Shanghai Municipal Action Plan for Healthy Aging (2022-2025)

District Health Commission, Development and Reform Commission, Science and Technology Commission, Economic Committee (Commerce Commission), Education Bureau, Civil Affairs Bureau, Finance Bureau, Human Resources and Social Security Bureau, Planning and Resources Bureau, Housing and Urban-Rural Development Management Committee, Veterans Affairs Bureau, Market Supervision Bureau, Radio and Television Bureau, Sports Bureau, Medical Security Bureau, Disabled Persons' Federation, and Aging Office:

 

In order to promote the implementation of the Healthy China Strategy and actively respond to the national strategy of population aging, continuously meet the growing multi-level and high-quality health needs of the elderly, steadily improve the health level of the elderly, and promote the realization of healthy aging, the Municipal Health Commission and relevant departments have formulated the "Shanghai Municipal Action Plan for Healthy Aging (2022-2025)"
.
It is hereby issued to you, and please conscientiously implement it in light of the actual conditions of your
work.

 

Shanghai Municipal Health Commission

 

Shanghai Municipal Development and Reform Commission

 

Shanghai Municipal Commission of Economy and Information Technology

 

Shanghai Municipal Commission of Education

 

Shanghai Municipal Science and Technology Commission

 

Shanghai Civil Affairs Bureau

 

Shanghai Municipal Bureau of Finance

 

Shanghai Municipal Human Resources and Social Security Bureau

 

Shanghai Municipal Bureau of Planning and Natural Resources

 

Shanghai Municipal Housing and Urban-Rural Development Administration Commission

 

Shanghai Municipal Bureau of Veterans' Affairs

 

Shanghai Municipal Administration of Market Regulation

 

Shanghai Municipal Radio and Television Bureau

 

Shanghai Municipal Sports Bureau

 

Shanghai Municipal Medical Security Bureau

 

Shanghai Regulatory Bureau, China Banking and Insurance Regulatory Commission

 

Shanghai Municipal Administration of Traditional Chinese Medicine

 

Shanghai Disabled Persons' Federation

 

Office of Shanghai Municipal Commission on Aging

 

September 22, 2022

 

Shanghai Municipal Action Plan for Healthy Aging (2022-2025)

 

In order to promote the implementation of the Healthy China Strategy and actively respond to the national strategy of population aging, continuously meet the growing multi-level and high-quality health needs of the elderly, and steadily improve the health level of the elderly, according to the Central Committee of the Communist Party of China Opinions of the State Council on Strengthening the Work on Aging in the New Era", "The State Actively Responds to the Medium- and Long-term Plan for Population Aging", "The 14th Five-Year Plan for the Development of the National Aging Industry and the Elderly Service System", "The 14th Five-Year Plan", "The Guiding Opinions on Further Promoting the Development of the Combination of Medical Care and Elderly Care", "Notice on Comprehensively Strengthening the Health Service Work for the Elderly", "The 14th Five-Year Plan for the Development of Health and Health in Shanghai", "The 14th Five-Year Plan for the Development of the Elderly in Shanghai", "The 14th Five-Year Plan for the Development of the Elderly in Shanghai", "The 14th Five-Year Plan" for the Development of the Elderly in Shanghai, Healthy Shanghai Action (2019-2030) and other requirements, in accordance with the work deployment of the Municipal Party Committee, the Municipal Government and the Municipal Committee on Aging, this action plan
is specially formulated.

 

First, the background

 

Under the leadership of party committees and governments at all levels, the city takes people's health as the center, is oriented to meet the health service needs of the elderly, adheres to the development concept of active aging and healthy aging, continues to promote healthy aging, and maintains the level of developed countries and regions with the main health indicators of residents, and the average life expectancy reaches 84.
11 years
.
Formulate and implement the "13th Five-Year Plan for the Development of Shanghai Elderly Medical Care Service System", form a three-level layout of elderly medical care institutions, and significantly improve
service supply and service capabilities.
Issued and implemented the "Implementation Opinions on Deeply Promoting the Development of the Integration of Medical Care and Elderly Care in the City" and the "Implementation Opinions on the Establishment and Improvement of the Elderly Health Service System in the City", and the aging health policy has been continuously improved
.
Health education and promotion for the elderly has been continuously strengthened, and the level of health literacy of the elderly has been significantly improved
.
The combination of medical and nursing care has been deepened, and the goal of setting up medical institutions for the elderly of a certain scale (more than 150 beds) has been basically realized, and the community health service center and the city's old-age service institutions have achieved "willing to sign everything"
.
Family doctors "1+1+1" have signed more than 4 million elderly people over the age of 60, of which the signing rate of disabled elderly people at levels 2-6 of the unified needs assessment of elderly care has reached 90%.

Nearly 80,000 family beds are set up, serving nearly 800,000 people
every year.
Hospice care as a whole is included in the national pilot, and full coverage
of hospice care services is achieved in community health service centers.
238 standardized smart health stations and 46 demonstration community rehabilitation centers
were built.
The pilot of the long-term care insurance system has been comprehensively promoted, benefiting nearly 400,000 elderly people
.

 

The "14th Five-Year Plan" period is an important window period for actively responding to the aging of
the population.
Shanghai is the first city in China to enter the aging population society, and it is also one of the cities with the highest degree of
population aging in China.
The results of the seventh national census show that among the city's permanent population, the population aged 60 and above is 5.
8155 million, accounting for 23.
4% of the total population, of which the population aged 65 and over is 4.
049 million, accounting for 16.
3%.

Population aging and aging, family size miniaturization, pure aging and other trends intertwined coexistence, chronic diseases, common diseases accounted for a high proportion, and there are multiple disease coexistence characteristics, health services, medical security and other needs continue to increase, the provision of integrated health services, medical treatment and other higher requirements
.

 

The challenges facing the city to promote healthy aging include: First, the supply of elderly health and medical and nursing services needs to be further strengthened, and higher requirements
are put forward for demand matching, high-quality resource layout, diversified supply, and efficiency improvement.
Second, the active health awareness and ability of the elderly need to be improved, and health education and health promotion need to be further strengthened
.
Third, the integrated elderly health service chain that combines the whole department and links up and down has not yet been effectively formed, and the service chain of diagnosis and treatment, rehabilitation and nursing is still not perfect, and it is necessary to build an integrated elderly health service system
.
Fourth, the special family care ability of the elderly, incapacitated, disabled and family planning is relatively weak, which puts forward higher requirements for the healthy old-age care of
the family.

 

Second, the general requirements

 

(1) Guiding ideology

 

Under the guidance of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 19th Plenary Session, accurately grasp the new development stage, thoroughly implement the new development concept, comprehensively promote the implementation of the Healthy China Strategy and the national strategy of actively responding to the aging of the population, start from improving the health level of the whole population and the whole life cycle, integrate the concept of positive aging and healthy aging into the whole process of economic and social development, increase institutional innovation, policy supply, and financial investment, and accelerate the coordination of home community institutions.
The old-age service system and health support system that combine medical care and health care have formed a more convenient, higher quality, comprehensive and continuous integrated elderly health service system, better meet the health needs of the elderly, promote the realization of healthy aging, and contribute
to the construction of a healthy Shanghai and an international age-friendly city.

 

(2) Basic principles

 

Government-led, all-people action
.
Give play to the leading role of the government in promoting healthy aging, encourage and guide the broad participation of the whole society, realize co-construction and sharing, and meet the needs
of multi-level and diversified elderly health services.
Advocate the active participation of individuals and families to jointly build an age-friendly society
.

 

Health first, full service
.
Promote the transformation from treating diseases as the center to people's health as the center, and provide the elderly with appropriate, efficient, fair and accessible health services
including health education, preventive health care, disease diagnosis and treatment, rehabilitation nursing, long-term care, and palliative care.

 

High quality and efficiency, convenient and continuous
.
Focus on creating a high-quality healthy life for the elderly, comprehensively improve the level of health services for the elderly, and provide more high-quality and efficient health services
for the elderly.
Enrich the supply of medical and health resources in the doorstep service system and provide convenient and continuous health services for the
elderly.

 

Science and technology empowerment, innovation and development
.
Actively conform to the general trend of scientific and technological and industrial change, enhance the source of medical science and technology innovation, promote the application of "Internet +" and artificial intelligence in elderly health services, improve supply efficiency and level, and promote the innovative and integrated development
of medical and health care and multi-format services for the elderly.

 

(3) Action objectives

 

By 2025, the elderly health service system will be further improved, the elderly health security system will be more sound, the social environment for the healthy life of the elderly will be more friendly, the supply of elderly health services will be effectively increased, the allocation of service resources will be more reasonable, the quality of elderly health services will be effectively improved, the health level of the elderly will continue to improve, and the healthy life expectancy will continue to increase
.

 

Table Key indicators of action on healthy ageing

 

field

 

serial number

 

The indicator name

 

　　

 

quality

 

In 2025

 

Fitness level

 

Healthy life expectancy

 

Anticipation

 

　　≥71

 

Incidence of disability in older adults aged 65 to 74 years

 

Anticipation

 

There has been a decline

 

Health literacy levels in older adults

 

Anticipation

 

Improved

 

Service capabilities

 

The total number of family beds built accounts for the proportion of the permanent population

 

Anticipation

 

　　≥3

 

Community Health Service Center Community Rehabilitation Center Street Town Coverage Ratio

 

Binding nature

 

　　100

 

New number of sports and health homes for the elderly

 

Anticipation

 

　　100

 

The proportion of geriatric medicine departments established in general hospitals of the second level and above, traditional Chinese medicine hospitals, and hospitals of integrated traditional Chinese and Western medicine

 

Binding nature

 

　　≥90

 

The proportion of rehabilitation (medicine) departments set up in tertiary Chinese medicine hospitals

 

Binding nature

 

　　≥90

 

The proportion of age-friendly medical and health institutions in general hospitals, rehabilitation hospitals, nursing homes and primary medical and health institutions

 

Binding nature

 

　　≥90

 

Service management

 

　　10

 

Health management rates in the elderly

 

Binding nature

 

　　≥72

 

　　11

 

TCM health management rate for the elderly

 

Anticipation

 

　　≥75

 

　　12

 

Service management rate in people at risk of mild cognitive impairment (MCI) over 65 years of age

 

Binding nature

 

　　≥40

 

　　13

 

Coverage rate of family doctors contracted by elderly people with special difficulties such as disability and advanced age

 

Binding nature

 

　　≥90

 

social security

 

　　14

 

Long-term care service coverage for the severely disabled elderly

 

