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绥德县坚持养老服务市场化规范化示范化精准化发展
发布时间:2021-05-26 19:08 来(lai)源: 榆林市人民政府(fu)办公室

       2021年以来,按照省市(shi)“构(gou)建居家社区机构(gou)相协(xie)调、医养(yang)(yang)康养(yang)(yang)相结(jie)合的养(yang)(yang)老(lao)服务(wu)体系”养(yang)(yang)老(lao)发展总要求(qiu),绥德(de)县(xian)立足现有养(yang)(yang)老(lao)资源(yuan),统(tong)筹城(cheng)乡(xiang)协(xie)调发展,面向市(shi)场化运作,以典(dian)型示范为引领(ling),推动(dong)(dong)养(yang)(yang)老(lao)服务(wu)提质增效,健(jian)康有序(xu)发展。在养(yang)(yang)老(lao)工作中,着力通过“四个坚持”“四个突破”推动(dong)(dong)养(yang)(yang)老(lao)事(shi)业再续新篇章。

       一(yi)、坚持市场化运作,突破发展短板

       “十三(san)五”以来,绥德县(xian)紧紧抓住上级政策(ce)和资金支持(chi)机遇(yu),先(xian)后新建(jian)(jian)(jian)(jian)1个中(zhong)心敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan),4个区(qu)域(yu)敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan),建(jian)(jian)(jian)(jian)成(cheng)252所(suo)农(nong)村幸福(fu)院(yuan)(yuan)(yuan),建(jian)(jian)(jian)(jian)成(cheng)4个城(cheng)(cheng)镇社区(qu)日间(jian)照(zhao)料中(zhong)心,1个养(yang)(yang)(yang)(yang)老(lao)(lao)(lao)服(fu)务(wu)中(zhong)心,支持(chi)建(jian)(jian)(jian)(jian)成(cheng)1所(suo)民(min)(min)(min)办智(zhi)慧居家养(yang)(yang)(yang)(yang)老(lao)(lao)(lao)服(fu)务(wu)中(zhong)心,全县(xian)初(chu)步形成(cheng)了(le)以敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan)为(wei)支撑,农(nong)村互助幸福(fu)院(yuan)(yuan)(yuan)、城(cheng)(cheng)区(qu)日间(jian)照(zhao)料中(zhong)心为(wei)依托的(de)(de)养(yang)(yang)(yang)(yang)老(lao)(lao)(lao)服(fu)务(wu)体系建(jian)(jian)(jian)(jian)设格局。养(yang)(yang)(yang)(yang)老(lao)(lao)(lao)机构(gou)实(shi)(shi)(shi)现(xian)良好(hao)社会效益需要循序渐进(jin),久久为(wei)功。结(jie)合(he)本(ben)县(xian)养(yang)(yang)(yang)(yang)老(lao)(lao)(lao)机构(gou)建(jian)(jian)(jian)(jian)设情况和县(xian)情实(shi)(shi)(shi)际,绥德县(xian)坚持(chi)走市场化运作,引进(jin)社会力量和民(min)(min)(min)间(jian)资本(ben)搞活养(yang)(yang)(yang)(yang)老(lao)(lao)(lao)事业的(de)(de)模式,2016年(nian)义合(he)镇区(qu)域(yu)敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan)率(lv)先(xian)试点实(shi)(shi)(shi)行公建(jian)(jian)(jian)(jian)民(min)(min)(min)营(ying)(ying)(ying),现(xian)已(yi)入(ru)住60余人,社会反响非常好(hao);2019年(nian)对(dui)新建(jian)(jian)(jian)(jian)的(de)(de)3所(suo)区(qu)域(yu)敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan)聘(pin)请3家民(min)(min)(min)营(ying)(ying)(ying)医(yi)院(yuan)(yuan)(yuan)进(jin)行经(jing)营(ying)(ying)(ying)管理,试点推行医(yi)养(yang)(yang)(yang)(yang)结(jie)合(he)服(fu)务(wu);2020年(nian)对(dui)名州(zhou)镇区(qu)域(yu)敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan)实(shi)(shi)(shi)行公建(jian)(jian)(jian)(jian)民(min)(min)(min)营(ying)(ying)(ying),2021年(nian)计划再对(dui)县(xian)中(zhong)心敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan)实(shi)(shi)(shi)行公建(jian)(jian)(jian)(jian)民(min)(min)(min)营(ying)(ying)(ying),目前正(zheng)在公开招标中(zhong)。通(tong)过公建(jian)(jian)(jian)(jian)民(min)(min)(min)营(ying)(ying)(ying),一方(fang)面强(qiang)化了(le)管理,提高了(le)运营(ying)(ying)(ying)效率(lv),扩(kuo)大了(le)机构(gou)养(yang)(yang)(yang)(yang)老(lao)(lao)(lao)的(de)(de)社会影响力;另一方(fang)面解决(jue)了(le)特困供养(yang)(yang)(yang)(yang)人员自(zi)愿入(ru)住敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan)养(yang)(yang)(yang)(yang)老(lao)(lao)(lao),又满足社会老(lao)(lao)(lao)人入(ru)住敬(jing)(jing)老(lao)(lao)(lao)院(yuan)(yuan)(yuan)的(de)(de)需求。

