环球体育

索引号: CD033-20200106-711464 公开方式: 主动公开 所属主题: 政策法规
文 号: 公开范围: 面向社会 发文日期: 2020-10-23

关于深入推进医养结合发展的若干意见

来源:环球体育 发布时间: 2020-10-23 08:55:46 【字体:

关于深入推进医养结合发展的若干意见
国卫老龄发〔2019〕60号

gesheng、zizhiqu、zhixiashirenminzhengfu,guowuyuangebuwei、gezhishujigou:

环球体育dangzhongyang、guowuyuangaoduzhongshiyiyangjiehegongzuo,dangdeshibadayilaizuochuyixiliezhongdajuecebushu,yiyangjiehedezhengcetixibuduanwanshan、fuwunenglibuduantisheng,renminqunzhonghuodeganbuduanzengqiang。danshi,dangqianrengcunzaiyiliaoweishengyuyanglaofuwuxujinyibuxianjie、yiyangjiehefuwuzhiliangyoudaitigao、xiangguanzhichizhengcecuoshixujinyibuwanshandengwenti。weiguancheluoshidangzhongyang、guowuyuanjuecebushu,shenrutuijinyiyangjiehefazhan,gulishehuililiangjijicanyu,jinyibuwanshanjujiaweijichu、shequweiyituo、jigouweibuchong、yiyangxiangjiehedeyanglaofuwutixi,genghaomanzulaonianrenjiankangyanglaofuwuxuqiu,jingguowuyuantongyi,xiantichuruxiayijian:

一、强化医疗卫生与养老服务衔接

环球体育(yi)shenhuayiyangqianyuehezuo。zhidingyiyangqianyuefuwuguifan,jinyibuguifanyiliaoweishengjigouheyanglaojigouhezuo。anzhaofangbianjiujin、huhuihulideyuanze,guliyanglaojigouyuzhoubiandeyiliaoweishengjigoukaizhanduozhongxingshideqianyuehezuo,shuangfangqiandinghezuoxieyi,mingquehezuoneirong、fangshi、feiyongjishuangfangzeren,qianyueyiliaoweishengjigouyaozaifuwuziyuan、hezuojizhidengfangmianjijiyuyizhichi。gediyaoweiyiyangqianyuehezuochuangzaolianghaozhengcehuanjing,jiadazhichilidu。yanglaojigouyeketongguofuwuwaibao、weituojingyingdengfangshi,youyiliaoweishengjigouweiruzhulaonianrentigongyiliaoweishengfuwu。guliyanglaojigouyuzhoubiandekangfuyiyuan(kangfuyiliaozhongxin)、huliyuan(hulizhongxin)、anningliaohuzhongxindengjiexuxingyiliaojigoujinmiduijie,jianlixiezuojizhi。yanglaojigouzhongjubeitiaojiandeyiliaojigoukeyuqianyueyiliaoweishengjigoujianlishuangxiangzhuanzhenjizhi,yangeanzhaoyiliaoweishengjigouchuruyuanbiaozhunheshuangxiangzhuanzhenzhizheng,weilaonianrentigonglianxu、quanliuchengdeyiliaoweishengfuwu。(guojiaweishengjiankangwei、minzhengbu、guojiazhongyiyaojuanzhizefengongfuze,difanggejirenminzhengfufuze)

(er)heliguihuashezhiyouguanjigou。shishishequyiyangjiehenenglitishenggongcheng,shequweishengfuwujigou、xiangzhenweishengyuanhuoshequyanglaojigou、jinglaoyuanliyongxianyouziyuan,neibugaikuojianyipishequ(xiangzhen)yiyangjiehefuwusheshi,zhongdianweishequ(xiangzhen)shineng(hanshizhi,xiatong)laonianrentigongjizhonghuojujiayiyangjiehefuwu。chengquxinjianshequweishengfuwujigoukeneibujiansheshequyiyangjiehefuwusheshi。youtiaojiandejicengyiliaoweishengjigoukeshezhikangfu、huli、anningliaohubingchuangheyanglaochuangwei,yindizhiyikaizhanjiatingbingchuangfuwu。fahuizhongyiyaozaizhiweibing、manxingbingguanli、jibingzhiliaohekangfuzhongdedutezuoyong,tuiguangzhongyiyaoshiyijishuchanpinhefuwu,zengqiangshequzhongyiyaoyiyangjiehefuwunengli。

youtiaojiandedifangketansuoyiliaoweishengheyanglaofuwuziyuanzhenghe、fuwuxianjie,wanshanyingjiansheshi,chongshirenyuanduiwu,zhongdianweishinengdetekunlaonianrentigongyiyangjiehefuwu。nongcundiquketansuoxiangzhenweishengyuanyujinglaoyuan、cunweishengshiyunongcunxingfuyuantongchouguihua,pilinjianshe。(guojiaweishengjiankangwei、minzhengbu、guojiafazhangaigewei、caizhengbu、ziranziyuanbu、zhufanghechengxiangjianshebu、nongyenongcunbu、guojiazhongyiyaojuanzhizefengongfuze,difanggejirenminzhengfufuze)

环球体育(san)jiaqiangyiyangjiehexinxihuazhicheng。chongfenliyongxianyoujiankang、yanglaodengxinxipingtai,dazaofugaijiating、shequhejigoudezhihuijiankangyanglaofuwuwangluo,tuidonglaonianrendejiankangheyanglaoxinxigongxiang、shendukaifaheheliliyong。shishizhihuijiankangyanglaochanyefazhanxingdongjihua,zhichiyanfayiliaofuzhu、jiatingzhaohu、anfangjiankong、canzhangfuzhu、qingganpeihudengzhinengfuwujiqiren,dalifazhanjiankangguanli、jiankangjiancejiance、jiankangfuwu、zhinengkangfufujudengzhihuijiankangyanglaochanpinhefuwu。tuijinmianxiangyiyangjiehejigou(zhitongshijubeiyiliaoweishengzizhiheyanglaofuwunenglideyiliaoweishengjigouhuoyanglaojigou)deyuanchengyiliaojianshe。

wanshanjumindianzijiankangdanganbingjiaqiangguanli,zailaonianrenmianfeijiankangtijianjieshuhou1geyueneigaozhiqitijianjieguojijiankangzhidaojianyi,yiliniantijianjieguoweijichu,weilaonianrenjianlilianxuxingdianzijiankangdanganbingtigongzhenduixingdejiankangguanlifuwu(hanzhongyiyaojiankangguanlifuwu)。(guojiaweishengjiankangwei、gongyehexinxihuabu、minzhengbu、guojiazhongyiyaojuanzhizefengongfuze,difanggejirenminzhengfufuze)

二、推进医养结合机构“放管服”改革

环球体育(si)jianhuayiyangjiehejigoushenpidengji。gediyaorenzhenguancheluoshiguojiaweishengjiankangweidengbumen《guanyuzuohaoyiyangjiehejigoushenpidengjigongzuodetongzhi》(guoweibanlaolingfa〔2019〕17hao)yaoqiu,youhuayiyangjiehejigoushenpiliuchenghehuanjing。yanglaojigoujubanerjijiyixiayiliaojigoude(buhanjijiuzhongxin、jijiuzhan、linchuangjianyanzhongxin、zhongwaihezihezuoyiliaojigou、gangaotaiduziyiliaojigou),shezhishenpiyuzhiyedengji“liangzhengheyi”。yiliaoweishengjigouliyongxianyouziyuantigongyanglaofuwude,shejijianshe、xiaofang、shipinanquan、weishengfangyidengyouguantiaojian,keyijuyiliaoweishengjigouyijubeideshangshuxiangyingzizhizhijiejinxingdengjibeian,jianhuashouxu。(guojiaweishengjiankangwei、minzhengbu、guojiafazhangaigewei、zhufanghechengxiangjianshebu、shichangjianguanzongju、guojiazhongyiyaojuanzhizefengongfuze,difanggejirenminzhengfufuze)

