In September 2020, the National Health Insurance Administration and the Ministry of Finance listed Nanning as one of the new pilot cities for the long-term care insurance (hereinafter referred to as "long-term care insurance") system. From March 1, 2021, the pilot long-term care insurance system in Nanning will be officially implemented, covering employees who participate in employee medical insurance (including maternity) in the city. Since the pilot, Nanning City has adhered to the fundamental principle of ensuring people's livelihood and serving the overall situation of development, implemented the best decision-making and deployment, adhered to the people's health as the center, explored the establishment of a long-term care insurance system with diversified financing, basic protection and practicality, and steadily promoted the pilot of the long-term care insurance system. As of the end of December 2023, Nanning Mayor Nursing Insurance has covered the city's employees who participate in employee medical insurance (including maternity), and a total of 20,414 applications for disability assessment have been accepted, of which a total of 13,957 severely disabled people have received nursing service protection, and the policy guarantees an annual per capita burden reduction of more than 20,000 yuan, ** to pay 70% of the basic personal care costs.
The demand for long-term care continues to grow at a high rate, and there is an urgent need for new services
The 20th National Congress of the Communist Party of China and the "14th Five-Year Plan" put forward clear requirements for coping with the aging of the population, accelerating the construction of a social pension service system, developing the pension service industry, and meeting the needs of the elderly in various aspects. According to the data released by the Seventh National Population Census, there are currently more than 1.32 million elderly people over 80 years old in Guangxi, and more than 1.2 million disabled and semi-disabled people. In the context of the deepening trend of population aging and aging, the demand for long-term care services is increasing, and the demand for long-term care insurance caregivers has increased significantly. However, at present, due to multiple factors such as low income, high work pressure, and low sense of social identity, it is difficult to recruit and retain caregivers. According to the "Special Research Report on the Status and Needs of Elderly Service and Management Talents" released by the Civil Affairs Vocational Education Committee, in terms of the structure of nursing practitioners, mainly women, and the age structure is older, with practitioners over 40 years old accounting for 391%, 18 to 29-year-old practitioners accounted for only 87%；Nursing staff have a low level of education, and only 6 have a college degree or above8%, and the proportion of people with high school education and below accounts for 913%。
In addition, the audience of long-term care insurance is mainly the severely disabled elderly, with the improvement of social and economic level, the scope of nursing services has also expanded from the original care of the elderly to daily life, psychological counseling, response to emergencies, etc., the scope of services has expanded, the difficulty of service has increased, which has also simultaneously improved the ability requirements for caregivers.
Pilot pilot to explore new paths, in-depth research and creation of new projects
The medical insurance department of Nanning City has conducted diligent research, analyzed more, sought good strategies, deeply excavated new service angles, actively united with multi-departmental forces, independently explored the quality improvement path of "Nanning long-term care", and walked the long-term care insurance pilot out of "Nanning characteristics". In order to standardize the management, training and assessment of nursing staff of Nanning Mayor Nursing Insurance, ensure the quality of nursing services, improve the level of nursing theoretical knowledge of nursing staff, improve the mastery of operational skills, etc., further optimize the supply of nursing service resources, and ensure that nursing staff provide safe, high-quality and reasonable long-term care insurance nursing services for severely disabled insured persons, the Nanning Municipal Medical Insurance Department has taken the lead and has repeatedly cooperated with the Nanning Municipal Human Resources and Social Security Department, Guangxi Health Vocational and Technical College, Nanning First People's Hospital, Ruikang Hospital affiliated to Guangxi University of Traditional Chinese Medicine and other departments conducted in-depth discussions, closely combined with the actual situation of Nanning City, and vigorously promoted the implementation of the special certificate project for nursing services. After many special discussions, it was finally decided that the above-mentioned departments would jointly set up a resource development team for the special question bank of long-term care insurance, and steadily take the first step in the establishment of the special certificate for nursing services.
The establishment of the development team marks that the promotion of the Nanning nursing service special certificate project is on the right track, and the Nanning medical insurance department gathers the strength of multiple departments to coordinate and promote the project, and strives to overcome the difficulties and blockages in the personnel training system, nursing service application, skill certificate review and other aspects. At the same time, with the "Notice of Nanning Medical Security Bureau on Printing and Distributing the List of Nursing Service Items and Service Content of Nanning Long-term Care Insurance (Trial)" (Nanyi Bao Fa 2021 No. 7) as the supporting document, through consulting relevant experts in the field of long-term home care services, independently design the questionnaire of long-term care insurance designated nursing service institutions, do a good job of prior communication and solid research work, and summarize the survey results to form preliminary research results, so as to provide a realistic basis for the follow-up improvement of the project content.
After more than a year, through a series of special seminars, data analysis over and over again, and modification and improvement, the development team clarified the goal of building the question bank, conducted in-depth research on relevant industries, and completed the construction of the question bank for the development of special skill standards for long-term care insurance. In October 2022, the "Special Certificate for Long-term Care Insurance" was officially released, marking that the project officially entered the public's field of vision, laying a solid foundation for effectively improving the job skills of caregivers, and moving nursing services to a new stage.
The special certificate improves the quality and makes practical moves, and gives full play to the "double guarantee" of industrial services
The development of the "long-term care insurance" nursing service special certificate adheres to the principle of people-oriented, basic protection and adaptation to development, takes the severely disabled insured persons of Nanning Mayor Nursing Insurance as the protection object, adheres to the professional, standardized and refined training and appraisal methods, and guides the improvement of the service level and ability of nursing staff life care services, chronic disease care, risk prevention, special nursing skills, etc., which is of great significance to meet the needs of the severely disabled insured in life and medical care services. Effectively promote the healthy development of the nursing service industry for the disabled in Nanning. As of the end of December 2023, 7 vocational training institutions in Nanning have opened the "Long-term Care Insurance Special Certificate" training program, and hundreds of people have obtained the "Long-term Care Insurance Special Certificate" through the training examination to become long-term care insurance caregivers and engage in long-term care insurance nursing services.
The implementation of this project is an effective way to implement long-term care service norms and local standards; It is an important starting point for "upgrading and updating" and cultivating compound caregivers with "excellent skills, good service and strong psychology"; It is a powerful measure to achieve a balance between supply and demand of nursing, continuously improve the supply capacity of socialized nursing services, and lay a good foundation for the promotion and replication of the pilot "Nanning Plan" of the long-term care insurance system.
Original title: Yong has long-term care, professional guardianship - "long-term care insurance" nursing service special certificate helps Nanning long-term care new path.
Author |Huang Xiaobin, Liang Chunyue, Nanning Medical Security Management Center
* |China Medical Insurance.
Edit |Yang Zixuan bought Xiaofei.
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