365 apuestas of themselves、Implement mutual aid and elderly bet365 apuestas to provide assistance and create conditions and opportunities，Providing rehabilitation for the elderly with mild disabilities、Nursing、Chronic disease management、Professional life bet365 apuestas and other professional services。The elderly who can basically take bet365 apuestas of themselves can play an active role in social governance，is the main participant in the joint construction, joint governance and shared community governance pattern，His participation in mutual aid and elderly bet365 apuestas can also produce a demonstration effect，This requires a community medical and nursing bet365 apuestas integrated service model to provide basic support services for the elderly to participate in society from the perspective of active aging。It is different for the elderly with mild disabilities，Limited by behavioral capacity，This group has a more significant demand for diagnostic services and rehabilitation services。

　　Medical nursing staff + elderly bet365 apuestas nursing staff: the main provider of community medical and nursing bet365 apuestas services

Provide community day medical bet365 apuestas services for the elderly with basic self-bet365 apuestas and mild disabilities，Suppliers who both need medical services，Suppliers who also need life bet365 apuestas services。Therefore，Should be gradually constructed including community health service centers、Community Day bet365 apuestas Center、Freelance practicing medical staff、Occupational nursing staff、Voluntary nursing staff、The supply pattern of integrated community medical and nursing bet365 apuestas services including voluntary social workers。Among them，Community health service center is the main provider of community medical and nursing services，Provide standardized daily inspection services for the elderly；Freelance practicing doctors regularly participate in community health bet365 apuestas and health consulting services by appointment；Professional nursing staff provide meals for the elderly in community day bet365 apuestas centers、Basic life bet365 apuestas services such as daily living assistance；Full participation of voluntary nursing staff and social workers，It can effectively make up for the disadvantage of insufficient professional nursing staff，It also helps to further expand the service scope and content of community medical and nursing bet365 apuestas。

In this process，You should also make full use of Internet resources，Realizing online science popularization services、Consultation and guidance services and offline consultation services、The organic combination of chronic disease follow-up services。

　　Mobile medical bet365 apuestas + semi-mobile health bet365 apuestas + stationary life bet365 apuestas: the basic form of community medical and nursing combined services

The contradiction between the scarcity of medical and nursing service supply resources and the huge demand for medical and nursing services，Is the basic problem facing the construction of community medical and nursing bet365 apuestas integrated service model。In the overall composition of community medical and nursing bet365 apuestas services，Life bet365 apuestas services are regular services，Health bet365 apuestas is a regular service，Diagnosis, treatment and follow-up services are stressful services。This provides the possibility for diversification of community medical and nursing bet365 apuestas services。Therefore，The basic form of community integrated medical and nursing bet365 apuestas services should be established as “mobile medical bet365 apuestas + semi-mobile health bet365 apuestas + fixed life bet365 apuestas”。Among them，Mobile medical bet365 apuestas，On the one hand, it includes community day bet365 apuestas centers and community health service centers through contracts to provide diagnosis and treatment services to sick elderly people in need，On the other hand, community health service centers provide disease rehabilitation and relapse monitoring services for the elderly who are transferred from hospitals to community day bet365 apuestas centers，Also includes diagnostic and treatment services provided by freelance doctors and Internet medical resources；Semi-mobile health bet365 apuestas，Mainly based on community health service centers，Provide regular health consultation for the elderly in community day bet365 apuestas centers、Health education and other services；Fixed life bet365 apuestas，Mainly refers to the daily bet365 apuestas services provided by nursing staff and social workers to the elderly。

　　Social welfare + social insurance + commercial insurance + individual payment: financing method for community medical and nursing bet365 apuestas services

Effective promotion and sustainable implementation of the community medical and nursing bet365 apuestas integrated service model，Built on a stable financing model，This is the key to forming effective supply and demand for integrated medical and nursing bet365 apuestas services。As a basic social service，Community medical and nursing bet365 apuestas services are basic、Universality、Public，Is one of the basic ways to effectively resolve longevity risks。And longevity risk is individual、Society、Risks faced by the country，This means that the financing of integrated community medical and nursing bet365 apuestas services should also reflect the principle of shared responsibility，Therefore, financing methods for integrated medical and nursing bet365 apuestas services including “social welfare + social insurance + commercial insurance + individual payment” should be gradually improved。Among them，Social welfare is mainly reflected in the form of public welfare lottery funds etc.；Social insurance mainly refers to long-term bet365 apuestas insurance，We must gradually explore multi-party financing models。Among them，Individuals can pay through basic pension insurance personal accounts and basic medical insurance personal accounts，Enterprises can make payments by fine-tuning the existing social insurance payment ratio，The government subsidizes it through public finance。Participation in commercial insurance，On the one hand, it is reflected on the supply side，Incentivize commercial insurance companies to develop long-term bet365 apuestas insurance products for the elderly，And include community medical and nursing services into the scope of compensation。On the other hand, it is reflected on the demand side，Encourage individuals to purchase commercial long-term bet365 apuestas insurance through tax incentives。Individual payment mainly refers to bearing a certain proportion of self-payment in community medical and nursing services。

Generally speaking，Develop an implementation strategy for my country’s community integrated medical and nursing bet365 apuestas service model，It must be within the space of the community，Resolve "who to bet365 apuestas for"、What to take bet365 apuestas of、Who cares、How to take bet365 apuestas、The specific question of "who pays"，This is the key content of the supply-side reform of integrated medical and nursing bet365 apuestas services，It is also the basic essence of the "Healthy China" strategy。Only this，Only in my country can integrated community medical and nursing bet365 apuestas services truly meet the needs of the elderly for a healthy elderly life。

　(Author’s unit: Political Science Teaching and Research Department of Shaanxi Provincial Party School of the Communist Party of China (Shaanxi Administration College))