Binding nature

 

It should be fully insured

 

Third, the main tasks

 

(1) Increase the supply of institutional innovation policies and accelerate the improvement of the health support system

 

1.
Promote the coordinated and integrated development
of healthy aging policies.
Lead the construction of the elderly health service system with the concept of great health and great health, coordinate the resources of all government departments and all aspects of society, encourage and guide the broad participation of the whole society, and realize co-construction and sharing
.
Give play to policy synergy, establish and improve the coordination mechanism of "urban linkage, close cooperation between departments, and extensive participation of society" in the city, communicate and consult regularly, and jointly study and solve difficulties and problems
encountered in the process of promoting healthy aging.
Further improve support policies
for planning, land, housing, finance, investment, financing, and talents.
Promote the linkage reform and policy coordination
of medical insurance, medical care and medicine.
Give play to the leading role of medical insurance in promoting the supply-side reform of medical services, improve the price formation mechanism of medical services and the basic drug system, and ensure that the public can obtain high-quality and affordable medical services
.
Strengthen the in-depth integration and development of elderly health and pension, health care, culture, tourism, sports, education and other formats, and promote the sustainable development of
the aging health industry.
Promote the inclusion of projects related to elderly health services into practical projects
for the private sector of governments at all levels.
(Each department is responsible for the division of labor according to its responsibilities)

 

2.
Strengthen basic medical security support
.
Steadily promote the reform of the personal account of the basic medical insurance for employees, and improve the outpatient mutual assistance guarantee mechanism
.
Continuously promote the reform of medical insurance payment methods, and support designated medical institutions to provide high-quality and efficient basic medical services
for the elderly.
Explore the establishment of medical insurance payment methods
that meet the characteristics of traditional Chinese medicine.
Continue to support the co-insurance body to launch the "Shanghai Huibao"
.
Support and guide the formation of an efficient and reasonable hierarchical diagnosis and treatment order, further improve the family doctor contract service system and performance appraisal system, implement the contract service fee payment mechanism, and promote and encourage primary medical institutions and family doctors to do practical and detailed community health services
.
Implement the national medical insurance drug catalogue, continuously expand the scope of payment of basic medical insurance for medical rehabilitation and nursing projects, and improve the long-term prescription mechanism for
patients with chronic diseases.
(The Municipal Medical Insurance Bureau, the Municipal Health Commission, and the Shanghai Banking and Insurance Regulatory Bureau are responsible for the division of labor according to their duties)

 

3.
Deepen the pilot
of long-term care insurance.
Continue to deepen the pilot of long-term care insurance in the city, and optimize the pilot policy system and supporting support system of long-term care insurance in accordance with national requirements and the actual development of the city
.
Reasonably determine the level
of payment of long-term care insurance funds.
Improve the long-term care insurance management and operation mechanism, and strengthen the care and care
for the disabled elderly.
Actively explore the establishment of a third-party comprehensive evaluation standard system
for designated nursing service institutions.
(The Municipal Medical Insurance Bureau, the Civil Affairs Bureau, the Municipal Health Commission, and the Shanghai Banking and Insurance Regulatory Bureau are responsible for the division of labor according to their duties)

 

4.
Accelerate the development of commercial health insurance
.
Support and promote the integrated development of commercial insurance, medical services, health management, community health services, etc.
, and encourage enterprises and individuals to participate in comprehensive commercial health insurance
in many fields such as medical treatment, disease, rehabilitation, care, and maternity.
Support and encourage commercial insurance institutions to strengthen the application
of medical and health big data in the field of medical payment methods and health insurance development.
Support commercial insurance institutions to develop exclusive products
such as specific illness insurance, medical insurance and accident insurance for the elderly in view of the risk protection needs of the elderly.
Through premium subsidies, government procurement of services, etc.
, encourage the elderly, the disabled and other groups to actively apply for insurance products
with low thresholds, affordable prices and clear protection responsibilities.
Encourage going deep into the community to provide full-process services
for the elderly to purchase commercial insurance.
Accelerate the development of commercial long-term care insurance to meet the needs
of elderly care protection.
(Shanghai Banking and Insurance Regulatory Bureau is responsible)

 

(2) Strengthen health education and enhance the elderly's ability to take the initiative to be healthy

 

5.
Improve the supply pattern
of diversified elderly health education services.
Expand the position of health education for the elderly, relying on Shanghai Open University, education institutions for the elderly, community education institutions, old-age service institutions, community party and mass service centers, grass-roots medical and health institutions, cultural and sports venues, "Golden Academy" and other channels, radio and television health columns, etc.
, to improve the coverage of
health education services for the elderly.
Strengthen the construction of health education consultation points and standardized smart health stations, and use community health service centers to strengthen health guidance
for common chronic diseases, degenerative diseases and common mental health problems in the elderly.
Promote the distribution of science popularization services and disseminate scientific health knowledge
to the elderly and their families in a timely manner.
(The Municipal Health Commission, the Municipal Education Commission, the Civil Affairs Bureau, the Municipal Radio and Television Bureau, and the Municipal Sports Bureau are responsible for the division of labor according to their duties)

 

