Practice in China Cai Fei Deputy Director General Department of - - PowerPoint PPT Presentation

Healthy Ageing Practice in China

Cai Fei Deputy Director General Department of Family Development, National Health and Family Planning Commission of China 28 November 2017, Yogyakarta, Indonesia

Average level

• 图 1 ageing trend (65+) ，1950-2100
• 资料来源：United Nations. 2013. World Population Prospects: The 2012 Revision.

Populations are getting older

Developing zone Developed zone

• 2016：230 million people or 16.7%, 60+
• 150 million people or 10.8%, 65+

Large

• China=1.5 * world average：
• 10.1%（2015），12.1%（2020）
• 17.2%（2030），23.6%（2040），25.5%（2050）
• （UNWPP 2015）

Rapid

• Regional imbalance, especially urban-

rural imbalance in aging.

Imbalanced

SDG Goal 3 Ensure healthy lives and promote well- being for all at all ages

Th The health lth of senio ior r citiz tizen ens s is the key y to the devel elop

• pmen

ent t of the ag ageing ng soci ciety ety

Challenges

1.Prevalence of chronic diseases

10 20 30 40 50 60 70 80

Obesity Hypertension DM Self-reported MI Self-reported Stroke Self-reported COPD Self-reported AD in Memory decline Pop Self-reported PD inmovement disorder Pop

Urban Rural

Prevalence of main chronic diseases in the elderly in China (2012)

（%）

Challenges

2.Demands of the elderly for health services is significantly higher than that of other ages.

disease prevention health management medical treatment rehabilitation care hospice care Long term care

Challenges

3.The ageing process is accompanied by urbanization, family miniaturization and empty-nest, the contradictions are more complicated.

Healthy althy Ag Ageing eing is s an investment vestment, , not t a cost

investment

Reduce the economic consequences of the elderly’s diseases Lighten the burden of care for family members Promote the development of health industry Tremendous potential market, expand employment Drive economic growth

• 1. Scientific judgment

policy design in advance

Population Ageing Trend in China

• 2. Top-level design

formulate the national strategy and action plan

• Respond proactively to population ageing.
• Adopt policies and foster a social environment in

which senior citizens are respected, cared for, and live happily in their later years.

• Provide integrated elderly care and medical services,

and accelerate the development of old-age programs and industries.

Carry out the Healthy China initiative

National 13th Five - Year plan on healthy Ageing

advocacy preventive care medical treatment rehabilitation nursing Integrated elderly care and medical service Palliative care /hospice

15

• 1. Advance the elderly health promotion and education,

to improve the health literacy of the elderly.

• 2. Strengthen health and public health service,

to improve health management.

• 3. Improve the elderly health services system,

to enhance the quality and accessibility of services.

• 4. Actively promote the integrated elderly care and medical services.
• 5. Strengthen the medical security system,

to lay a solid foundation for safeguarding the health.

Major tasks

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• 6. Make full use of TCMs (ethnic medicines),

to provide diversified elderly health services.

• 7. Focus on the diversified needs of the elderly,

to promote the development of the aged health industry.

• 8. The foster an supportive environment for the elderly,

to create an elderly-friendly social atmosphere.

• 9. Strengthen professionals team building,

to upgrade the professional level.

Major tasks

“Healthy China 2030” “13th Five - Year ” development plan of the cause of aging and national pension “13th Five - Year ” plan on the reform of the pharmaceutical and health care system

He Heal alth th of

• f the

he el elde derly ly

• 3. Integrated service

strengthen department coordination

19

State ate Co Council No Notice ce of Guiding ing Opinion

• ns

s of the NH NHFPC C and Oth ther er Re Relevant nt De Depart rtments ments

• n
• n

Advancing cing integrat grated d social service vice wi with medica ical l service vice. (20 2015 15-No. No.84 84）

Integrating social service with medical service for the elderly

20

Institutions and services

• 1. Support nursing homes to provide health care.
• 2. Strengthen coordination between medical institutions and

elderly nursing home.

• 3. Outreach health care services to community and family.
• 4. Encourage health care facilities to provide elderly services.

Progresses

• 90 national pilot cities
• Pudong district in Shanghai: established a three-year plan for

home-based old-age care scheme across sectors, including government departments (health, civil affairs, education, social security), civil society and private sectors.

• Qingdao in Shandong: implemented long term care insurance

system for 5 years, covers urban and rural elderly, lighten the b urden of their families and the whole society.

• Sichuan province：developed an industrial cluster of health in

dustry

• Free health management services for residents over 65

including health assessment, physical examination and health guidance, etc.

• The rate of health management

reached 65%.

• 4. Focus on technological

innovation, intelligent products and services

Intelligent healthy old-age care plan (2017 - 2020)

• 5. Oriented by the participation

and needs of the elderly， create older People-friendly environment

A A lon

• ng

g wa way to go

• go
• Strengthen the international cooperation on

Healthy Ageing

• strategic dialogue
• policy exchange
• information sharing
• training of personnel
• exchange and collaboration

among the institutions and pilot cities

Th Thank k you you!