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“医养+PPP”:进步养老办事品质和效力

宣布日期:2018-06-04来历:收集来历编辑:张继蕊

[择要]

   yinrupppxingshishidanyuanbashehuibenqiandeliyijizhuanye、xiaoliyinrudaoyanglaobanshizhong,youzhuyujinbuyanglaobanshidepinzhihexiaoli。 genzhewoguozhubumairulaolinghuashehui,yiliaoheyanglaocaichandexuyaojisukaishi,yiyanglianxiriquchengweipojielaolinghuashehuitimudeshouyaoluzi。kerizaiqinghuadaxuepppzuanyanzhongjianhebeijingxieheyixueyuandazhongweishengxueyuanlianxizhulide“yiyangfanchoupppxingshiliyongzuanyanhui”shang,laiziyiyangcaichanhepppfanchoudezhuanjiaxuezhe,huanrao“yiyang+ppp”xingshitingzhilejiaohuan。yuhuizheyiwei,“yiyang+ppp”xingshijiangzai“yinfajingji”zhongchanyangyulaiyushouyaodeganhua。

   医养须要不时开释

   jinchao,woguolaolinghuamianlinjiaodatiaoxin。ju2016nianxianggantongjishuju,tianxia60suijiyishangdelaonianshengchidaoda2.31yiren,zhanzongshengchide16.7%。ju《zhongguoshengchilaolinghuachengzhangquxiangzhanwangzuanyanbaogao》xianxian,gujidao2020nian,tianxialaolingshengchijiangda2.48yiren,laolinghuachengduhuishengdao7%baibu,cizhong80suiyishangdebaisou3000duowanren。shiyi,jiasulaolingqijichengzhang,fangbeijiezhishouyaojibing,chengweizidongyingdashengchilaolinghuaquxiangdeyouyongluzi。

   meiguoyuehan?huopujinsidaxuepppbulvmingmuzhurenalanm?tragerchuanshoubiaoxian,zhongguodeyiliaoheyanglaoyouhendadegongxuquekou,yiyangshichangqianlipangda。“putonglaijiang,shichangjizhihuikuozhangongying,danzhongguodeshichanghaibuwanzhengpukai,chugeshidangjuzhudaodeyiliaoxitong,gongyinghennangenjushichangdejilvjisuchengzhang。yishi,xuyaojienaxindemozirupppxingshi,gudongmianliyiyangcaichanchengzhang。”alanchuanshouyiwei。

   beijingxieheyixueyuandazhongweishengxueyuanyuanzhangliuyuanlibiaoxian,xiouguoduhua75zhi150niansuowanchengdezhubulaonianhuajincheng,woguozai47niandeshihoulijiuwanchengle,woguozhengmianlinyingdalaolinghuadezaoshouzhan。“laolingshengchizengtianxiangzhengzheyiliaobanshixuyaodezengtian,jiujingjieguolaonianrendemanxingbingrugaoxueya、tangniaobingdengdougaoyujueduinianqingdeshengchi,gengxuyaohuodeyiyangfangmiandebanshi。”lilaigongsi(elililly)huanqiuankangfuzongcailianwenboshiyiwei,zhongguoyueyou1.14yishengchideletangniaobing,danzhiyaobudao60%derenhuodeyizhi。putongeryan,60suiyishangdebaisouhuantangniaobingdejilvgengda。

   “医养+PPP”是殊途同归

   jinchao,zhongguoxianxianweifuxianlaodequxiang,yiyangbanshideyouyonggongyinghexuyaoquefa。yaochuzhizheixietimu,xuyaodangjuyushichangpeihebiancechengliyiyangbanshixitong,“yiyang+ppp”xingshishibiance“yinfajingji”chengzhangdeshututonggui。

   liuyuanlibiaoxian,yiyanglianxifanchoubushiduanshihoujiukeyizhuandaqian、zhuankuaiqiandexingye,yinrupppxingshishidanyuanbashehuibenqiandeliyijizhuanye、xiaoliyinrudaoyanglaobanshizhong,youzhuyujinbuyanglaobanshidepinzhihexiaoli。congdangjucengmianeryan,yaochutaiyixiliechengchizhengce,lianxilaonianankangbanshixingyeheshichijiuchiyou、baodabubiandetese,gudongmianlishehuibenqianchijiutouzi。budangjudechengchi,woguoyiyanglianxicaichanbunenggouhuodekeyanxuchengzhang。

   lianwenyiwei,yaozhudongfengxingliyongpppxingshi,shidangju、shehuibenqian,ngo(feidangjugouzao)shenzhiguominxiaowodouchengweixiezuohuoban,rangshehuichabiezhutibiancewanchengyiyangbanshidefangzhen。

