What are the difficulties in the development of the combination of medical and nursing? 12 departments jointly issue documents to recruit one by one!

Author: Yang Xue (finishing) How can "medical treatment" and "pension" be further connected? How much support can policy provide? With the rapid development of aging, the policy of combination of medical care and maintenance has been continuously promoted On October 25, 12 departments jointly issued several opinions on further promoting the development of medical and nursing integration (hereinafter referred to as "opinions") How can "medical treatment" and "pension" be further connected? How much support can policy provide? In the opinion, the elderly care institutions are encouraged to carry out contract cooperation with surrounding medical and health institutions If the conditions are met, a two-way referral mechanism can be established to provide continuous and full process medical and health services for the elderly according to the access standards and two-way referral indications of medical and health institutions Elderly care institutions can also provide medical and health services for the elderly by means of service outsourcing and entrusted operation Both parties shall specify the content, mode, cost and responsibilities of the cooperation Contracted medical and health institutions should actively support in terms of service resources and cooperation mechanism According to the opinions, all localities should conscientiously implement the requirements of documents and optimize the approval process and environment of medical and nursing institutions (i.e medical and health institutions or pension institutions with both medical and health qualifications and pension service capabilities) For the elderly care institutions holding secondary or lower level medical institutions (excluding first aid centers, first aid stations, clinical testing centers, Sino foreign joint venture and cooperative medical institutions, wholly-owned medical institutions in Hong Kong, Macao and Taiwan), a "combination of two certificates" for approval and practice registration shall be established If the medical and health institutions use the existing resources to provide elderly care services, which involve construction, fire control, food safety, health and epidemic prevention and other relevant conditions, they can directly register and file according to the above-mentioned corresponding qualifications of the medical and health institutions Local governments should consider the development needs of the combination of medical care and maintenance in the preparation of land space planning The non-profit medical and nursing institutions may use the state-owned allocated land according to law, and the profit-making medical and nursing institutions shall use the land in a paid way Encourage local governments to improve the long-term operation and maintenance mechanism of community comprehensive service facilities, and provide free or low compensation for the use of comprehensive service facilities to carry out integrated medical and maintenance services Encourage the rural collective construction land that conforms to the planned purpose to be used for the construction of medical and nursing institutions in accordance with the law Under the premise of not changing the planning conditions, it is allowed to make full use of the existing idle commercial buildings, factories, school buildings, office buildings, training facilities and other facilities in the town to provide medical and maintenance services, and apply the transitional period policy, and continue to use the land according to the original use and right type within five years; when the five-year period expires and the transfer involves the relevant land use procedures, the land can be used according to the new use and right Type, market price, land use procedures shall be handled by agreement If it is used by a non-profit organization, the land originally allocated may continue to be allocated for use According to the opinion, the government should reduce the tax burden of medical and nursing institutions and implement various preferential tax policies The social medical and nursing institutions recognized as non-profit organizations shall be exempt from enterprise income tax for their qualified non-profit income, and enjoy preferential policies of real estate tax and urban land use tax for their own use according to regulations Qualified medical and nursing institutions shall enjoy preferential financial and tax policies for small and micro enterprises Institutions that provide day care, rehabilitation care and other services in the community can enjoy tax relief, financial support, water, gas and heat price concessions and other support Preferential policies for administrative fees shall be implemented for medical and nursing institutions in accordance with the regulations At the same time, local governments should also increase their efforts to purchase services, and support qualified social medical institutions to undertake local public health, basic medical care and basic pension services The lottery public welfare fund for social welfare undertakings shall appropriately support the development of medical and nursing services The opinion supports social forces to establish medical and nursing institutions through market-oriented operation, supports collectivization and chain development, and the government should not plan to limit the total amount of their regions Financial institutions such as insurance companies, trust and investment companies are encouraged to be the main investors and to set up medical and nursing institutions We will encourage the elderly care institutions in the social health care institutions to raise start-up funds and development funds by means of equity financing and project financing Financial institutions are encouraged to innovate financial products and services, expand diversified investment and financing channels, give full play to the synergy of "investment, loan, debt, rent and certificate", and increase financial support to the field of medical care integration Encourage local governments to explore and improve mortgage policies, and expand the scope of credit collateral In order to improve the enthusiasm of public medical institutions in carrying out elderly care services, the opinions put forward that if the price is fully leveraged and the conditions for bidding are met, the charging standard can be determined through bidding Expand the talent team In the opinions, colleges and universities and Vocational Colleges (including technical colleges) are encouraged to set up relevant majors and courses, strengthen the training of professional talents in geriatric medicine, rehabilitation, nursing, health management, social workers, elderly service and management, expand the enrollment scale, set up training bases, and explore the collaborative training of colleges and universities, vocational colleges, scientific research institutions, industry associations and medical and nursing institutions Raise talents The system of regional registration of doctors' practice places shall be implemented, so that medical personnel can practice in the combination of medical and nursing institutions, and enjoy the same treatment as other medical and health institutions in terms of professional title evaluation, continuing education of professional and technical personnel, etc In terms of insurance and supervision, the opinion puts forward that the medical institutions in the qualified medical care combined institutions shall be included in the fixed-point scope of basic medical insurance for urban and rural residents according to the regulations, and the fixed-point application can be made after 3 months of formal operation, and the time limit for completion of the fixed-point evaluation shall not exceed 3 months For the patients who meet the requirements, we can continuously calculate the starting line of medical insurance, and actively promote the multiple composite medical insurance payment methods, such as by disease type, by disease diagnosis related group (DRG), by bed day We will encourage places where conditions permit to gradually increase the number of medical rehabilitation projects included in the payment scope of basic medical insurance.