       二、坚持规范化(hua)管(guan)理,突(tu)破效益短板

       为(wei)加强对全(quan)(quan)县(xian)养老(lao)(lao)机构(gou)的(de)(de)管(guan)理(li),提高服(fu)(fu)务效(xiao)益,绥德(de)县(xian)2020年成立(li)了养老(lao)(lao)服(fu)(fu)务中心,承担(dan)全(quan)(quan)县(xian)养老(lao)(lao)服(fu)(fu)务事(shi)业的(de)(de)规划、管(guan)理(li)、考核(he)等职能,从组织(zhi)机构(gou)上(shang)夯实管(guan)理(li)基础。针对农(nong)(nong)村(cun)新(xin)建的(de)(de)252所(suo)农(nong)(nong)村(cun)互助(zhu)幸(xing)福(fu)院,制(zhi)定(ding)出台了《农(nong)(nong)村(cun)互助(zhu)幸(xing)福(fu)院管(guan)理(li)实施办法》,确保新(xin)建的(de)(de)每所(suo)幸(xing)福(fu)院都能有效(xiao)、规范(fan)、持(chi)(chi)续运营(ying),真正(zheng)成为(wei)农(nong)(nong)村(cun)老(lao)(lao)人用餐(can)、休(xiu)息、娱(yu)乐的(de)(de)养老(lao)(lao)场所(suo)。同(tong)时规范(fan)运营(ying)资(zi)(zi)金投入(ru),对投入(ru)使(shi)用的(de)(de)农(nong)(nong)村(cun)幸(xing)福(fu)院在(zai)市财政每年配套2万(wan)元的(de)(de)基础上(shang),县(xian)级配套2万(wan)元,为(wei)全(quan)(quan)县(xian)幸(xing)福(fu)院持(chi)(chi)续运营(ying)提供了资(zi)(zi)金保障。对全(quan)(quan)县(xian)的(de)(de)敬老(lao)(lao)院物资(zi)(zi)管(guan)理(li),县(xian)民政局定(ding)期(qi)开展半年、全(quan)(quan)年工作检(jian)查,日常不定(ding)期(qi)的(de)(de)督查,通(tong)过查看(kan)账目、查看(kan)物资(zi)(zi)使(shi)用及(ji)制(zhi)度建设等方面情况,确保物资(zi)(zi)规范(fan)、合理(li)、有效(xiao)使(shi)用。

