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The community is the basic unit of the life of the elderly。In the "9073" pension mode，Institutional Medical Nursing Combination Service、Community medical care combination service、Home Medical Nursing Combination bet365 live casino games Service，Together constitutes the basic pattern of my country's medical and nursing combination service model。where，Urban community medical and nutrition service model is based on day care center、Provide life care services and health services to the elderly。Under the "Healthy China" strategy，Effective implementation of community medical and nursing combination services，It should also further clarify the service bet365 live casino games object，Maximize the efficiency of resource utilization; determine the content of basic and differential services，To achieve precise identification of the needs of the elderly; build a supply pattern for the participation of multiple subjects，Realize the effective supply of continuous services; form a diverse service form for service，Realize the optimization and integration of resources; explore a stable funding method，Bet365 lotto review Ensure the sustainable advancement of the service。This is also one of the basic contents of "National Actively Copy for Population Aging Medium and Long -term Plan"。

　　Basic self -care+mild disorder Elderly: Community medical care combined service object

From the current point of view，Community medical care combination service resources are still limited，Under this constraint，It should be further clarified that its service objects，bet365 live casino games To ensure that the combination of community medical care can be met with rigid demand。Taking the community day care center to provide a medical care combination service for the space carrier，Has the following basic characteristics: between the elderly and the community day care center is a short distance in the sense of space，but not zero distance，This is a significant difference in community service model and home bet365 live casino games service model。This indicates，Elderly people who receive medical and nursing services in the community should be able to walk independently or assist the family members to the community medical and nutrition service facilities。

Generally speaking，All elderly people have the needs of medical care and nursing service，But can still be further classified according to the degree of disability: healthy elderly (ADL evaluation 100 points)、Creative but bet365 Play online games can take care of the elderly (basically self -care，that is ADL evaluation> 80 points; mild disorder，that is ADL evaluation 61-80 points)、I can take a disease but cannot take care of the elderly (moderate disability，that is ADL evaluation 41-60 points; severe disability，that is ADL evaluation 21-40 points; complete disability，ADL evaluation <20 points)。Reality constraints based on this category and community medical care combination of service resources，You can determine the community medical and nursing service objects as: with illness but can take care of the elderly，is the elderly who basically take care of and mild disorder。Available areas of resources can further expand the scope of community medical and nutritional integration service objects。

　Medical Nursing Care: Basic Contents of Community Medical Nursing Combination Service

Community day medical care combination services provided by basic self -care and mild disability，Need to comprehensively evaluate the basic and differentiated medical care needs of these two groups，To achieve precise and effective supply。On the one hand，Provide basic medical care care services，It mainly includes health education、Health Consultation、Prevention of health care、vaccination、Basic life care、Sports Entertainment、Psychological Health, etc.，These services are universal，The common needs of the elderly at different health levels，helps reduce the probability of the disease、Control the situation of disorder、Maintain independent action ability、Maintain a good mentality, etc.; On the other hand，On the basis of the basic medical and nursing combination service，Provide differentiated medical care services。It mainly includes basic self -care for the elderly to participate in social governance、Implementing mutual assistance and pension provides assistance and creating conditions and opportunities，Provide rehabilitation for the elderly for the elderly for mild disability、Nursing、Chronic disease management、Professional service such as professional life care。Basic self -care, the elderly can play an active role in social governance，The main participation subject of co -construction, co -governance sharing community governance pattern，Its participation in mutual assistance can also produce demonstration effects，This requires the community medical and nutrition service model to provide basic support services for the elderly's social participation in the active aging vision。while mild disorder elderly people are different，Restrictions on behavior，This group's demand for diagnosis and treatment services and rehabilitation services is more significant。

　　Medical caregivers+pension caregivers: community medical and nursing combination service main body