6.
Enrich the connotation
of elderly health education services.
Organize and carry out publicity activities such as the Elderly Health Publicity Week and the Respect for the Elderly Month, and create a social atmosphere
that cares about and supports the health of the elderly.
Carry out health literacy promotion projects
for the elderly.
Popularize the concept of "healthy bones and happy life", and strengthen the prevention of osteoporosis, anti-fall and other health knowledge education
.
Carry out the "rational use of drugs · Care for the Elderly" action
.
In all kinds of educational institutions for the elderly, special courses on "rational use of drugs for the elderly" have been set up, and publicity and guidance
on rational use of drugs have been carried out in old-age institutions and community comprehensive service centers for the elderly.
Strengthen the education of the elderly on the ability to use intelligent technology, and improve the ability
of the elderly to obtain, identify and use health information.
Carry out health promotion community construction, promote elderly health education "into the community, into the elderly institutions, into the family", and enhance children's awareness and skills
in elderly health care, home care and other aspects.
(The Municipal Health Commission, the Municipal Office of Aging, the Municipal Education Commission, the Civil Affairs Bureau, and the Municipal Economic Information Commission are responsible for the division of labor according to their duties)

 

7.
Improve the health self-management ability
of the elderly.
Help the elderly to establish the awareness that "they are the first responsible person for health", cultivate the awareness and ability of the elderly to take the initiative to be healthy, encourage the practice of a healthy lifestyle, and adhere to the monitoring and self-management
of common diseases such as diabetes and hypertension.
Actively promote the construction of health self-management groups, guide the elderly to actively participate in health self-management group activities, and build an "Internet + health" health self-management group activity model
.
Strengthen the publicity of elderly health policies, further promote the effective use of national basic public health services and major public health services in the city, and strengthen health self-management
.
(The Municipal Health Commission is responsible)

 

(3) Improve the preventive health care service system and improve the quality of life of the elderly

 

8.
Strengthen preventive health care
for the elderly in a targeted manner.
Relying on disease prevention and control institutions and all types of medical and health institutions at all levels, improve the three-level prevention system, use technologies such as Internet +, artificial intelligence, big data and cloud services to carry out early diagnosis and early treatment and comprehensive intervention of common diseases of the elderly, promote integrated chronic disease health management services for the elderly, and the standardized management rate of hypertension and diabetes in the elderly has reached more than
85%.
Promote disability (intellectual) prevention and intervention
in the elderly.
Carry out cognitive function screening in the elderly and carry out early intervention
for neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease.
Promote early screening of high-incidence malignant tumors in the elderly, and strengthen early diagnosis and treatment of
cancer.
Carry out early screening
of breast cancer and cervical cancer in elderly women.
Implement oral health actions for the elderly, strengthen the management of oral health for the elderly, and enhance the ability
of the grassroots to carry out oral preventive health care medical services.
Explore and carry out pilot projects to promote visual and auditory health for the elderly, and provide screening and intervention services
for the elderly with visual and auditory sensory abilities.
Promote the installation of automated external defibrillators (AEDs)
in places where the elderly are concentrated.
(The Municipal Health Commission is responsible)

 

9.
Comprehensively improve the prevention and control of infectious diseases for the elderly
.
Establish and complete emergency response mechanisms and plans for public health emergencies for the
elderly.
Strengthen the prevention and control of major infectious diseases such as AIDS and tuberculosis in the
elderly.
Accelerate the promotion of new crown virus vaccination for the elderly, and deepen the promotion of the city's major public health service project "pneumonia vaccination for the elderly aged 60 and above"
.
Vigorously publicize prevention and control knowledge and information, and improve the prevention and control awareness and scientific protection ability
of the elderly and elderly service personnel.
Guide and support elderly care service institutions to implement the main responsibility, and strengthen the epidemic prevention and control system and capacity building of
elderly care institutions.
Strengthen the grid management of grass-roots communities, give play to the role of volunteers, and do a good job in the prevention and control
of infectious diseases for the elderly at home in the community.
(The Municipal Health Commission and the Civil Affairs Bureau are responsible for the division of labor according to their duties)

 

10.
Strengthen the health management
of the elderly.
Optimize the health examination program for the elderly, and improve the ability
of health assessment and health guidance.
Actively carry out basic public health services for the elderly and medical and nursing care services
.
Promote the implementation of hierarchical and classified health management for the elderly by community health service centers, build community health service centers into an important platform for the elderly to obtain basic public health services, give play to the function of smart health stations, and broaden the channels for self-health testing and health guidance for the
elderly.
Construct a health management information database for the elderly, bring together multi-party information such as self-inspection records of smart health stations, physical examination and diagnosis and treatment records of medical institutions, and establish continuous, comprehensive and dynamic elderly health management files to provide health status assessment and health guidance
for the elderly.
(The Municipal Health Commission is responsible)

 

11.
Strengthen psychological care services for the
elderly.
Advance the establishment and standardized management
of mental health service systems.
Rely on mental health professional establishments, use community mental health service networks to continue to promote mental health and care services
for the elderly.
Carry out screening and assessment of mental health for the elderly in primary medical institutions, improve the ability of primary medical institutions to distinguish between mental health and mental disorders, and smooth the two-way referral channel
between the community and specialized medical institutions.
Strengthen mental health education for elderly caregivers, family members, and other groups, and popularize knowledge and skills
in psychological care and care.
Implement psychological care actions for the elderly, and set up psychological care project points
for the elderly in all districts (streets, towns).
Strengthen the construction of social psychological service platforms, relying on psychological assistance hotlines to provide mental health services
for the elderly.
(The Municipal Health Commission is responsible)