       三(san)、坚持示(shi)范(fan)化引(yin)领,突破创(chuang)新短板

       为(wei)有效推动城(cheng)镇养(yang)老(lao)(lao)发(fa)展,积极调整(zheng)思(si)路(lu),整(zheng)合(he)资(zi)源,绥(sui)德(de)县在打造(zao)标准(zhun)化(hua)朝阳(yang)路(lu)社(she)区(qu)(qu)的同时(shi),整(zheng)体租赁(lin)社(she)区(qu)(qu)服(fu)务(wu)(wu)中(zhong)(zhong)心(xin)(xin)(xin)楼下一层门市,投(tou)资(zi)130多万元(yuan)建成朝阳(yang)路(lu)社(she)区(qu)(qu)养(yang)老(lao)(lao)服(fu)务(wu)(wu)中(zhong)(zhong)心(xin)(xin)(xin)。中(zhong)(zhong)心(xin)(xin)(xin)分(fen)为(wei)三(san)个功能区(qu)(qu),一是(shi)为(wei)老(lao)(lao)年人提(ti)供(gong)用餐(can)(can)的老(lao)(lao)年餐(can)(can)厅(ting),吸纳了绥(sui)德(de)有影(ying)响力的餐(can)(can)饮企(qi)业加(jia)入(ru)经营;二是(shi)建成老(lao)(lao)年用品超(chao)市,交给具有良好诚信、影(ying)响力较大(da)的销(xiao)售商(shang)经营;三(san)是(shi)县政(zheng)府投(tou)资(zi)120万元(yuan),购买500名困难老(lao)(lao)人居家养(yang)老(lao)(lao)服(fu)务(wu)(wu),为(wei)周边老(lao)(lao)人提(ti)供(gong)助餐(can)(can)、助医、助急(ji)等上门服(fu)务(wu)(wu)的智慧养(yang)老(lao)(lao)服(fu)务(wu)(wu)中(zhong)(zhong)心(xin)(xin)(xin)。朝阳(yang)路(lu)社(she)区(qu)(qu)养(yang)老(lao)(lao)服(fu)务(wu)(wu)中(zhong)(zhong)心(xin)(xin)(xin)于5月1日(ri)正式投(tou)入(ru)运营,是(shi)集“政(zheng)府购买服(fu)务(wu)(wu)、公(gong)建民营、互联网(wang)+智慧养(yang)老(lao)(lao)”的综合(he)性试点。力争(zheng)打造(zao)绥(sui)德(de)最具影(ying)响力、最具特(te)色(se)的城(cheng)镇养(yang)老(lao)(lao)服(fu)务(wu)(wu)机(ji)构,带动城(cheng)区(qu)(qu)其它日(ri)间照料中(zhong)(zhong)心(xin)(xin)(xin)、医养(yang)融合(he)等切入(ru)式养(yang)老(lao)(lao)机(ji)构的发(fa)展壮大(da)。

