Which three places in Xinjiang have been identified as the national pilot units of combining medical care with nursing care?

20 10 Xinjiang has entered an aging society. By the end of 20 15, there were 2.587 million elderly people aged over 60 in the autonomous region, accounting for 1 1. 15% of the total population, that is to say, by the end of 20 15, there were 65,438. With the acceleration of the aging process, this number is still rising. From 2020 to 2040, it will be the rapid development stage of population aging in Xinjiang. It is estimated that by 2035, the proportion of the elderly population will reach 24.8%.

The elderly account for a quarter of the total population.

In order to accelerate the combination of medical and health care and old-age care services and actively respond to the aging population, the autonomous region issued the "Implementation Opinions on Promoting the Combination of Medical and Health Care and Old-age Care Services" (hereinafter referred to as "Opinions") at the end of 20 16.

The opinion puts forward that "by 20 17, the resources of medical and health institutions and old-age care institutions in the whole region will be effectively allocated and utilized, and more than 80% of medical and health institutions will open green channels or windows to provide convenient services such as registration and medical treatment for the elderly. By 2020, all medical and health institutions will open a green channel or window for the elderly to seek medical treatment. " This development goal.

The "Program" identified Urumqi, Bazhou and Karamay as national-level pilot units for the integration of medical care and maintenance, and identified Yili, Changji and Hami as autonomous region-level pilot areas for the integration of medical care and maintenance. At the same time, it is proposed that other places (prefectures and cities) should set up at least 1 city (county) to carry out the pilot work of combining medical care with nursing care.

While promoting the pilot work of combining medical care with nursing care, the "Program" puts the work of combining medical care with nursing care at the family and community level into the key work category.

For example, promote family doctor contract service, explore the use of online family doctor APP contract service, and provide personalized health management services such as rehabilitation guidance and on-site service according to the health status and needs of the elderly. So as to achieve the goal that the proportion of contracted services between family doctors and the elderly over 65 in the jurisdiction will exceed 60% in 20 17, and the proportion will reach 70% in 2020, and a long-term and stable contracted service relationship will be formed.

The "Proposal" proposes to integrate the construction of "community day care centers for the elderly" and "community health service centers", make full use of the medical service functions of community health service centers and community health service stations, township hospitals and village clinics, and provide nearby and fast life care, cultural and sports entertainment, preventive health care and rehabilitation medical services for the elderly in the community. The medical expenses incurred are included in the scope of medical insurance fund payment according to standards.

At the same time, grassroots medical institutions are encouraged to set up service stations or contract services in day care centers for the elderly, child care institutions for the elderly, rural nursing homes and community pension institutions, and family doctors contract teams to provide health guidance and basic medical services for the elderly in the institutions.

Further realize the effective connection between "combination of medical care" and "graded diagnosis and treatment". In the future, it will be able to form a graded diagnosis, treatment and health care model for the elderly, that is, the first diagnosis will be in the community, the critically ill patients will be referred to the agreement hospital, the critically ill patients and patients with complex diseases will be transferred to the tertiary medical institutions through the "green referral channel", and then the rehabilitation will be transferred to the grassroots medical and nursing institutions or medical institutions for rehabilitation treatment.