Find a standard fulcrum to leverage the upgrade of health services for the elderly

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The National Health and Health Commission, the National Aging Office, and the National Administration of Traditional Chinese Medicine jointly issued the “Notice on Comprehensively Strengthening Elderly Health Services” to improve the level of aging the medical and health service system, establish and improve the elderly health service system, and continue to expand high -quality elderly peopleThe coverage of health services provides precise health services to the elderly with different internal abilities.The elderly friendly medical institution is undoubtedly an important service carrier for the above vision.At present, although the construction of the elderly friendly medical institutions is accelerating, the service quality and service capabilities are still different from the hope of the masses.

The construction of the elderly medical department is one of the important indicators to measure the construction of the elderly friendly medical institutions.At present, many hospitals are still running in the specialist management model, and acute medical treatment and long -term care have not strictly distinguished, and it is difficult to use the discipline advantages of multi -disease and common management of the elderly.Enhance the sense of existence of elderly medical disciplines, and respond to practical problems such as coexistence, multi -medicine, use, and physical weakness of elderly patients. It is necessary to formulate standardized standardization of senile medical department as soon as possible to promote the standardized construction of the elderly.

The comprehensive assessment of the elderly, as a core technology of modern elderly medicine, is an important means to managed people -oriented all -person managed by disease.The “Notice on the Work of the Construction of the Work of the Elderly and Friendly Medical Institutions” is clear that comprehensive hospitals above the second level or above should carry out comprehensive evaluation services for elderly people in the elderly or internal medicine clinics.And a survey of a comprehensive assessment of the elderly hospitals across the country involving 191 hospitals across the country shows that from November 23, 2020 to March 18, 2021, there are only 104 departments (54.5% of 54.5% of the comprehensive evaluation of the elderly (54.5%); In the reasons for the comprehensive assessment of the elderly, no professional evaluation personnel (73.6%) are one of the main reasons.This suggests that it is necessary to rely on the elderly medical education system to carry out the standardized training of comprehensive evaluation of the elderly, help medical staff to deeply understand the connotation of the service of the elderly, and master the comprehensive assessment tools for the elderly.

Most medical colleges have not included elderly medicine -related courses into undergraduate elective or compulsory courses.In addition, in the rotation of standardized training in resident physicians, the elderly medical department is only for the selection department, which has led to the lack of medical knowledge of medical students. After joining the job, it is not possible to accurately grasp the special needs of elderly patients and provide targeted diagnosis and treatment services.In the context of aging aging, it is necessary to strengthen the reserves of elderly medical talents, and provide continuing education opportunities for clinical medical workers to make up for basic elderly schools and elderly medicine and peaceful medical courses.At present, the Department of Old Health and Health of the National Health and Health Commission has promoted the incorporation of “Elderly Studies” into the tenth round of planning textbooks for the five -year undergraduate clinical medical major in colleges and universities in the country, which will become an important step in integrating the concept of elderly medicine and technology into clinical medical education.

Of course, the construction of elderly friendly medical institutions is not the pursuit of “a good family”, but to achieve the goal of improving the health service system for the elderly through the effective linkage between different levels of medical institutions.To this end, it is necessary to unblock the referral mechanism to enhance the continuity of elderly friendly services; it also requires higher -level hospitals to provide technical support for grassroots medical and health institutions to help them connect with their home medical care needs for elderly patients.

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Original title: “Looking for the fulcrum for the upgrade of health services for the elderly”