Grasp the important breakthrough points of aging social governance
—The perspective of the whole life cycle
August 09, 2019 08:27 Source: "China Social Sciences", August 9, 2019, Issue 1753 Author: Hu Zhan

Population aging has become an objective reality that China's economic and social development must face。Among the problems brought by population aging,The most concerned is the economic and health problems brought by aging,Both are not independent or parallel,Instead, there are several interconnected relationships。From the middle and long term,The impact of health issues is obviously more profound。As the "Healthy China" strategy pointed out,"Health is an inevitable requirement for promoting the comprehensive development of people,It is also the basic condition of economic and social development "。

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The United Nations promoted the criteria and aging judgment criteria formed based on a single physiological age index in 1956,This largely reflects the limitation of the level of population health and life expectancy at that time,and the governments of various countries' considerations of endowment protection。From the establishment of its standard,Human society has experienced a huge population、Health and disease spectrum transformation,Today's elderly population subject is exhibited by many completely different features from the past elderly population subjects,Its economic and social relations are changing hugely。The redefining of the elderly and aging since the 21st century has always been the forefront bet365 best casino games of the international community's attention。At the same time,WHO is constantly revising the view of health,It has redefined it as: "Health is not just eliminating diseases or weakness,but a body、The intact state of adaptation of spirit and social environment。"and we still generally pay more attention to the disease of the elderly、weakness and the loss of basic living ability caused by it,This is obviously contrary to the current trend of international evaluation。The concept of "big health" with scientific completeness should be three -dimensional rather than a single,involved multi -dimensional and multi -level,Not only does it include physical and mental adaptation and social participation,Support for governance environment and policy arrangements。

"Six Pu" data display,The expectations of the elderly population (60+) of men in our country (60+) are 20.04 years and 23.14 years.,Life expected life expectancy is 17.22 years,The average survival time with residual residue is about 2.53 years,Steady improvement from "Wu Pu"。Energy rate range of the elderly population with different calibers is 10.48%-13.31%,Among them, the proportion of the elderly in the middle weight disability does not exceed 3%,The health level of aging is significantly improved。What needs to be pointed out is,The increase in population life will also produce costs and pressures while bringing benefits,The so -called "Cost of Success" and even the "Failure of Success"。The existing institutional arrangement model must also strengthen the necessary research on the improvement of the health level of the elderly population in bet365 best casino games my country,Effective use of its benefits,Pressure to it should be reacted in time。This needs to improve the social security system as soon as possible,and do a good job of preventing and forming so -called "longevity risks" and other problems。

 From focusing on "elderly people" to emphasize"All Popular Life cycle" transformation

We cannot view the health issues of aging society in isolation,It is not limited to the "health of the elderly" problem。Excessive age problems in the elderly population can easily cause unnecessary social panic emotions,It does not conform to the concept of the balanced development of intergenerational development。The huge inertia of population aging determines that the governance of aging society should not be an emergency strategy,It must also take into account the sustainable development of the economy and society。Although some emergency measures focusing on the elderly population are very necessary to alleviate short -term real pressure,From the perspective of sustainable development,The governance framework of an aging society should fully consider the needs and value of the population of all ages。In the future, the health and health care expenditures of the elderly need to improve to a large extent.,The pension problem of the elderly needs to be relieved by improving the labor productivity of young people and the economic participation of promoting the elderly's labor force,The problem of the burden of care for the elderly needs to be reasonable and effective in order to get a good solution to the family and social resources。Individual aging is a gradual、The process of different from person to person,Older bet365 live casino games individuals、There are significant heterogeneity at different time points between elderly groups。Not only that,The different ages of life are interrelated、The process of overlapping each other,Only the stages of individual development and the level of population structure are connected to consider,can we consolidate the foundation of the design of aging social policy。Who has proposed "Healthy Aging" and "Active Aging" as a strategic goal to deal with aging society,"Healthy aging" focuses on the continuation of growth,Emphasizing the life ability of old age depends on the accumulation of early life,"Active aging" will attach importance to participation,It makes the age problem no longer limited to the elderly and become the theme of the whole people,The academic community has also put forward strategic propositions such as "Productive Aging" and "SUCCESSFUL AGING",This all reflects the concept of the whole population and the life cycle。

  Priority and focus solutionDisabled dementia elderlyLong -term care Questions

Although we need to be more optimistic and prudent under the perspective of overall and global governance, we need to examine the issue of age health and prudence,But how to identify the current core issues and find an effective settlement point is still very important。We also need to recognize it clearly,The volume and obvious internal heterogeneity in China determine that the current institutional policy arrangement of the healthy challenges of the aging is impossible,Instead, we need to focus more on breakthroughs。

"Combination of Medical Nursing" as one of the important issues of aging bet365 Play online games social governance in recent years has attracted much attention。For most elderly people,The most urgent need is not a medical service based on diagnosis and treatment and surgery,But daily care and non -therapeutic rehabilitation care (such as delaying chronic disease development or maintaining physiological function, etc.,"Long -term care service"。The age structure of the elderly population in my country is still very young,In the "Baby Tide" period of 1950s, the birth population entered the age (80+) stage and there were still about 10-15 years,This is an important "window period" to improve my country's pension service system。During this period,The state should focus on the development of long -term care services for the elderly,Emphasize "combination of medical care and care",Changing the traditional institution "Heavy Medicine、Light Nursing "tendency,Improve "long -term care insurance" and "accidental injury insurance for the elderly",And pay attention to nursing talent reserves and cultivation in the relevant education system and occupation settings。

The key target of the current long -term care service should be focused on disabled dementia,Especially the mid -weight disabled dementia elderly。The emergence of the state of disorders and dementia of the elderly and the survival of the elderly disabled dementia of the elderly have more stable laws,And the life needs of the elderly in the final stage of life are relatively stable and limited,This has laid the foundation for improving the policy hit rate and effectiveness。The government should focus on promoting bet365 Play online games the agency、Diversified service subjects such as communities and families participate in the operation of the long -term care system,Design different care modes according to the level of disability and dementia of the elderly corresponds to it,If the family and the community bear the care of most minor disability and some disabled dementia,and focus on enhancing the radiation and supply and demand docking level of community pension services,and solve the care of the elderly for the elderly through professional institutions。Also fully consider the payment ability of different types of families,Flexible subsidy、Tax discounts and government policy tools such as direct purchase of services,Convert potential demand into effective demand。It is worth noting that,The number of beds in our country's pension institutions has increased rapidly from 3.15 million in 2010 to 5.51 million in 2014,But the empty bed rate rises from 23%to 48%,Government subsidy mode also urgently needs to be changed,If the subsidy of the elderly institution is changed from "subsidy" (subsidy supply) to "head subsidy" (subsidy demand),and increase subsidies for disabled dementia。,It also needs to pay special attention to the care of dishwal demented elderly in rural areas (especially the central and western regions),and gradually increase investment subsidies。

In short,Population aging has become my country's new basic national conditions,The process of its evolution and the realization of the modern power of Chinese socialist modernization is basically synchronized。In this background,Re -examine the topic of aging social governance Bet365 lotto review in "Healthy China",It is both an opportunity and a challenge。

(Author Unit: School of Social Development and Public Policy of Fudan University)

Editor in charge: Changchang
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