   ruohecainengzuohao“yiyang+ppp”xingshi?qinghuadaxuedazhongbanlixueyuanchuanshou、bingyuanbanlizuanyanyuanyangyansuijianyan,yaochenglishehuihuazuoquanjingli,bimianweippp,qidonglifafashi,biaozhunbenqiangusuanhecaiwu;zunshouyiyangbanshidejilv,zhongfuzhi、gengzhongjingying;mingbaixiezuomingmufuzhifangzhen,mingbaigongbanminyingdexiezuodeng。

   alanm?tragerbiaoxian,biancepppxingshibixuyudangjuxiangganjubuhexiangganqiyexiezuo。pppmingmubixurangshouyijiezhibenqian,zengtianyunzhuanxiaoli,chenglixinlaijizhi。“chugeshiyaochengligudongmianlijizhi,rangyiyangbanshimingmuyubendizhuminhedangjuchenglixinlai。”taxianrongshuo,xinjiapodangjuchenglilebaojianzengjinju,jigouzijinyoudangjugongji,meiyinianyou2yixinbidezijin,jinchaoyiyou17niandeshihoule,jiaohaodizengjinleyiyanglianxi。

   qinghuadaxuepppzuanyanzhongjianshouxizhuanjiawangshouqingyiwei,yanglaoheshijienapppxingshi,yanglaopppxitongchengshuhou,yingcongqijidanyuanzhudaozhuanyidaoshehuibenqianweizhu,qufenkandaiyingjucuocuoshiheruanbanshi。“woguodetouzizhegengpianxiangyuwanchengduanshihoushouyi,danyanglaoxingyedexiaoyichangchangxuyaochijiujingying。weici,baohandangju、xiehui、touzizhe、jinrongjigoudengzaineidegefang,yingdangdongde、xihuapppxingshidexiangganqingqiu,peihedazaoyiyanglianxidepppshumomingmu。”wangshouqingshuo。

   我国的摸索与理论

   mianlinpangdadeshichangxuyao,woguo“yiyang+ppp”xingshiyiqiaoqiaochouzhichouya。2014nian,caiwubuqitoutichangzaigegefanchoufengxingpppxingshi,yiyangshicizhongdeshouyaofanchouzhiyi。

   jiangxiluxituantiyanglaoqijibuzongcai、guokaizhongxunhegurenrenbingbiaoxian,jingyouguochengxiezuoxingshangliangdetili,gongsichengweipppyiyangbanshimingmuzhongbiaodeshehuibenqian,yudangjushouquandeganzhoushichangfuzhizonghekaipiwuxiangongsi,hehuozujianjiangxitianfuyanglaobanshiwuxiangongsi。cizhong,dangjuzhangu20%,shehuibenqianfangzhangu80%。gaimingmuzongtouzi16258.6wanyuan,20%dezijinyoutianfugongsizichouchuzhi,80%dezijinyoumingmugongsixiangguodukaipiyinxingjiangxishengfenxingqingqiucunkuan。gaimingmujingyouguochengdangjuyushehuibenqianxiezuodetili,baqushehuibenqianfuzhihejingyingde72gejujiayanglaobanshizhongjian,mingmuzongxiujianmianji5.05wanpingfangmi,cizhongxinjianwangdian10ge、gaikuojianwangdian62ge。

   renbingxianrongshuo,gaimingmucaiyongliyongzhefufeidejingyingtili,baohanhukouguwen、bingyubaojian、jingliwenming、shequyizhansigejubu。hukouguwenbaohanyitiansandunfan、jiazhengbanshi、titoumuyudeng;bingyubaojianshouyaoshixiyidebingyubaojianliliao,heshenxinxingnenghuohua;jingliwenmingbaohanyoulan、nianshu、peiliaoyulaoniandaxue;shequyizhanbaohanlaonianchanwu、yongpinjijinronglicaifangmiandebanshi。dangjumeibannianduimingmugongsichaheyici,jinchaowenjuanchaxunbaifangduijingdujunzai90%yishang。

   xiongandashicongmingkejiwuxiangongsizongsilichenlinfenxianglegongsicongmingyiliaopppmingmudejingli。gaimingmushianhuishenghuainanshidiyigecongmingyiliaopppmingmu,yeshitianxiapppshumomingmuzhongduyideankangyiliaodashujudeshumomingmu。mingmujiyushengchiankangxinxipingtai,zhankaiankangyiliaodashujudeliyongkaipihejingyingbanshi。jingyouguochengdangjucaibanbanshi,gongsiduikejingyingleidejubutingzhitouzi,jianglaifashengdehongliyudangjupeihefenxiang。

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