       四、坚持精(jing)准化保障,突破服务短板

       在养(yang)(yang)(yang)(yang)老(lao)服(fu)(fu)(fu)务工(gong)作中(zhong)(zhong),解(jie)(jie)决好特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)对(dui)(dui)(dui)象的(de)养(yang)(yang)(yang)(yang)老(lao)问(wen)题是(shi)(shi)民政养(yang)(yang)(yang)(yang)老(lao)工(gong)作的(de)重(zhong)中(zhong)(zhong)之重(zhong)。今年(nian)结(jie)合“我为群众办实(shi)事(shi)”和“解(jie)(jie)忧暖心传(chuan)党恩”行(xing)动(dong)工(gong)作要求(qiu),启动(dong)了(le)“解(jie)(jie)忧暖心传(chuan)党恩、回(hui)头(tou)再(zai)看特(te)(te)(te)困(kun)户”专项(xiang)行(xing)动(dong),坚持(chi)“不(bu)漏一户、不(bu)落一人(ren)(ren)(ren)”,全(quan)(quan)面(mian)掌握、排(pai)(pai)查(cha)(cha)散居(ju)特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)对(dui)(dui)(dui)象的(de)生(sheng)(sheng)(sheng)(sheng)活、身体状(zhuang)(zhuang)况(kuang)(kuang),具(ju)体做到五个到位(wei):一是(shi)(shi)基(ji)(ji)本生(sheng)(sheng)(sheng)(sheng)活排(pai)(pai)查(cha)(cha)到位(wei)。对(dui)(dui)(dui)照(zhao)(zhao)(zhao)(zhao)脱贫攻坚“两不(bu)愁、三(san)保障(zhang)”标准(zhun),入(ru)户查(cha)(cha)看特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)的(de)住房(fang)和饮水安(an)全(quan)(quan)状(zhuang)(zhuang)况(kuang)(kuang),吃(chi)穿人(ren)(ren)(ren)居(ju)环境情(qing)况(kuang)(kuang),进(jin)(jin)一步完(wan)善特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)基(ji)(ji)本生(sheng)(sheng)(sheng)(sheng)活档案(an)(an),详细掌握他们生(sheng)(sheng)(sheng)(sheng)活状(zhuang)(zhuang)况(kuang)(kuang)的(de)第一手资料(liao)(liao)。二是(shi)(shi)基(ji)(ji)本健(jian)康检(jian)查(cha)(cha)到位(wei)。委(wei)托县医疗机构首次采取(qu)进(jin)(jin)村(cun)集(ji)中(zhong)(zhong)体检(jian)和入(ru)户体检(jian)的(de)贴(tie)心服(fu)(fu)(fu)务方式(shi),对(dui)(dui)(dui)特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)的(de)血常(chang)规(gui)(gui)、心电(dian)图、转氨酶(mei)、肾功能、血脂等常(chang)规(gui)(gui)身体健(jian)康指(zhi)标进(jin)(jin)行(xing)检(jian)查(cha)(cha)。并现场建立(li)特(te)(te)(te)困(kun)人(ren)(ren)(ren)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)年(nian)度(du)基(ji)(ji)本健(jian)康档案(an)(an),为综合开展(zhan)特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)服(fu)(fu)(fu)务管理工(gong)作提(ti)供(gong)(gong)(gong)基(ji)(ji)本依据。三(san)是(shi)(shi)基(ji)(ji)本需(xu)求(qiu)调查(cha)(cha)到位(wei)。充分征(zheng)询分散特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)集(ji)中(zhong)(zhong)安(an)置意愿,当前被褥、衣着(zhe)需(xu)求(qiu)以及(ji)残疾特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)有(you)(you)关轮椅(yi)、拐杖、助行(xing)器(qi)、助听(ting)器(qi)、护理床、坐便椅(yi)等方面(mian)的(de)需(xu)求(qiu),一并做好登(deng)记统计工(gong)作,为下(xia)一步集(ji)中(zhong)(zhong)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang),生(sheng)(sheng)(sheng)(sheng)活用(yong)品、辅助器(qi)具(ju)配发提(ti)供(gong)(gong)(gong)准(zhun)确数据。四是(shi)(shi)照(zhao)(zhao)(zhao)(zhao)料(liao)(liao)服(fu)(fu)(fu)务落实(shi)到位(wei)。进(jin)(jin)一步明确镇村(cun)有(you)(you)关人(ren)(ren)(ren)员(yuan)(yuan)和照(zhao)(zhao)(zhao)(zhao)料(liao)(liao)服(fu)(fu)(fu)务人(ren)(ren)(ren)各(ge)方责任和义务,强(qiang)调和宣(xuan)传(chuan)日(ri)常(chang)照(zhao)(zhao)(zhao)(zhao)料(liao)(liao)服(fu)(fu)(fu)务特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)工(gong)作的(de)重(zhong)要性(xing)。对(dui)(dui)(dui)有(you)(you)名无实(shi)的(de)照(zhao)(zhao)(zhao)(zhao)料(liao)(liao)服(fu)(fu)(fu)务人(ren)(ren)(ren)要及(ji)时进(jin)(jin)行(xing)更换,充分保障(zhang)特(te)(te)(te)困(kun)供(gong)(gong)(gong)养(yang)(yang)(yang)(yang)人(ren)(ren)(ren)员(yuan)(yuan)的(de)照(zhao)(zhao)(zhao)(zhao)料(liao)(liao)服(fu)(fu)(fu)务权益。

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