 

12.
Improve the nutritional status of the
elderly.
Implement nutrition improvement actions for the elderly, pilot the monitoring, screening and evaluation of the nutritional status of the elderly, strengthen the construction of the Shanghai Municipal Nutrition and Health Quality Control Center for the Elderly, organize the formulation of guidelines for the evaluation of the nutritional and health status of the elderly and the relevant standards for the nutrition and health of old-age service institutions, and carry out publicity and training
on dietary nutrition guidelines for the elderly 。 Carry out the construction project of healthy canteens for the elderly to help meals, and create a number of demonstration healthy canteens; Initiate the screening, assessment and nutrition management of nutritional risks of the elderly such as sarcopenia and swallowing disorders in the elderly, and primary medical institutions with the ability to screen for sarcopenia in the elderly account for more than 65%, and special nutritional interventions
are carried out for the elderly with low body weight and advanced age.
(The Municipal Health Commission and the Civil Affairs Bureau are responsible for the division of labor according to their duties)

 

13.
Promote the integration of physical medicine and
nursing care.
Actively advocate scientific fitness, improve the physical health level of the elderly, and form a health management and service model
that integrates physical medicine and nursing care.
Incorporate exercise interventions into the prevention and rehabilitation of chronic diseases in the elderly
.
Improve the physical fitness environment for the elderly, build a number of community sports facilities such as citizen fitness trails, educational fitness gardens, and community citizens' fitness centers, promote the construction of sports and health homes for the elderly, and provide "one-stop" sports and health care services such as fitness, rehabilitation, and old-age care
for the elderly in the community.
Give play to the role of various types of sports and fitness organizations for the elderly, lead more elderly people to participate in fitness, and promote the sports life of the elderly and the normalization of
fitness.
Give full play to the role of sports associations for the elderly at all levels, guide the scientific fitness of the elderly, and organize and carry out events suitable for the elderly
.
Carry out comprehensive intelligent services for the elderly in health testing, assessment and intervention, and widely carry out the "you point me send" community sports service distribution to help the elderly master fitness knowledge and skills
.
(The Municipal Sports Bureau, the Civil Affairs Bureau, the Municipal Health Commission, and the Municipal Housing and Urban-Rural Construction Management Committee are responsible for the division of labor according to their duties)

 

(4) Focus on continuous services to improve the level of medical services for the elderly

 

14.
Improve the elderly medical service system
.
Establish a geriatric medical service network
led by Shanghai Geriatric Medical Center, with the Geriatrics Department of General Hospital as the backbone, grass-roots medical and health institutions as the basis, and relevant teaching and scientific research institutions as the support.
Promote the high-quality development of geriatric medicine departments in medical institutions, and play a leading role in
demonstration.
Support the transformation of secondary general hospital functions in population export areas into rehabilitation and long-term care institutions
.
Strengthen the construction of
preferential care hospitals.
Develop the geriatric medical federation, incorporate the relevant medical institutions that provide elderly nursing services into the construction of the medical association, give full play to the role of high-quality nursing resources in large hospitals, and guide grass-roots medical and health institutions to carry out elderly care services with the help of telemedicine and other forms, and provide day nursing, home care, family beds and other services
for the disabled or elderly elderly 。 Promote multidisciplinary cooperative diagnosis and treatment models, carry out comprehensive assessment services for the elderly in the geriatrics department or internal medicine outpatient clinic of comprehensive hospitals at the second level and above, strengthen the management of geriatric syndrome, actively carry out high-risk screening such as malnutrition, falls, pulmonary embolism, aspiration and bed fall for hospitalized elderly patients, strengthen the capacity building of elderly health services in primary medical and health institutions, strengthen the diagnosis and treatment capacity of common diseases, multiple diseases and chronic diseases of the elderly, and provide comprehensive, continuous, coordinated and standardized basic medical services for the elderly
。 Strengthen the construction
of medical emergency (120) sub-station network.
Strengthen the guarantee of medication for the elderly, ensure the allocation of drugs for chronic diseases and common diseases in the elderly, encourage medical institutions to open pharmacy outpatient clinics, and carry out drug monitoring
for the elderly.
(The Municipal Health Commission and the Municipal Bureau of Veterans' Affairs are responsible for the division of labor according to their duties)

 

15.
Innovate rehabilitation medical service models
.
Establish and improve an early, systematic, professional and continuous rehabilitation medical service model
that conforms to the law of disease development of the elderly.
Further improve the three-level linkage rehabilitation medical service system
based on the rehabilitation department of the tertiary hospital as the leader, the secondary hospital or rehabilitation hospital as the hub, and the community rehabilitation.
Each district is equipped with 0.
4 rehabilitation beds per thousand population, and each district has at least one rehabilitation hospital or a general hospital rehabilitation ward
above the scale of 200 beds.
Give play to the function of the community health service center platform to integrate various resources, and provide outpatient and door-to-door services and home-based community rehabilitation training and guidance services
for elderly patients in the recovery period.
Establish a modern rehabilitation center marked by intelligent rehabilitation equipment, integrate advanced and scientific rehabilitation concepts, use modern rehabilitation technology, improve the level of rehabilitation services, and create a number of exemplary community health service centers
featuring rehabilitation.
Basically achieve full coverage of the standardization of community rehabilitation centers in the city's community health service centers, so that residents can enjoy high-quality rehabilitation services
at the "doorstep".
(The Municipal Health Commission is responsible)