(wu)gulishehuililiangjubanyiyangjiehejigou。zhengfuduishehuibanyiyangjiehejigouquyuzongliangbuzuoguihuaxianzhi。anzhao“feijinjiru”yuanze,budeshezhibingquanmianqingliquxiaomeiyoufalvfaguiyijuhebuhelideqianzhishenpishixiang,meiyoufalvfaguiyijubudexianzhishehuibanyiyangjiehejigoudejingyingxingzhi。shejitongcengjixiangguanxingzhengbumende,dangdizhengwufuwujigouyingdangshixing“yigechuangkou”banli,bingyicixinggaozhishenpishixiangjiliucheng、shoulitiaojian、cailiaoqingdan、banlishixiandengneirong。zhichishehuililiangtongguoshichanghuayunzuofangshijubanyiyangjiehejigou,binganguidingxiangshoushuifei、tourongzi、yongdidengyouguanyouhuizhengce。gedikecaiqugongjianminying、minbangongzhudengfangshizhichishehuililiangweilaonianrentigongduocengci、duoyanghuayiyangjiehefuwu,gulidifangjieheshijizhidingduozhongyouhuizhichizhengce。zhichishehuibandaxingyiyangjiehejigouzoujituanhua、liansuohuafazhandaolu。gulibaoxiangongsi、xintuotouzigongsidengjinrongjigouzuoweitouzizhutijubanyiyangjiehejigou。(guojiaweishengjiankangwei、guojiafazhangaigewei、minzhengbu、caizhengbu、ziranziyuanbu、zhufanghechengxiangjianshebu、renminyinxing、shuiwuzongju、shichangjianguanzongju、yinbaojianhui、zhengjianhui、guojiazhongyiyaojuanzhizefengongfuze,difanggejirenminzhengfufuze)

环球体育(liu)jiaqiangyiyangjiehefuwujianguan。yiyangjiehefuwudejianguanyouweishengjiankangxingzhengbumen(hanzhongyiyaozhuguanbumen,xiatong)qiantoufuze、minzhengbumenpeihe。yiyangjiehejigouzhongdeyiliaoweishengjigouheyanglaojigoufenbieyouweishengjiankangxingzhengbumenheminzhengbumenfuzejinxingxingyejianguan。guojiaweishengjiankangweihuitongminzhengbudengbumenzhidingjianguanhekaohebanfa,jiadaduiyiyangjiehefuwuzhiliangkaohejianchalidu,bayiliaochuangweihejiatingbingchuangzengjiadengqingkuangnarukaohe。yanjiuzhidingyiyangjiehejigoufuwuzhinanheguanlizhinan。geyiyangjiehejigouyaoyangezhixingyiliaoweishengjiyanglaofuwuxiangguanfalv、fagui、guizhanghebiaozhun、guifan,jianlijianquanxiangguanguizhangzhiduherenyuangangweizerenzhidu,yangeluoshixiaofanganquanzerenhegexianganquanzhidu。(guojiaweishengjiankangwei、minzhengbu、yingjibu、guojiazhongyiyaojuanzhizefengongfuze,difanggejirenminzhengfufuze)

三、加大政府支持力度

(qi)jianqingshuifeifudan。luoshigexiangshuifeiyouhuizhengce,jingrendingweifeiyinglizuzhideshehuibanyiyangjiehejigou,duiqifuhetiaojiandefeiyinglixingshourumianzhengqiyesuodeshui,duiqiziyongdefangchan、tudi,anguidingxiangshoufangchanshui、chengzhentudishiyongshuiyouhuizhengce。fuhetiaojiandeyiyangjiehejigouxiangshouxiaoweiqiyedengcaishuiyouhuizhengce。duizaishequtigongrijianzhaoliao、kangfuhulidengfuwudejigou,fuhetiaojiandeanguidingjiyushuifeijianmian、zijinzhichi、shuidianqirejiageyouhuidengfuchi。duiyiyangjiehejigouanguidingshixingxingzhengshiyexingshoufeiyouhuizhengce。(caizhengbu、shuiwuzongju、guojiafazhangaigewei、shichangjianguanzongjuanzhizefengongfuze,difanggejirenminzhengfufuze)