Provide community day medical care services for basic self -care and mild disability，Supply of the supply of medical services，The supply main body of life care service also requires life -care service。So，It should be gradually constructed to include community health service centers、Community Day Care Center、Free practicing medical staff、Professional pension nursing staff、Volunteer pension caregivers、Volunteer social workers, such as community medical and nutritional combination service supply,。where，Community Health Service Center is the main supply subject of community medical care service，Provide standardized daily visits to the elderly; free practicing doctors regularly participate in community medical care and health consulting services in the form of appointment; professional pension caregivers provide dining for the elderly in the community day care center、Daily life assistance and other basic life care services; full participation of volunteer pension caregivers and social workers，It can effectively make up for the disadvantages of the lack of professional pension caregivers，It also helps to further expand the service scope and service content of the combination of community medical care。

In this process，It should also make full use of Internet resources，Realize online science popularization services、Consultation guidance service and offline diagnosis service、Organic combination of chronic disease follow -up service。

　　Liquid medical+semi -current health care+fixed life care: the basic form of community medical and nursing combination service

A contradiction between the demand for scarcity of medical and nutrition services and the huge demand for medical care services，It is the basic problem facing the construction of a community medical and nutrition service model。In the overall composition of the community medical and nutrition combination service，Life care service is regular service，Health care is regular service，Diagnosis and treatment follow -up service is stress service。This provides a possibility for the diversification of the service form of community medical care and nursing。So，The basic form of community medical and nutrition service for "mobile medical+semi -current health care+fixed life care" should be established。where，mobile medical，On the one hand, it includes the community day care center and the community health service center to provide diagnosis and treatment services for the elderly who are required through the form of signing.，On the other hand, including the community health service center, the hospital transferred back to the community day care center to provide disease recovery and recurrence monitoring services，It also includes diagnosis and treatment services provided by free practicing doctors and Internet medical resources; semi -current health care，It is mainly based on community health service centers，Regular health consultation for the elderly for the elderly for the community day care center、Health Education and other services; fixed life care，Mainly refers。

　　Social Welfare+Social Insurance+Commercial Insurance+Individual Paid: Community Medical Nursing Combat Service Method

Effective advancement and sustainable implementation of community medical care combined service model，Based on a stable fundraising model，This is the key to forming effective supply and effective demand for the formation of medical and nursing services。As a basic social service，Community medical and nursing combination service is basic、Universal、Publicity，is one of the basic ways to effectively resolve the risk of longevity。and longevity risk is an individual、Society、The risk faced by the country，This makes the fundraising of community medical and nutrition services should also reflect the principle of responsibility and share，Therefore, we should gradually improve medical care methods including "social welfare+social insurance+commercial insurance+individual payment"。where，Social welfare is mainly reflected in the form of public welfare lottery funds; social insurance mainly refers to long -term care insurance，It is necessary to gradually explore the multi -party fund raising mode。where，Individuals can implement payment with basic medical insurance personal accounts through basic pension insurance personal accounts，Enterprises can fine -tune the payment by fine -tuning the existing social insurance payment ratio，The government subsidizes through public finances。Participate in commercial insurance，On the one hand, it is reflected in the supplier，Inspiring commercial insurance companies to develop long -term care insurance products for the elderly，Combining community medical care services into the scope of compensation。On the other hand, it is reflected in the demand side，is to encourage individuals to purchase long -term care insurance for business in tax preferentially。Individual paid mainly refers to undertaking a certain self -payment ratio in the community medical combination service。

Overall，Formulate implementation strategies for the combination of community medical and nutrition service models，It is to be within the space of the community，Solution "Who cares、What to take care、Who cares、How to take care、Who does the specific question of "who pays"，This is the key content of the reform of the supply -side service side of the medical and nursing.，It is also the basic essence of the "Healthy China" strategy。Only this，my country's community medical and nutrition service can truly meet the good needs of the elderly to spend the elderly live in the elderly。

　(Author Unit: The Party School of the Shaanxi Provincial Party Committee (Shaanxi Academy) of the Communist Party of China (Shaanxi Academy of Administration)