Comprehensive social policy response in the process of health aging
August 09, 2019 08:29 Source: "China Social Sciences", August 9, 2019, No. 1753, author: Yang Xin

Data Show of the National Bureau of Statistics,2000-2018,China ’s population 65 and above rose from 88 million to 167 million people,The proportion of the total population increased from 6.96%to 11.94%。According to the prediction of the United Nations 2019,In 2035, the proportion of population in China 65 and above will reach 20.68%。If the prediction of domestic scholars,Over 20%of the elderly population in my country will be about three years in advance。

According to the standards determined by the United Nations "Population Aging and its economic consequences" in 1956,When a country or region is 65 or more, the population of population accounts for more than 7%of the total population exceeds 7%,The country or region enters aging society,When the population of 65 and over accounted for more than 14%, entered aging society (AGED SOCIETY),When more than 20%, it is Hyper-Aged Society; and in 1982, the Vienna Aging World Conference accounted for more than 10%of the total population of 60 and above as the standard for entering aging society。No matter which standard is according to the standard,China is currently in the process of aging society,And in the next ten years, I will soon enter the super -aging stage,Become a super -aged society。

Due to the aging population, it is likely to bring a decline in labor supply、Savings rate decrease、Pension and medical expenditure surge and economic growth have stagnated consequences,Bet365 lotto review This problem is by governments of various countries、The academic and the public has been discussing for many years。What needs attention is,The aging or ultra -aging currently mentioned on the basis of 65 years of age as an age threshold for age。But actually,The age standard for the age of 65 as the elderly was formulated in the late 1950s,The average life expectancy of the world's population at that time was less than 50 years old,By 2019, the average life expectancy of the world population has reached 72.6 years,Among them, women are over 75 years old,Even the average expected life expectancy of the least developed countries has reached 65.2 years,Among them, women are over 67 years old。It can be said,In different historical periods,Phase changes in the life course of a person are already very different,Fixed standards for the elderly cannot reflect the health level of humans、Education level and labor skills。stereotypes to divide people's life course,may have adverse consequences。First,Personalized population 65 and above as working ability、Service requirements、Consumption model and other indispensable homogeneous groups,I believe that this group is fragile、alienation、Relying on others,Then generate discrimination。Next,Ignoring the possibility of the existence of the population 65 and above as the existence of human resources,Wachow of human capital that condenses on this group of groups。Last,The additional year of the increase in longevity only becomes the extension of the retirement period,This increases the burden on social insurance and public expenditure。

This can be seen,The division standard for the fixed age as the elderly bet365 live casino games cannot reflect the changes in the actual situation,It may also exaggerate the negative impact of population aging or ultra -aging on social economic development。If the elderly standard can be set dynamically,It may be more scientific and reasonable。

Of course,The dynamic stage division of the life course,The combination of longevity and health must be achieved first。Can the elderly continue to be a family、Make contribution of the community and society,Eventually depending on their health level。At present, there is no conclusion that the relationship between the academic community has a relationship between health life and average life expectancy。Since the late 1970s,Empirical research of various countries supports three views。Some research support optimistic views,that is, with the development of economic development and medical technology,The extension of the average health life expectancy will be faster than the extension of the average expected life expectancy。Some research results support pessimistic views,That is, medical care services will bring a long life of the patient,The proportion of unhealthy life span in Yushou continues to rise。But there are also research support for intermediate views,It is believed that the relationship between the expected life and life expectancy of health is a synchronous extended relationship。Empirical research in my country mainly supports the first two views,From the perspective of the national average,The degree of improvement in the health status of our country is lower than the extension of life;,The health expected life growth of elderly women in the eastern region is faster than the increase Bet365 app download in the average expected life expectancy。

What is the real relationship between the health life of the Chinese population and the average expected life span,There is a little certain determination,That is only when the health life can be extended,Population aging can be regarded as the growth of human resources to a certain extent。From this perspective,The extension of health life is the focus of we should pay attention,The policies we have proposed should take the health life of the population as the goal,To ensure that the World Health Organization proposed "the elderly are always family、The beneficial resources of the community and economy where you are located。

China released the "Healthy China 2030" planning outline in 2016,It clearly proposes the development goals of healthy aging。In the process of achieving this goal,We must extend our attention from the age of the elderly to the whole life process,At the same time, face up to the diversity of elderly groups,Eliminate urban and rural areas as much as possible、Between regions、Health inequality between crowds,Through the implementation of comprehensive social policies,Comprehensively improve the health level of the whole population。

First,Core for change of medical policy,Reduce the risk of people's disease。Shin the health service system with medical care system to the center of health,Implement ideas、Comprehensive strategic "forward move" for fund investment and research focus,Reduce the probability of illness as much as possible or delay the age of the disease。In this process,You need to formulate a health strategy beyond the health department,Encourage health bet365 live casino games knowledge education、To achieve the popularity of a healthy lifestyle,Strongest and low -cost disease prevention and early discovery (that is, non -medical health intervention)。

2,Improve the medical security system,Reduce the economic burden of patients。It should improve the overall level of the current medical insurance,Re narrowing the differences between the guarantee level between the areas; the system design of the combination of unified accounts should be adjusted,Improve the efficiency of medical insurance funds; long -term care insurance should be improved,Eastern the economic burden of long -term care services and their families。In addition,The delay retirement system should be implemented as soon as possible,To ensure the sustainable operation of the current medical insurance system。To improve the social security system as much as possible to help the elderly adapt to the changes brought about by the changes and weakening of the family structure。

Third,Reconstruction medical system structure,Add basic service supply。To strengthen the development of the grass -roots medical and health system,transforms primary medical and health care from a model based on patients and events to a population -based model。The integrated comprehensive care medical system is mainly for the design of the third -level medical group of the elderly community: the first level of the medical needs of the health care of the elderly health care for the elderly who are healthy,The second level is used to meet the rehabilitation needs of people, including the elderly who need to care,,These two levels of facilities can realize resource sharing,Model with a combination of network layout and bet365 live casino games multi -channel system,Form a reasonable partition。The third level is mainly based on the needs of the elderly that can not take care of the elderly。In the process of integrated comprehensive nursing medical system,We must also actively encourage social organizations to participate in the health of the elderly、Medical and Medical Nursing Combination Service,Allows private groups and non -governmental organizations based on communities into the field of junior health care as supplementary forces,Make up the weakness and deficiencies of the public hospital,Carry out social services and family care for the elderly。

Fourth,Embedded information technology,Build an integrated health guarantee system。Accelerate the application of informatization technology in the supply of medical services,Build a health security system for urban and rural integration。Establish a sound coordination mechanism,System advancement of realizing the construction of sanitary information; strengthen the top -level design of the health information network,Standardization of the construction of the system; based on healthy big data,Through mobile technology、Remote Medical Technology Promotion Health Center、The efficiency of coordinated work between community health service centers and third -level hospitals,Make the high -quality medical resources of large cities can be effective in a wider range of space。

Fifth,Pay attention to the construction of discipline teams,Reserve super -aged social service forces。We must pay attention to the development of elderly medicine and general medicine,Increase the training of relevant professional and technical personnel,bet365 live casino games Reserve sufficient service forces for super -aged society。To increase the education and training of the control staff,Promoting the level of care work。

(Author Unit: Institute of City and Population Development, Shanghai Academy of Social Sciences)

Editor in charge: Changchang
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