 

16.
Promote palliative care services
.
Build a hospice care service system with regional characteristics, and establish a "five-in-one" service model
of hospice care led by the government, supported by community health service centers, supported by home, supported by second- and third-level medical institutions, and supplemented by social resources.
Support medical and health institutions at all levels and institutions integrating medical and nursing care to open hospice beds
.
Establish a service operation mechanism
with clear division of labor, close collaboration, clear processes, and smooth referrals among various types of palliative care service providers.
Improve the multidisciplinary service model of palliative care and improve the quality
of life of terminally ill patients.
Establish a hospice service management system and strengthen the academic and scientific research level of
hospice care.
Promote the establishment of Shanghai Hospice Care Association
.
Build a palliative care training base to promote hospice training to be
professional and standardized.
Widely disseminate the concept of palliative care services, and create an atmosphere in
which the whole society pays attention to and supports hospice care services.
Strengthen the construction of hospice care centers in all districts, and provide hospice care services
in all community health service centers in the city.
Strengthen the management of narcotic drugs and psychotropic substances in hospice care institutions, and promote rational use of drugs
.
(The Municipal Health Commission is responsible)

 

17.
Build age-friendly medical institutions
.
Focus on the age-friendly culture, management, service and environment, give full play to the exemplary and leading role of public medical institutions, and promote the construction of age-friendly medical institutions
.
Optimize the medical treatment process for the elderly and provide "five priorities" services
.
Improve a variety of registration methods such as telephone, network, on-site reservation, etc.
, to provide a certain proportion of on-site number sources
.
Give play to the role of social workers and volunteers, and provide medical guidance and other related services for the
elderly.
Fully consider the habits and practical difficulties of the elderly, retain traditional service methods such as offline and manual, verify health codes with cards/certificates during the epidemic period, optimize the "Internet + medical services" for the elderly, and achieve crossing the "digital divide"
.
Carry out comprehensive assessment and risk prevention of the elderly, and promote services
such as elderly care, rehabilitation, clinical pharmacy, nutrition, and palliative care.
Promote the aging transformation
of medical and health institutions.
By 2022, fully complete the construction of age-friendly medical institutions, and continuously improve the connotation, forming a number of demonstration institutions and typical experiences
.
(The Municipal Health Commission is responsible)

 

(5) Strengthen long-term care services to meet the needs of disability care

 

18.
Strengthen the unified needs assessment and management
of elderly care.
Optimize the unified needs assessment system, improve the unified needs assessment standards for elderly care, and promote the intelligent connection
between the assessment results and the care plan.
Improve the industry management system of diversified assessment bodies that combines government supervision, industry self-discipline, institutional autonomy, and social supervision, and guide and cultivate the orderly and standardized development of
socialized assessment bodies.
Promote the construction of a unified needs assessment quality control center for elderly care, strengthen the quality control of various assessment institutions, and ensure the quality
of assessment.
Strengthen the construction of a unified needs assessor team for elderly care, and improve the training and assessment mechanism for
assessors.
(The Municipal Medical Insurance Bureau, the Municipal Health Commission, and the Civil Affairs Bureau are responsible for the division of labor according to their duties)

 

19.
Improve long-term care service capabilities
.
According to the disease characteristics, self-care ability and medical care needs of the elderly, guide medical institutions to provide multi-level institutional nursing, community and home medical care services
for the elderly according to functional positioning and on-demand classification.
Docking the urgent needs of the disabled elderly, supporting medical institutions to carry out extended nursing services, expanding in-institution medical care services to the community and home, and encouraging the provision of "Internet + nursing services"
.
Strengthen the guarantee of long-term care services, based on the combination of medical and health care services, and supplement by long-term care insurance services, to improve service guarantee capabilities
.
Continuously improve the content of long-term care services, establish and improve nursing service standards and quality evaluation standards, and strengthen quality control
.
Strengthen the training of personnel of long-term care service institutions such as nursing stations and improve the professional level of
service personnel.
Improve the long-term care service system for elderly cognitive impairment, and promote the formulation of service standards for
elderly cognitive impairment.
Deepen the construction of friendly communities with cognitive impairment in the elderly, and achieve full coverage of streets and
towns.
Strengthen the construction of nursing beds and cognitive disability care beds in elderly care institutions, with no less than 106,000 nursing beds in the city and 15,000 nursing beds for the elderly
.
Encourage retired nurses to work on nursing guidance, training and services for the disabled elderly
.
(The Municipal Health Commission, the Civil Affairs Bureau, the Municipal Medical Insurance Bureau, and the Municipal Human Resources and Social Security Bureau are responsible for the division of labor according to their duties)

 

(6) Deepen the integration of medical care and nursing care and promote high-quality development

 