(ba)qianghuatouruzhichi。gediyaojiadazhengfugoumaifuwulidu,zhichifuhetiaojiandeshehuibanyiyangjiehejigouchengjiedangdigonggongweisheng、jibenyiliaohejibenyanglaodengfuwu。yongyushehuifulishiyedecaipiaogongyijinyaoshidangzhichikaizhanyiyangjiehefuwu。(caizhengbu、guojiafazhangaigewei、guojiaweishengjiankangwei、minzhengbuanzhizefengongfuze,difanggejirenminzhengfufuze)

环球体育(jiu)jiaqiangtudigongyingbaozhang。gedizaibianzhiguotukongjianguihuashi,yaotongchoukaolvyiyangjiehefazhan,zuohaoyongdiguihuabuju,qieshibaozhangyiyangjiehejigoujianshefazhanyongdi。feiyinglixingyiyangjiehejigoukeyifashiyongguoyouhuabotudi,yinglixingyiyangjiehejigouyingdangyiyouchangfangshiyongdi。gulidifangwanshanshequzonghefuwusheshiyunweizhangxiaojizhi,duishiyongzonghefuwusheshikaizhanyiyangjiehefuwude,yuyiwuchanghuodichangshiyong。gulifuheguihuayongtudenongcunjitijiansheyongdiyifayongyuyiyangjiehejigoujianshe。

zaibugaibianguihuatiaojiandeqiantixia,yunxupanhuoliyongchengzhenxianyoukongxianshangyeyongfang、changfang、xiaoshe、bangongyongfang、peixunsheshijiqitasheshitigongyiyangjiehefuwu,bingshiyongguoduqizhengce,wunianneijixuanyuanyongtuhequanlileixingshiyongtudi;wunianqimanjishejizhuanrangxubanlixiangguanyongdishouxude,keanxinyongtu、xinquanlileixing、shichangjia,yixieyifangshibanliyongdishouxu。youfeiyinglixingjigoushiyongde,yuanhuabotudikejixuhuaboshiyong。 (ziranziyuanbu、zhufanghechengxiangjianshebu、caizhengbu、nongyenongcunbu、guojiaweishengjiankangwei、minzhengbuanzhizefengongfuze,difanggejirenminzhengfufuze)

环球体育(shi)tuokuantourongziqudao。gulishehuibanyiyangjiehejigouzhongdeyanglaojigouyiguquanrongzi、xiangmurongzidengfangshichoujikaibanzijinhefazhanzijin。gulijinrongjigougenjuyiyangjiehetedian,chuangxinjinrongchanpinhejinrongfuwu,tuozhanduoyuanhuatourongziqudao,fahui“tou、dai、zhai、zu、zheng”xietongzuoyong,jiadajinrongduiyiyangjiehelingyudezhichilidu。gulidifangtansuowanshandiyadaikuanzhengce,tuokuanxindaidanbaowufanwei。(renminyinxing、yinbaojianhui、zhengjianhui、guojiafazhangaigewei、ziranziyuanbu、guojiaweishengjiankangwei、minzhengbuanzhizefengongfuze,difanggejirenminzhengfufuze)

四、优化保障政策

环球体育(shiyi)wanshangongliyiliaojigoukaizhanyanglaofuwudejiagezhengce。shoufeibiaozhunyuanzeshangyingdangyishijifuwuchengbenweijichu,zongheshichanggongqiuzhuangkuang、qunzhongchengshounenglidengyinsuheding。chongfenfahuijiagedeganggandiaojiezuoyong,tigaogongliyiliaojigoukaizhanyanglaofuwudejijixing,jubeizhaobiaotiaojiande,gulitongguozhaobiaofangshiquedingshoufeibiaozhun。(guojiafazhangaigewei、shichangjianguanzongjuanzhizefengongfuze,difanggejirenminzhengfufuze)

