How do we support ourselves tomorrow? ——Observation on the new pension model in different regions

When you are old and can’t walk, who will guard you? Who will take care of you? With the acceleration of China’s aging process, the pension problem has increasingly become the focus of social concern. Recently, we have visited many areas of China to explore the new mode of “protecting the elderly”. In the afternoon, an Yixing, 91, came to Huiming home care center to rehearse with the residents. “There’s going to be a party in the community recently, and I’m in charge of guiding everyone to rehearse.” In the interval waiting for the arrival of the residents “actors”, Anye Xinghe started his family routine. Anye Xing and his son live together, because the son often works outside, how to solve the problem of food and drink has become a problem for both father and son. < / P > < p > in September 2019, Fushun City built a home-based care center in the community in the form of government purchase services. For more than a year, this fully functional pension center has solved the worries of many elderly people in the community, such as Anye Xing. < / P > < p > three meals a day for the elderly can be solved in the canteen of the elderly care center, and each meal can get a certain amount of government subsidies; the pension center also opened a cheap supermarket, rice, flour, grain and oil supply at a low price, the elderly can order through the telephone or network, someone can deliver to the door; provide free physical examination, physical therapy, chess and card room and other services; equipped with intelligent bracelet, through a large number of According to the platform, the health status of the elderly is monitored and “one click” rescue is provided < / P > < p > “since I had this home-based elderly care service center, I’ve come here when I’m free, play cards and sing songs with my neighbors. I don’t have to worry about three meals a day. My son is at ease and I’m at ease!” An Yixing said with a smile. Wang Xiaoxing, general manager of Liaoning Huiming rehabilitation Elderly Care Service Co., Ltd., said that the home-based elderly care service center built with the help of the Internet of things and artificial intelligence technology can realize the care and care of the elderly with the help of big data; through the establishment and management of the elderly’s dynamic health electronic archives and cooperation with the local 120 emergency platform, the first aid can be moved forward. < p > < p > it is understood that Fushun City is a city with a relatively prominent population aging contradiction. The proportion of the elderly over 60 years old is about 28%. The local government is relying on the construction of home-based care centers through the government’s purchase of services and market-oriented operation, so that the elderly’s life can be “both inside and outside”. < / P > < p > “my mother used to think that she was a drag on her children, she didn’t talk much, and she never saw her smile. Since using the nursing bed, she has been able to solve a lot of problems by herself. She not only likes to talk, but also has a better physical condition, and I am much more relaxed. ” Wu Xiaoru, who lives in Lihua Er village, Tianning District, Changzhou City, Jiangsu Province, used to hold her 92 year old mother to get up, take a bath and go to the toilet every day. Especially at night, when she has a backache and is difficult to fall asleep, she has to take care of her mother at any time. < p > < p > last year, Wu Xiaoru went to Changzhou welfare home for registration and adaptation after seeing the promotion of rehabilitation equipment rental. In a few days, the staff will be a free hand care bed and bedsore mattress home. After changing the bed, the mother’s bedsore symptoms have been improved, Wu Xiaoru can also sleep a stable sleep. According to the relevant policies of Changzhou City, the elderly over 70 years old can enjoy the maximum subsidy of 600 yuan, and the poor disabled and the people with low income can be fully subsidized. The monthly rent of a nursing bed is 150 yuan. The elderly over 70 years old in the city can use it free of charge for 4 months. After that, they can continue to rent or purchase according to the use situation. Families who buy nursing beds can depreciate at any time and resell the products to rental sites. At present, the city has served 2640 elderly people and provided 6017 rehabilitation aids. At the same time, the rehabilitation assistive devices industry in Changzhou has also been developed. At present, there are 78 large-scale production enterprises in the city, producing about 4000 kinds of products. < / P > < p > “nearly 200 communities in Changzhou have been able to apply for rehabilitation aids at home.” Wang Li, director of Changzhou Civil Affairs Bureau, said, “rehabilitation aids have become an important carrier for the disabled and the elderly to improve their quality of life.” < / P > < p > “Auntie, can you do your own activities? Can you wear your own clothes and shoes? ” Zhao yequn, a 32 year old capacity assessor, came to Zhaoshan community, Shijingshan District, Beijing, to assess the comprehensive ability of the elderly of Gong Daozhen’s family. The assessment results will provide the basis for the elderly to apply for disability subsidies and subsidies for purchasing and renting rehabilitation equipment provided by the government. Zhao yequn has been a capacity assessor for the elderly since last year. In addition to conducting pre-trial assessment through the Internet and telephone, he also has to go to the home for assessment and communicate face-to-face with the disabled elderly and their families. “We need to assess the elderly from three aspects: perception and communication ability, self-care and activity ability, cognitive ability and mental state.” Zhao yequn holds a tablet computer and tests the body movements of the elderly. The whole evaluation takes about 20 minutes. < p > < p > the newly revised administrative measures for elderly care institutions issued by the Ministry of Civil Affairs stipulates that nursing institutions should establish admission evaluation system to assess the physical and mental status of the elderly, and determine the level of care and nursing according to the evaluation results. Recently, Zhao yequn evaluated Ji Yunxian, a 92 year old man in the Beili community of Shijingshan District. According to the notification of assessment results issued by him, the family members of the elderly applied to the civil affairs department for disability subsidies. Zhao yequn’s company has conducted capacity assessment for more than 600 elderly people since last year. He believes that as the ability assessment of the elderly becomes a “just need”, more and more young people will join the work. According to Li Banghua, deputy director of the Pension Service Department of the Ministry of civil affairs, it is predicted that during the “14th five year plan” period, the national elderly population will exceed 300 million, and China will move from mild aging to moderate aging. By the end of 2019, a total of 14.473 million elderly people have been included in the urban and rural minimum living allowances, and more than 35 million elderly people have enjoyed different types of elderly welfare subsidies. By the end of 2022, China will train and train 10000 directors of nursing homes and 100000 full-time and part-time elderly social workers.