&Can the elderly live in the beds of nursing homes without going out of their homes? On March 31, the Beijing Municipal Bureau of Civil Affairs held a press conference to release and interpret the “Beijing measures for the construction and management of home care beds for the elderly (Trial)” (hereinafter referred to as the “measures”), which clarified the definition, charging method, service content, etc. of this form of home care services. According to relevant arrangements, this year, Beijing will build 2000 home care beds for the elderly in six districts of the city. The elderly who meet the requirements can sign a contract with a nursing home nearby, purchase family care bed related services, and “move” the beds in the nursing home.
Home for the aged
“Beijing’s home-based elderly care service system is mainly composed of” three beds “. In addition to the temporary care beds in the community elderly service station and the centralized care beds in the elderly care institutions,” the third bed “is the family care beds for the elderly.” Li Hongbing, member of the Social Work Committee of the municipal Party committee and deputy director of the Municipal Civil Affairs Bureau, was introduced.
So, what is a home care bed? According to the definition given in the measures, it is a way of providing for the aged by relying on the nearby elderly service institutions, moving the service environment of the elderly service institutions to the elderly families, and sending professional care services to the bedside of the elderly through family aging adaptation transformation, information management, professional services, etc. “The main purpose of family care beds is to improve the professional care service level and quality of life of the elderly with severe disability and severe disability. At the same time, compared with living in a nursing home, “the third bed” has no cost pressure of bed fees, which reduces the economic burden of the elderly families to a certain extent. ” Li Hongbing told Beijing business daily.
Specifically, the above beds were selected as elderly people with severe disability or elderly with severe disability, who were registered residence in Beijing and assessed by the comprehensive ability of the elderly. The urban and rural poor support personnel could be extended to the disabled elderly. According to the application process, the service objects or their agents who are willing to establish family care beds for the elderly can apply to the elderly service institutions announced by the Civil Affairs Bureau of the district where they live. In principle, they should choose the nearest service institutions.
Beijing Business Daily also learned that for the elderly service institutions that participate in providing family care beds for the elderly, we can refer to the bed operation subsidy policy of the elderly institutions, and the municipal finance will give the elderly family care beds subsidy according to the standard of 500 yuan per bed per month.
Li Hongbing revealed that the services provided by the elderly care institutions for family care beds will adopt the market pricing model. In addition, the city also encourages institutions to provide diversified and differentiated services. In the next step, family care beds will explore the connection with the “sixth insurance” long-term care insurance system.
More “cost effective” door to door service
In fact, Beijing has been experimenting with the family care bed system since 2019. Up to now, Xicheng, Haidian and Chaoyang districts have built a total of 3200 elderly family care beds.
Qin Jinyue, director of Beijing lehaotang elderly care service promotion center, a third-party organization participating in the pilot work in Xicheng District, told Beijing Business Daily that from the demand side, for the elderly who have established family care beds, the demand is mainly concentrated in bath, walking, medical and other services; on the supply side, some nursing homes and elderly care centers with relatively sufficient personnel reserves They all intend to get through the home and institutional service resources through their own post stations, and there are many cases of carrying out services through these platforms.
“In the pilot process, Xicheng District has also created a new profession of” care manager. ” Qin Jinyue said. The person in charge of a number of home care bed service providers also further introduced that the care manager is mainly responsible for docking with the elderly and giving feedback on the actual needs of the elderly. But this position also has higher requirements for nursing qualification and pension service experience.
They can not only live in a familiar environment, but also enjoy professional services at the level of pension institutions. Family care beds are undoubtedly an attractive new way for the elderly who want to enjoy their old age at home.
Talking about the pricing standard that the elderly are most concerned about at present, Yue Di, who is one of the earliest people to participate in the pilot project, told Beijing Business Daily that in the process of the pilot project, family care beds themselves are not charged, basic care is also provided free of charge, and what the elderly actually need to pay is professional care fees. “The more concentrated needs of the elderly are family care, risk management and other services, which can be realized by these free matching nursing staff. And for some services with strong specialization, such as intubation, the elderly need to choose and pay according to their own actual situation. ” YueDi said.
A family care bed operator calculated the account for Beijing Business Daily reporter. The operator said that the charges of nursing homes are basically divided into bed fees, nursing fees, meals, water, electricity and heating fees. “Take Beijing as an example, the basic bed fees of nursing homes for the disabled elderly are generally thousands of yuan or even higher. According to the actual situation of the elderly, the standard of nursing service charge mainly focuses on 5000-7000 yuan / month. In contrast, there are no land, construction and installation costs for home care bed services provided by institutions. Moreover, compared with living in pension institutions, the elderly can enjoy one-to-one special services at home. The same nursing services and fees are actually lower than the market price of pension institutions. “
Who can make the elderly “pay and pay”
In fact, in recent years, many places, including Beijing, have made some explorations on family care beds. However, some experts pointed out that at present, there is still a mismatch between supply and demand of family care beds in various pilot areas, which is mainly reflected in the dissatisfaction of the elderly with the quality of door-to-door services provided by institutions, and the gap between supply and demand of services with concentrated demand. It can be seen that it is not easy for the elderly to be willing to “pay and pay” for family care beds.
Zheng Zhigang, director of the first mock exam center of the Department of sociology and sociology of the Peking University, looks at the fact that the elderly and their families do not know enough about the operation mode and the services provided by the family care beds, leading to a low acceptance of this model. “From the perspective of supply, elderly care stations, housekeeping and property management all provide door-to-door services for the elderly, and the mode of” ordering “for the elderly at different service providers has existed for a long time.”
Zheng Zhigang also said, “how to integrate the originally scattered services into the family care beds and provide one-stop pension services for the elderly is the key to win the favor of the elderly in family care beds.” The relevant person in charge of Xicheng District of Beijing also said that in order to maintain healthy operation in the initial stage of the pilot project, the price of some services will be guided to a certain extent, and on this basis, the market regulation will be gradually strengthened in the future to improve the market-oriented operation ability of suppliers.
As for where to add market-oriented products, YueDi said that it might try some more professional guidance services, such as nutrition and diet management for the elderly. However, she also pointed out that such products have high requirements on the knowledge level and skill level of service personnel, and require employees with multi-disciplinary foundation to provide services. Therefore, service providers need to step up their internal training.
In addition, some industry experts pointed out that in the future, the access and exit mechanism should be established for the construction of family nursing beds. Once the service providers complain too much or the service is not in place, the regulatory authorities will dismiss the suppliers who do not meet the needs of the elderly. Zheng Zhigang also pointed out that in terms of the linkage between long-term care insurance and family pension beds, beds may be used as carriers to integrate various convenience measures in the future. For example, eligible services will be included in the reimbursement of long-term care insurance to mobilize the enthusiasm of the elderly to “pay”.
Beijing Business Daily reporter Jiang Mengwei Yang Hui
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