环球体育(shier)zhichikaizhanshangmenfuwu。yanjiuchutaishangmenyiliaoweishengfuwudeneirong、biaozhun、guifan,wanshanshangmenyiliaofuwushoufeizhengce。jianlijianquanbaozhangjizhi,shidangtigaoshangmenfuwurenyuandedaiyushuiping。tigongshangmenfuwudejigouyaotoubaozerenxian、yiliaoyiwaixian、renshenyiwaixiandeng,fangfanyingduizhiyefengxianherenshenanquanfengxian。jianlilaonianmanxingbingyongyaozhangqichufangzhidu。jiatingyishengqianyuefuwutuanduiyaoweiqianyuelaonianrentigongjibenyiliao、gonggongweishengdengjichuxingqianyuefuwujigexinghuafuwu。(guojiaweishengjiankangwei、caizhengbu、guojiayibaoju、renliziyuanshehuibaozhangbu、guojiazhongyiyaojuanzhizefengongfuze,difanggejirenminzhengfufuze)

(shisan)jiadabaoxianzhichihejianguanlidu。jiangfuhetiaojiandeyiyangjiehejigouzhongdeyiliaojigouanguidingnaruchengxiangjuminjibenyiliaobaoxiandingdianfanwei,zhengshiyunying3geyuehoujiketichudingdianshenqing,dingdianpingguwanchengshixianbudechaoguo3geyueshijian。duifuheguidingdezhuanzhenzhuyuanhuanzhekeyilianxujisuanyibaoqifuxian,jijituijinanbingzhong、anjibingzhenduanxiangguanfenzu(drg)、anchuangridengduoyuanfuhedeyibaozhifufangshi。guliyoutiaojiandedifanganguidingzhubuzengjianarujibenyiliaobaoxianzhifufanweideyiliaokangfuxiangmu。

环球体育liqingyiliaoweishengfuwuheyanglaofuwudezhifubianjie,jibenyiliaobaoxianjijinzhinengyongyuzhifufuhejibenyiliaobaozhangfanweidejibingzhenzhi、yiliaohuli、yiliaokangfudengyiliaoweishengfuwufeiyong,budeyongyuzhifushenghuozhaohudengyanglaofuwufeiyong。shixingzhangqihulibaoxianzhidudediqu,shinenglaonianrenzhangqihulifeiyongyouzhangqihulibaoxiananguidingzhifu。jiakuaituijinzhangqihulibaoxianshidian。

环球体育zhichishangyebaoxianjigoudalifazhanyiyanglaobaoxian,zhenduilaonianrenfengxiantezhenghexuqiutedian,kaifazhuanshuchanpin,zengjialaonianrenkexuanzedeshangyebaoxianpinzhongbinganguidingbaopibaobei,zhongdianfazhanlaonianrenjibingbaoxian、yiliaobaoxianheyiwaishanghaibaoxian。gulishenrushequweilaonianrengoumaishangyebaoxiantigongquanliuchengfuwu。yanjiuyinrushouxianpeifuzerenyuhulizhifuzerendezhuanhuanjizhi,zhichibeibaoxianrenzaishengqianshinengshitiqianhuodebaoxianjinjifu,yongyuhulifeiyongzhichu。jiakuaifazhanbaokuoshangyezhangqihulibaoxianzaineideduozhonglaonianhulibaoxianchanpin,manzulaonianrenhulibaozhangxuqiu。(guojiayibaoju、fazhangaigewei、yinbaojianhuianzhizefengongfuze,difanggejirenminzhengfufuze)

