Aging Characteristics and Layout Planning of Old-age Care Facilities in the Downtown Area of Nanchang City

Compared to the situation of population aging and the elderly aging, the development of oldage undertaking in Nanchang is still undeveloped in that the old-age care industry lags behind the urban renewal speed and the objective needs of aging. Apart from discussions on the composition of elderly population and the status quo of aging, this paper took the institutional old-age care in the downtown area of Nanchang for example, explored problems in the current institutional old-age care facilities through field investigation, and proposed suggestions for the layout planning of old-age care facilities in the study area.

Analysis of home care-based multi-level old-age service system

With the deepening of China＇s aging, China＇s social pension problem more obvious each day, and gradually become the focus of attention of the whole society. On the one hand, China entered the aging society, old-age needs to grow exponentially. The sixth national census shows that in our country, the population aged 60 and 13.26% of the total population over the total number of 179 million, 65 years and older the proportion of 8.87% of the total population, the absolute number of nearly 120 million. Hundreds of millions of older age groups will produce a growing demand for care services, which is the original old-age service system and the whole economic and social development is a huge pressure. On the other hand, with the economic and social transformation, the traditional model of family pension has been unable to adapt to the profound changes in modem employment, family structure, the concept of retirement, since most parts of China, ＂old before getting ricE＂ the situation, how to solve the elderly the pension problem is related to the overall situation of China＇s economic and social development, related to the overall situation of building a harmonious society in China. Under current national conditions, the emphasis on the development of a single individual body to meet the growing demand for pension service is not realistic, we must mobilize the enthusiasm of all aspects of the element, multi-service integration of resources subject to their commitment to a different responsibilities and tasks provide a full range of care services according to different types, different levels of the actual needs of the older age groups. On the aging problem is that the whole community to face, you need to multi-government body, families, communities, institutions combine effectively starting from the actual needs of the elderly population, according to the financial assistance, life care, spiritual consolation three set the specific needs of services, through a government-led, home-based care services, community care services for the core and supplementary services for institutions focused on pension and other means to provide a full range of pension services.

Construction of Xi'an ecological old-age care community in the new urbanization

The new urbanization is an important carrier of ecological civilization construction, and ecological old-age care is the concrete manifestation of the perfect combination of the two, the proper meaning of the new urbanization connotation and an inevitable trend of its development. Based on the analysis of the connotation and relationship between the new urbanization and ecological old-age care, together with the current situation and existing problems of the current nursing institutions and ecological old-age care in Xi'an area, this paper discusses the major issues that should be noticed when constructing the ecological old-age care community in Xi'an and three main construction modes.

The Experience and Enlightenment of the Development of Old-age Care Services in Russia

Through the analysis of the history and current situation of Russia＇s old-age care services system, this paper analyzes and studies the old-age care services system in Russia. By means of law and social policy, Russia can promote the active participation of the elderly in politics, economy, culture and other activities to promote the positive image of the elderly. The active aging policy in Russia and the development trend of the old-age care service to promote the social adaptation and re-employment of the elderly are of positive significance to the development of our country＇s old-age care service.

Improvement of the Legal System for Addressing the Issue of Elderly Care in China in the Context of Population Aging

Rapid population aging is a social reality facing China at present,and the issue of elderly care has become a hot topic of social concern.Legislation to address the issue of elderly care in the context of population aging should follow systematic concepts to achieve“vertical and horizontal integration.”In terms of content,it is necessary to formulate specific legal approaches around“the elderly and children,”with a focus on guaranteeing the livelihood and protection of the rights of the elderly while taking into account childbirth,employment and other issues.the laws should not only safeguard the social participation and labor rights of the elderly,but also effectively respond to the social challenges brought about by the aging of the population.It is also necessary to optimize the family planning policy to ease the burden of child-raising,improve the population structure and promote the long-term balanced development of the population,thus fundamentally solving the problem of population aging.the effort to improve the legal system to deal with the issue of elderly care in the context of population aging will better advance Chinese modernization.