20.
Implement actions
to improve the ability to integrate community medical care and elderly care.
Strengthen the function of the community health service center medical and nursing integration platform, take the family doctor system as the core, take the construction of the "three centers" (health management center, rehabilitation center, and nursing center) as the starting point, and take the "station" (community health service station, smart health station) and "room" (village clinic, family doctor's studio) as the network, and comprehensively improve the ability
of medical and nursing care services.
Implement a new round of guidance standards for the functional construction of community health service institutions, build no less than 100 nursing beds in new community health service centers, and increase rehabilitation functions
.
Optimize the allocation of family doctor teams, and strengthen contract services
for the elderly in special families with disabilities, dementia, disability, advanced age, and family planning.
Do a good job of signing services with old-age service institutions, increase the frequency of services and the coverage
of service items.
Set up family beds in accordance with the permanent population of 3‰, and promote the provision of family bed services
for the elderly who have reached a certain level of unified needs assessment for elderly care in old-age care institutions and meet the criteria for building beds.
Increase the application of mobile medical vehicles and telemedicine technology, and continuously improve the connotation and energy level of
community health services.
(The Municipal Health Commission and the Civil Affairs Bureau are responsible for the division of labor according to their duties)

 

21.
Improve the energy level
of regional medical and nursing care services.
Strengthen planning and guidance, and promote the establishment
of medical institutions and facilities such as old-age service institutions, community comprehensive service centers for the elderly, and community cultural activity centers in the same location or nearby.
Promote the construction of the combined medical and nursing functions of community comprehensive service centers for the elderly, and achieve functional coverage
by setting up community health service stations (village clinics) or family doctors' studios (teams) in accordance with the service radius, demand characteristics, etc.
Strengthen the technical support of regional medical centers for community health service centers and elderly medical care institutions, and continuously improve the level of
regional medical and nursing services.
Deepen the contract cooperation service mechanism of old-age care institutions and medical institutions, and explore the use of projects to pay labor fees
for medical personnel who carry out medical and nursing care services in old-age care institutions.
Encourage all types of medical and health institutions at all levels and old-age service institutions to form medical and nursing care consortiums, and establish an orderly and two-way referral mechanism internally
.
Support social forces to establish institutions that combine medical and nursing care, continuously optimize examination and approval services, and strengthen supervision
during and after the event.
Carry out actions
to improve the service quality of medical and nursing care institutions.
Carry out the work of creating demonstrations of the integration of medical and nursing care, and build a number of demonstration areas and demonstration institutions
for the integration of medical and nursing care.
(The Municipal Health Commission, the Civil Affairs Bureau, and the Municipal Market Supervision Bureau are responsible for the division of labor according to their duties)

 

(7) Develop traditional Chinese medicine and elderly health services

 

22.
Optimize the TCM service network
.
Accelerate the construction of geriatric medicine departments and rehabilitation departments in traditional Chinese medicine hospitals, in the construction of the four major traditional Chinese medicine medical associations of "regional + specialty", take geriatrics as the direction, strengthen the sinking of traditional Chinese medicine diagnosis and treatment plans and personnel training, and promote the homogeneous development of traditional Chinese medicine service capabilities and levels among medical institutions at all levels in the medical federation through the double employment of backbone personnel of grass-roots traditional Chinese medicine and the construction of
joint outpatient clinics within the medical association 。 Build a number of demonstration community health service stations (village clinics) with traditional Chinese medicine characteristics and demonstration institutions for the integration of traditional Chinese medicine and medical and nursing care characteristics, and provide the elderly with traditional Chinese medicine physical identification, diagnosis and treatment, rehabilitation nursing, health care, health care, health management and other traditional Chinese medicine special services and diversified maintenance service packages
.
(The Municipal Health Commission and the Municipal Administration of Traditional Chinese Medicine are responsible)

 

23.
Improve the level of TCM health management services for the
elderly.
Promote the integration and development of traditional Chinese medicine and old-age care services, encourage TCM medical institutions and medical institutions with TCM diagnosis and treatment service capabilities to cooperate with old-age care institutions to expand service areas, and promote TCM personnel to provide services
in old-age care institutions.
Actively promote the promotion and application of traditional Chinese medicine technology and methods in old-age services, encourage elderly care institutions to be equipped with facilities and equipment such as traditional Chinese medicine diagnosis and rehabilitation, strengthen the training of traditional Chinese medicine knowledge for elderly nursing personnel, and standardize the development of traditional Chinese medicine health management services
for the elderly.
The city's family doctor team is equipped with at least 1 TCM physician or clinician who provides TCM services to provide basic TCM medical care and personalized TCM service packages for the elderly in the community, to do a solid TCM health management, and to improve the sense of access and satisfaction rate
of TCM services for the elderly.
(The Municipal Health Commission and the Municipal Administration of Traditional Chinese Medicine are responsible)

 

24.
Increase the publicity
of traditional Chinese medicine health and wellness pension culture.
Promote the concept of traditional Chinese medicine to treat diseases before they occur, and cultivate a healthy and scientific lifestyle and concept
.
Strengthen the construction of TCM health communication talents, vigorously popularize TCM health care knowledge and health care methods such as Taijiquan and healthy qigong (such as Baduanjin), and promote the popularization of TCM science culture into schools, communities and families
.
Carry out activities such as popularization and guidance of medicinal diet therapy for the different physiques of the
elderly.
(The Municipal Health Commission and the Municipal Administration of Traditional Chinese Medicine are responsible)

 

(8) Strengthen the support of science and technology and talents for elderly health services

 

