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大城市养老 多主体发力

时间:2019-10-28 09:05:13 来源:iiijk.com

  老龄化程度高、养老需求多样,大城市养老难题如何解?广州市针对不同层次、不同状态老年人的养老需求提供服务,鼓励市场力量做好专业的事,将政府力量聚焦监管与兜底保障,多主体共同发力,完善了大城市养老模式,老年人的获得感幸福感安全感正不断得到提升。

  “当你老了,头发白了……”抒情的旋律令人沉醉,更引人共鸣的,是歌词里描述的场景。

  随着我国快速进入老年社会,城市如何养老,成了民生大事。作为特大城市,广州更是其中一个典型。据统计,截至2018年底,全市老年人169.3万,占户籍人口的18.25%。

  如何破解难题,满足全社会多样化的养老需求?如何发挥市场的调节配置作用?近年来,广州一直在探索。

  需求

  不同老人需要不同服务

  俗话说,“家有一老,如有一宝”,但也有“一人失能,全家失衡”的说法,老年人的状态与家庭的生活质量息息相关。对于老年人来说,大抵可分为能自理、部分失能、失能三类,处于不同状态的老年人,需求也不尽相同。助餐配餐、医养结合、生活照料,是其中最迫切的需求。

  午饭时间,广州荔湾区东漖街居家养老服务中心的长者饭堂,很是热闹,“嘀”地刷下卡,就能现场点餐,还可以提前通过手机下单,两荤一素一汤,米饭不限量。

  92岁的叶五妹就经常推着66岁腿脚不便的儿子来吃,已经一年多了,“很方便,有时候来不了,义工就会送到家里!

  除了吃午饭,叶奶奶也会和儿子参加一些服务中心的活动,打太极、听养生讲座、与老年人交流,遇到身体不舒服,还可以在中心的护理站看医生,甚至能够请护理人员上门提供生活照料、个人护理等个性化服务。

  遇到家里实在没法照顾的情况,怎么办?

  几个月前,78岁的杨姨突然中风,出院后生活无法自理,85岁的梁叔一个人实在照顾不来;购醚戏窕乖叫阋乙迷翱搅松缜,离家近,家人能随时探访,且有专业的护理人员照料,老人的状态一天天好了起来。

  “这种嵌入式养老服务机构能有效缓解大城市中心城区养老床位‘一床难求’的问题!被垢涸鹑撕魏樘谓樯艿,“我们会先对老人的实际情况进行评估,再提供最合适的服务!

  如果老人还能自理,但害怕有意外发生,工作人员就会推荐安装家庭养老床位,对住家做适老化改造、安装智能设备,记录老人的生命体征和活动轨迹,一旦有异常,系统会自动报警。

  长期或临时托养、助餐配餐、上门照料、家庭养老床位……多样的养老需求,催生多样的养老服务,也能够提升老年人的生活质量。

  目前,广州共有11个区级、153个街镇级居家养老综合服务平台,全市社区养老服务设施覆盖率100%,超过18.4万名老年人享受社区居家养老服务,占老年人总数的10.87%。

  市场

  鼓励社会力量进入

  7年前的海珠区沙园路1号,还只是个旧厂房,地处市中心。其时,正值广州市积极探索养老问题解决办法,鼓励市场力量进入该领域。

  养老机构设立许可取消、审批手续精简,在用地、床位等方面,还有优惠、补贴……这让劳伟敏看到了机会。

  “老城区,地理位置好,老年人又多,周边也没有类似机构,办养老院大有可为!崩臀懊艟秃统Х克艄竞献鹘ㄉ,开办了松鹤养老院。绿树成荫,环境宽敞,花园式的养老院,有近900张床位。

  一开始,松鹤的定位是高端养老院,收费不菲,开业近一个月,咨询的人不少,但入住的人却实在不多。在经过充分调研后,松鹤调整了策略,定位面向中端人群,价格也比刚开始下降了30%,入住的老人渐渐多了起来。

  养老事业不是短期的事,对此,劳伟敏一直很清醒,“养老院的入住,前期靠宣传、价格吸引,而后期,靠的就是口碑了!

  抓环境、抓设施、抓服务,现在我们这里的入住率达到95%以上,还被广东省民政厅评为“五星级养老机构”?衫臀懊艋故歉械健把沽ι酱蟆。

  “这几年,政府大力鼓励社会力量进入养老产业,门槛低了,但竞争更大,就是要优胜劣汰,发挥市场在养老服务资源配置中的决定性作用!惫阒菔忻裾指涸鹜舅。

  眼下,广州市73%的养老床位、85.5%的居家养老服务综合体、91%的长者饭堂,均由社会力量提供,民办养老床位占全市总床位七成,社会力量已成为广州提供养老服务的主体。

  “从养老机构的开办,到养老床位的完善,再到长者饭堂食材的供应……社会力量的进入,意味着政府力量能够有效解放出来,更多地放在兜底保障与引导监管方面!惫阒菔忻裾指涸鹜颈硎,“专业的事,还是要交给专业的人去做!

  公平

  政府能兜底,群众心有底

  在被送到广州市老人院之前,陈文均是“三无”(无劳动能力,无收入来源,无法定赡养人)人员。提到去敬老院,他转身就走,谁的面子也不给。2016年9月,一场疾病袭来,陈文均倒下了,治疗后就被送到了老人院。

  “以前,别人跟我说,千万不要去老人院,没想到,来了之后舍不得走,工作人员态度好,院长还给我拿了新衣服来……多亏了政府照顾,我才能在这安心养老!背挛木。

  “像陈文均这样的老人,属于特殊保障对象,由政府兜底保障。我们公办养老院必须承担起这个社会责任!惫阒菔欣先嗽焊痹撼こ9悴扑。

  政府能兜底,群众心里才有底,才能避免因市场失灵而带来的养老公平问题。

  为此,广州市民政局定期巡访、主动服务,加强独居、空巢、失能等老年人关爱服务体系;为“三无”、低保低收入、计划生育特别扶助人员等老人购买居家养老服务、资助开展无障碍设施改造;率先建立全市统一、困难失能优先、公开透明的公办养老机构入住评估轮候制度;还为全市所有老年人购买意外伤害综合保险,资助10万多名本市常住的失能、独居、高龄老年人使用“平安通”智慧养老服务。

  除了兜底,政府还注意扮演好引导者和监督者的角色。

  广州对养老产业发展进行有效引导,围绕老人养老需求精准发力,强化顶层制度设计,深化养老服务供给侧结构性改革,从一开始降低准入门槛,到给予多项资金支持,再到出台用地规划、出台政策、出台标准、评定星级,对市场的发展方向,既是鼓励,也是规范。自2009年以来,市里累计投入资助民办养老机构发展的资金达5.3亿元。

  政府监管,大数据可以成为有效利器。走进广州市养老服务数据监测中心,大屏幕上,长者饭堂数量、全市助餐配餐申请人数、居家服务资助对象等数据,清晰明了。通过这个平台,全市的养老服务情况能够被精准掌握,再对数据分析,就可以合理整合服务资源,均衡分配补贴资金,同时能够规范管理、防范造假,让监管更加细致高效。

  “大城市养老,必须依靠多个主体共同发力!惫阒菔忻裾指涸鹑吮硎,“下一步,我们还将继续把大养老的工作做实做细。把长者大配餐、医养结合、家政+养老、嵌入式养老、养老机构提质增效等民生品牌做深做精。完善‘大城市大养老’模式,构建全覆盖、多层次、多支撑、多主体的养老服务格局,不断提升老年人的获得感幸福感安全感!

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