山东以全国首个医养结合示范省建设为抓手，探索健康养老新路径

Core Viewpoint - Shandong Province is pioneering a new path in health and elderly care by establishing itself as the first national demonstration province for integrated medical and elderly care, focusing on a comprehensive service system and innovative mechanisms to address the challenges of an aging population [2][3][4]. Group 1: Integrated Service System - Shandong has developed a comprehensive elderly care service system, with 1,125 integrated medical and elderly care institutions and a total of 330,000 beds, leading the nation [2] - The province has achieved a 100% coverage rate for integrated medical and elderly care services in elderly care institutions, with 787 institutions included in medical insurance and 904 in long-term care insurance [2][3]. