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
Populations are getting older Average level Developed zone Developing zone • 图 1 ageing trend (65+) ， 1950-2100 • 资料来源： United Nations. 2013. World Population Prospects: The 2012 Revision.
• 2016 ： 230 million people or 16.7%, 60+ Large • 150 million people or 10.8%, 65+ • China=1.5 * world average ： • 10.1% （ 2015 ）， 12.1% （ 2020 ） Rapid • 17.2% （ 2030 ）， 23.6% （ 2040 ）， 25.5% （ 2050 ） • （ UNWPP 2015 ） • Regional imbalance, especially urban- Imbalanced rural imbalance in aging.
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 opmen ent t of the ag ageing ng soci ciety ety
Challenges 1.Prevalence of chronic diseases
80 70 60 50 40 （ % ） Urban 30 Rural 20 10 0 Obesity Hypertension DM Self-reported Self-reported Self-reported Self-reported Self-reported MI Stroke COPD AD in Memory PD decline Pop inmovement disorder Pop 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 health medical rehabilitation hospice care prevention management treatment 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 Reduce the economic consequences of the elderly’s diseases investment 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
Carry out the Healthy China initiative 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.
National 13th Five - Year plan on healthy Ageing advocacy Palliative care preventive care /hospice Integrated elderly medical care and medical treatment service rehabilitation nursing
Major tasks 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. 15
Major tasks 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. 16
“Healthy China 2030” He Heal alth th of of the he “ 13th Five - Year ” development plan of the cause of el elde derly ly aging and national pension “ 13th Five - Year ” plan on the reform of the pharmaceutical and health care system
3. Integrated service strengthen department coordination
Integrating social service with medical service for the elderly State ate Co Council No Notice ce of Guiding ing Opinion ons s of the NH NHFPC C and Oth ther er Re Relevant nt De Depart rtments ments on on Advancing cing integrat grated d social service vice wi with medica ical l service vice. (20 2015 15-No. No.84 84 ） 19
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. 20
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 ong g wa way to go o 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!
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