五、加强队伍建设

(shisi)kuodayiyangjiehefuwuduiwu。jiangyiyangjieherencaiduiwujianshefenbienaruweishengjiankangheyanglaofuwufazhanguihua。guliyindaoputonggaoxiao、zhiyeyuanxiao(hanjigongyuanxiao)zengshexiangguanzhuanyehekecheng,jiaqianglaonianyixue、kangfu、huli、jiankangguanli、shegong、laonianfuwuyuguanlidengzhuanyerencaipeiyang,kuodaxiangguanzhuanyezhaoshengguimo。tongchouxianyouziyuan,sheliyipiyiyangjiehepeixunjidi,tansuoputonggaoxiao、zhiyeyuanxiao、keyanjigou、xingyexuehuixiehuiyuyiyangjiehejigouxietongpeiyangpeixunmoshi。gediyaozhidingpeixunjihua,fenjifenleiduixiangguanzhuanyejishurenyuanjifuwurenyuanjinxingzhuanyejinengpeixunheanquanchangshipeixun,yiyangjiehejigouyaoyouxianzhaopinpeixunhegedeyiliaohuliyuanheyanglaohuliyuan。

环球体育chongfenfahuishehuigongyizuzhizuoyong,jiadaduizhulaozhiyuanfuwuxiangmuhezuzhidepeiyuhezhichilidu,gulizhiyuanfuwuzuzhiyuyiyangjiehejigoujieduikaizhanfuwu,tongguokaizhanzhiyuanfuwujiyulaonianrengengduoguanaizhaogu。guliyiliaojigou、yanglaojigoujiqitazhuanyejigouweilaonianrenjiatingchengyuanjijiazhengfuwudengcongyerenyuantigongzhaohuheyingjijiuhupeixun。(jiaoyubu、renliziyuanshehuibaozhangbu、guojiafazhangaigewei、guojiaweishengjiankangwei、minzhengbu、gongqingtuanzhongyang、quanguofulian、zhongguohongshizihuianzhizefengongfuze,difanggejirenminzhengfufuze)

环球体育(shiwu)zhichiyiwurenyuancongshiyiyangjiehefuwu。shishiyishizhiyedidianquyuzhucezhidu,zhichiyiwurenyuandaoyiyangjiehejigouzhiye。jianliyiyangjiehejigouyiwurenyuanjinxiulunxunjizhi,tigaoqifuwunengliheshuiping。gulituixiuyiwurenyuandaoyiyangjiehejigouzhiye。gediyaochutaizhichizhengce,yindaozhiyeyuanxiaohulijixiangguanzhuanyebiyeshengdaoyiyangjiehejigouzhiye。yiyangjiehejigouzhongdeyiwurenyuanxiangyouyuqitayiliaoweishengjigoutongdengdezhichengpingding、zhuanyejishurenyuanjixujiaoyudengdaiyu,yiyangjiehejigoumeiyoutiaojianweiyiwurenyuantigongjixujiaoyupeixunde,gediweishengjiankangxingzhengbumenketongchouanpaiyoutiaojiandedanweijizhongzuzhipeixun。(guojiaweishengjiankangwei、renliziyuanshehuibaozhangbu、jiaoyubuanzhizefengongfuze,difanggejirenminzhengfufuze)

gedi、geyouguanbumenyaogaoduzhongshi,jiaqianggoutongxiediao,xingchenggongzuoheli。gejiweishengjiankangxingzhengbumenyaohuitongminzhengdengbumenjiaqiangjiandujianchahekaohepinggu。zaichuangjianyiyangjieheshifanshengdejichushang,jixukaizhanyiyangjieheshidianshifanxian(shi、qu)hejigouchuangjian,duiluoshizhengcejijizhudong、chengjituchudediquhejigou,zaianpaicaizhengbuzhufangmianjiyuqingxiezhichi,fahuiqishifandaidongzuoyong,tuidongquanguoyiyangjiehegongzuoshenrujiankangfazhan。

国家卫生健康委 民政部
国家发展改革委 教育部
财政部 人力资源社会保障部
自然资源部 住房和城乡建设部
市场监管总局 国家医保局
国家中医药局 全国老龄办
2019年10月23日



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