Construction of Urban Mixed-age Community: Opportunities, Challenges and Countermeasures: A Case Study of“Fangjia Hutong”in Beijing

In the context of China’s economic development and population aging,the innovation and exploration of the old-age care model has emerged as a new community transformation and development direction.Given the differing needs and characteristics of individuals across the lifespan,it is evident that a design approach that incorporates mixed-age integration and mutual-help communities is a viable strategy for enhancing intergenerational exchanges.This entails the creation of a diverse and open community that is conducive to habitation for individuals of all ages,encompassing the full spectrum of needs,from those of young children to the elderly.Such a community must be designed and constructed with the population in mind,from the initial planning and design stages to the operational phase.This encompasses a comprehensive range of services,including food,clothing,housing,transportation,and medical care and recreation.

Old-age Care Modes and Facility Planning Based on the Concept of “Continuum of Care”

Through the comparative analysis on the theories and practical experience of the development of old-age care (OAC) in both China and other countries,and based on the interview and questionnaire survey in Zhejiang Province and Hangzhou City,this paper proposes the research and analysis framework for the old-age service system,i.e.,"OAC mode-OAC service system-OAC facility system." The paper argues that,oriented by OAC mode of "taking community-and home-based care as the main body and institution-based care as supplement," China should build an OAC facility system and planning thoughts that take "continuum of care" as concept and long-term care system as core.Taking Zhejiang Province and Hangzhou City as examples,the paper conducts the optimization research on current OAC facilities planning in terms of hierarchical system,scale,and differentiation,so as to formulate more systematic and operable planning standards for OAC facilities.

社区居家养老服务的政策体系研究--以北京市月坛街道为例

本文在月坛街道社区居家养老服务试点的基础上,总结出一个政策理论模型,即"任务排序模型",并在此理论指导下,开展调查研究,构建出一个较为完整的社区居家养老服务的政策体系。

养老事业与养老产业的比较研究——以日本养老事业与养老产业为例

日本养老事业与养老产业经历了初创期、扩充期和转换期的三个不同发展时期。其间,先后颁布了《生活保护法》、《国民健康保险法》、《国民年金法》、《老年人福利法》、《老年人保健法》、《护理保险法》等六项法律和法规。这些法律、法规较好地满足了老年人的经济需求、健康需求、情感需求、生活需求和其他需求等。较为成功的日本养老事业和养老产业的发展史告诉人们,无论是养老事业,还是养老产业,都要有一套较为完善的法律、法规作保障;满足老年人的不同需求,必须实现老年人福利社会化。只有这样,才能较好地满足老年人不断变化的不同需求,才能全面提高为老年人服务的水平。

东部某省社会资本办医疗机构发展现状研究

东部某省社会资本办医工作自新医改加速启动以来,在发展规模和特色建设取得显著成效的同时,也暴露了许多困难和问题,这些困难和问题正严重制约着省内社会资本办医的进一步发展。文章以东部某省社会资本办医疗机构发展情况为依据,对社会资本办医在医疗服务和经营管理、市场份额、诚信力建设等方面暴露出的问题进行了深入的探讨。

小儿白血病PICC置管患者的延续性护理

目的探讨延续护理在小儿白血病PICC置管中的应用。方法选取本院2013年7月至2015年7月携带PICC置管出院的小儿白血病患者47例，观察组26例实施延续护理，对照组21例实施常规护理。结果观察组患儿的满意度、按时维护率、脱管率、肢体活动的依从性分别为92．3％、92．3％、0．0％、84．6％，对照组患者分别为81．3％、76．2％、18．7％、38．1％；两组比较，差异有统计学意义。结论对比得出延续性护理在小儿白血病PICC置管患者中的并发症预防方面起到较好作用，值得推广。

