Family elderly care support policy system: a comprehensive construction for both the supply and demand of family care services

Service support. For the elderly who choose home care, in addition to providing economic support, we should also provide life care, housekeeping services, health maintenance, psychological support and other services in combination with the actual needs of the elderly. Generally speaking, as the elderly age, the need for daily life care is increasing. However, some empty-nest, left-behind, elderly and disabled elderly people in urban and rural areas generally lack daily life care, and their attention to production is far more than their attention to their own food, clothing, housing and transportation. With regard to life care and support, on the one hand, residents' (village) people's committees should give full play to their advantages of being rooted in the front line and familiar with the situation, and do a good job of information search, regular visits, key help, and urging their children to fulfill their maintenance obligations, especially the timely detection and dynamic grasp of empty nests, left-behind, elderly, and disabled elderly people. On the other hand, by linking social organizations, social workers, volunteers and other resources to actively participate through policy guarantees, financial support, improved services, incentives and commendations, the establishment of urban and rural empty-nest, left-behind, elderly, disabled elderly home community visit system, improve regular visit measures, and provide some life care services for the elderly at home. At the same time, for the elderly with the ability to take care of themselves, they also need to rely on medical service institutions, elderly care service institutions, professional nursing service institutions to carry out skills training to improve their self-care ability.

With the increase of age, the ability of the elderly to do necessary housework such as daily cleaning, tidying up, washing and cooking is decreasing day by day. Accordingly, the demand for social housekeeping services is also increasing day by day. In terms of domestic service support, the community should be used as a platform to integrate various service resources in the region, provide affordable domestic service for ordinary elderly people at home, and provide obligatory or low-paid cleaning, meal assistance and other services for urban and rural empty nest, left-behind, elderly and disabled elderly people.

Health maintenance support is also one of the core contents of family support for the elderly, its purpose is to improve the quality of life of the elderly, reduce the diseases caused by aging, and enable chronic diseases to be treated and rehabilitated, in order to extend the time of social participation of the elderly. According to the different health status of the elderly, the emphasis of health maintenance support is also different: for the healthy elderly, the emphasis is on providing health promotion, disease prevention and other aspects of service support; For the elderly with chronic diseases, the community should establish health records, focusing on the provision of chronic disease management services support; For the elderly who are recovering from illness and need home rehabilitation, door-to-door rehabilitation services should be provided; For elderly people with partial functional disabilities who need long-term care at home, the focus is on providing long-term rehabilitation and medical care services.

Some empty nest, left-behind, elderly, disabled elderly people, due to the lack of family affection, monotonous communication, poor culture, etc., resulting in loneliness, loss, anxiety, psychological pressure. At the same time, the marriage problem of the elderly has also begun to appear, and some rural left-behind elderly people will even appear pessimistic and suicidal feelings. Therefore, family support for the aged should also include psychological support. In terms of psychological support, it relies on community and administrative village medical service institutions or other professional social organizations to carry out targeted psychological counseling and treatment services for the elderly at home, relieve their psychological pressure, and improve their physical and mental health.

Technical support. In the family support for the elderly, the support from the technical aspect is an important content. Scientific and technological innovation has great potential: with the help of nursing care, living assistance, functional compensation and other aspects of the elderly assistive technology products, to provide intelligent technology compensation for the functional degradation of the elderly, assist and replace human care, and enhance the social participation of the elderly group with technological innovation; With the help of mobile Internet, big data, wearable, cloud computing and other new generation of information technology, we provide high-tech intelligent old-age care technology equipment for the elderly at home, such as smart wristbands, one-button pager, fall detection, first aid rope, vital signs monitoring, etc., and connect them with medical centers and children's mobile phones to provide comprehensive technical support for the elderly at home. Develop information health services for the elderly led by active health technology (such as intelligent integrated management of chronic diseases, remote intelligent combination of medical care, etc.), build a continuous health maintenance and intervention system based on evidence-based medicine, and serve the disease prevention, functional improvement and healthy life extension of the elderly at home.