25.
Promote smart health for the elderly
.
Promote digital transformation and create a digital empowerment convenient medical treatment and "one-click service for the elderly" application scenarios
.
Promote the information sharing and application of elderly health management files, and explore intelligent assessment and health guidance of the health status of
the elderly.
Relying on the Internet hospital service platform, promote telemedicine for medical and nursing institutions
.
Implement a new round of smart health care industry development action plan, and vigorously develop smart health care products and services
such as health management, health detection and monitoring, health services, emergency care, intelligent rehabilitation aids, and traditional Chinese medicine health care.
Explore the development of remote real-time health monitoring and other information services, and provide information support
for the health services of the elderly.
(The Municipal Economic and Information Commission, the Municipal Health Commission, and the Civil Affairs Bureau are responsible for the division of labor according to their duties)

 

26.
Strengthen scientific research
on geriatric health.
Strengthen the construction of the national clinical medical research center and regional center for geriatric diseases, and create a highland for scientific research on
geriatric health.
Strengthen research on major geriatric medical issues and improve the level of clinical research in
geriatrics.
Strengthen the basic research on aging mechanism and anti-aging, and systematically create aging and elderly health standards, indicators and evaluation methods
that meet the national conditions and the characteristics of the metropolis.
Support the development and promotion
of technologies and products related to elderly health.
Accelerate the transformation
of research results on geriatric diseases.
Support the research and development of special medical food and nutritional diets suitable for the nutritional and health needs of the elderly such as malnutrition, muscle reduction and swallowing disorders, and develop products and technologies
that combine nutrition, exercise, medical care and health care.
(The Municipal Science and Technology Commission, the Municipal Health Commission, and the Municipal Economic Information Commission are responsible for the division of labor according to their duties)

 

27.
Promote the construction
of geriatrics and related disciplines.
Support medical schools and medical institutions to strengthen the construction of geriatrics and related disciplines, and give policy preferences
in terms of talent introduction, scientific research funds, and teaching funds.
Support ordinary colleges and universities, vocational colleges, and Shanghai Open University to open geriatrics, geriatric nursing, and pharmacy, rehabilitation, psychology, palliative care, traditional Chinese medicine and other related majors and courses for the elderly, carry out academic education covering all stages of secondary occupation, specialty, undergraduate, master's and doctoral degrees, and reasonably arrange enrollment plans
.
Carry out the study of geriatric medicine content in public health, clinical medicine, traditional Chinese medicine and other majors, and strengthen the training of compound talents
related to geriatric health.
(The Municipal Education Commission and the Municipal Health Commission are responsible for the division of labor according to their duties)

 

28.
Comprehensively strengthen the training, training and motivation of elderly health professionals
.
Organize the implementation of national geriatric medical talents, hospice care service capacity improvement, medical and nursing integration talent ability improvement, elderly medical caregiver training program
.
Strengthen the training and training
of professionals in elderly care, rehabilitation, pharmacy, nutrition, mental health, medical social workers, and elderly service and management.
Implement the geriatric medicine leading talent support project according to national requirements, and strengthen the training of high-level talents in
geriatric health.
Give full play to the role
of health managers, psychological counselors, rehabilitation engineers, nutritionists, etc.
in elderly health services.
In accordance with national requirements, we will comprehensively promote the evaluation system for professional talents related to elderly health, and improve the salary distribution system
oriented by the value incentive of technical skills.
Implement a regional registration system for physicians, and encourage medical personnel to practice in institutions integrating medical and nursing care
.
Medical personnel working in medical institutions organized by old-age care institutions may refer to the implementation of incentive policies related to grass-roots medical personnel
.
(The Municipal Health Commission, the Municipal Education Commission, and the Municipal Human Resources and Social Security Bureau are responsible for the division of labor according to their duties)

 

4.
Safeguard measures

 

(1) Strengthen organizational leadership

 

Adhere to the party's overall leadership over healthy aging, further improve the working mechanism of "party committee leadership, government leadership, departmental coordination, and social participation", and strengthen the leadership, guarantee, management and supervision responsibilities
of municipal and district governments.
All municipal departments should, in accordance with their respective responsibilities, closely cooperate and form a joint force, widely publicize the importance of promoting healthy aging, and jointly promote the implementation of the
action plan for healthy aging.
All districts should actively introduce supportive policies, implement territorial responsibilities, and promote the realization of the goals and tasks
of the action plan for healthy aging.

 

(2) Increase the intensity of input

 

In accordance with the principle of matching authority and expenditure responsibility, the necessary funds for the promotion of healthy aging are included in the budget
at this level.
The focus of financial investment is tilted
to the balanced layout of resources, the improvement of grass-roots capabilities, discipline construction, scientific research and innovation, and talent cultivation.
Strengthen the performance management of various funds for healthy aging work, strengthen fund supervision, and improve the efficiency
of fund use.
Establish a government-led diversified financing and investment mechanism for healthy aging with the participation of the whole society, give full play to the role of multiple funds such as lottery public welfare funds and charitable donations, guide all kinds of social capital to invest in the cause of healthy aging, and promote the realization of healthy aging
.

 

(3) Strengthen supervision and assessment

 

Give full play to the comprehensive coordination role of the Municipal Office on Aging, and take the policies and measures to promote healthy aging as an important part
of the evaluation of the performance of duties and responsibilities of members of the Municipal Committee on Aging.
Improve information statistics and demand feedback mechanisms, organize and carry out the implementation evaluation of action plans, establish an evaluation system, and achieve comprehensive inspection and evaluation
of the progress and implementation effect of action plans.