城市公共设施设计研究

目的探索城市发展背景下的城市公共设施设计策略。方法结合城市公共设施的构成及其与城市、居民的紧密联系和价值作用,就城市公共设施设计的必要性进行探讨,指出当前城市公共设施的发展方向,然后从实际出发,结合整体发展,分别从整体性、多功能性、人文性、绿色化等方面开展了深入的分析与论证,细化出城市公共设施面对环境、对象、功能、未来发展等因素时的实践尝试,总结相关的设计经验。结论城市公共设施设计是一项重要的文化事业,其不仅满足着城市居民的各种生活需求,还对城市的内涵与未来发展有着极大的促进作用,将城市公共设施设计提升到一个新的高度,从各个方面进行完善,能够使人们得到心理慰藉和情感关怀,同时让整个城市更加宜居,更具竞争力。

推动老龄事业与养老产业协调发展

推动老龄事业与养老产业协调发展是促进人口高质量发展,实现党的二十大提出的全体老年人享有基本养老服务目标的重要路径。但在政策实践和学术研究中老龄事业与养老产业相关概念的定义和关系并不明确,对学术研究和实际工作都产生了一定影响。基于词语本意和政策文件表述,需对不同语境下老龄事业和养老产业相关概念进行辨析,从老龄事业为养老产业发展提供经济基础和政策保障、通过养老产业拓展自身边界等视角,论述老龄事业和养老产业间的互动关系。当前,老龄事业和养老产业协调发展中存在二元张力不足、顶层设计不健全以及行业标准和统计指标不完善等问题。未来,需进一步完善养老产业顶层设计,构建立体化产业支持政策体系,加强法律法规建设以及市场监管力度。

西南边疆多民族地区社会事业的发展

社会事业是为确保社会转型、维护社会稳定、促进社会和谐和人的全面发展所提供的各种公益性支持与服务活动的总和,也是保障社会可持续发展,实现社会公正,维持社会运行和发展的重要活动。在社会转型期,通过加大和改善对西南边疆多民族地区社会事业的投入和建设,提高西南边疆多民族地区公民文化素质,加强公民法制意识,改善公民精神风貌,完善社会安全体系,使西南边疆少数民族文化教育事业有了长足发展,农村医疗卫生事业有了新突破,社会保障事业有了新进展。这在很大程度上促进了西南边疆社会和睦,逐步实现社会公平正义,为社会主义和谐社会的建设提供了基础。

深化医改政策中有关“政府主导”几个需要澄清的误区

"政府主导"是深化医改政策的重要原则。然而,在对该原则的解读和实施中存在着"政府主导即政府包办、即公立医疗机构主导、即高度行政化、即要排斥市场机制"等误区,对此需要加以澄清。我国基本医疗保障体系由政府主导,但并非政府包办,而应由政府、用人单位和个人共同承担筹资责任;我国医疗服务市场存在的必然性以及"政府失灵"的存在,使政府包办一般医疗服务没有必要。"政府主导"也不是公立医疗机构主导,医疗服务体系完全可以通过市场机制运作,"公立医疗机构主导"不利于公平医疗服务市场的建立。深化医改要加强政府对医疗卫生事业改革与发展的主导作用,但绝不是要回归计划经济体制下的"高度行政化"。政府主导不是要排斥市场机制,在医改中发挥政府主导的同时,市场机制同样可以起到基础性作用。

上海“居家养老”与“社会养老”政策研究

科学评估上海养老服务发展的实施效应,借鉴国外的成功经验,针对当前上海养老服务发展中的问题,建议优化政策设计理念,适应养老服务现实需求;实现政策全盘考虑,确保养老政策体系完整;统筹规划养老事业,实现政策操作部门联动;健全政策配套措施,提高养老政策实施效应;整合政策服务资源,推进养老政策功能健全;强化政策引导作用,激发行业参与养老活力。

新医改以来山东省社会力量办医发展现状研究

目的:以民营医院为例分析新医改以来山东省社会力量办医的发展现状,并提出建议,为推动其发展提供依据。方法:通过查阅山东省和全国的卫生统计年鉴,以及卫生和计划生育统计年报,收集并分析数据。结果:山东省民营医院快速增长,虽然床位数、卫生技术人员以及医疗卫生服务量一直保持增长的趋势,与但是公立医院相比,还有一定的差距。结论:应该引导社会力量办医向高水平、规模化、专业化发展;山东省民营医院的竞争力明显不足,对公立医院的补充作用未得到充分的体现,建议应该优化人才战略,落实社会力量办医的发展政策和实施细则,创新社会力量办医监管机制,引导社会力量办医健康可持续发展。

健康中国建设新形势下健康事业发展探究

推动健康中国建设是全面建成小康社会的重要基础。然而,在不同的历史时期,人们对健康的理解和追求有不同的内涵和外延。在现代社会,人们对健康的理解逐渐由单纯的生物医学模式向生物-心理-社会医学模式过渡,健康不仅是指身体上并未感染疾病,同时也是指精神、社会方面保持完美与愉悦。可以说人民群众健康观念的转变对于我国的医务工作提出了较高的要求,必须要关注社会、心理对人民群众造成的影响。尽管有一些成功的范例,现代健康理念的实践和推广还是十分有限。我国的健康事业将贯彻现代健康理念,首先需要战略升级医学人文关怀体系,将人文关怀内化为医护人员的天职和本分。其次,在当前我国的医疗体制中,将受治疗者作为根本的人文精神也需要与现代化医院管理机制结合在一起,以人为本必须要贯彻到医院工作内容中。最后,在健康中国建设背景下的健康事业发展的宗旨必须贯彻“人民至上”,赋予健康事业在百年未有之大变局形势下的新使命。

对剖宫产产妇进行心理护理对促进母乳喂养成功率的研究

目的 观察对剖宫产产妇进行心理护理对促进母乳喂养成功率.方法 选取2014年1月至2015年8月本科室收治的采取剖宫产的产妇120例患者,按随机数字表法分为观察组及对照组,各60例.对照组采用常规护理,观察组采用心理护理,比较两组临床治疗效果.结果 观察组产妇泌乳量少率（10.00％）明显低于对照组（45.00％）,差异有统计学意义（P＜0.05）.观察组产妇泌乳量多率（46.67％）明显高于对照组（25.00％）,差异有统计学意义（P＜0.05）.两组泌乳量足率比较,差异无统计学意义（P＞0.05）.观察组喂养成功率（98.33％）明显高于对照组（75.00％）,差异有统计学意义（P＜0.05）.观察组抑郁评分[（41.41±3.02）分]明显低于对照组[（56.41±3.19）分],差异有统计学意义（P＜0.05）.结论 心理护理对剖腹产初产妇提高母乳喂养率有显著效果,值得临床上进一步推广运用.

临床护理路径在产科剖宫产产妇中应用的效果观察

目的探讨临床护理路径（CNP）在产科剖宫产产妇中的应用效果。方法将符合条件的160例计划剖宫产产妇随机分为观察组与对照组，各80例。对照组实施剖宫产的常规护理，观察组依照临床护理路径实施优质护理，比较两组护理效果。结果观察组剖宫产产后乳房肿胀硬结发生率（1．25％）较对照组（10．00％）明显降低，母乳喂养成功率（97．50％）、母婴保健知识合格率（97．50％）、新生儿护理基本操作合格率（93．75％）、护理质量达标率（98．75％）以及护理满意度（100．00％）均较对照组（88．75％、86．25％、83．75％、90．00％、92．50％）明显提高，差异有统计学意义（均P〈0．05）。结论临床护理路径在产科剖宫产产妇的有效实施，给产妇及新生儿提供了更优质的护理服务，有利于母婴健康，大大提高了产科护理质量，提升了护理服务满意度，具有较好的临床应用价值。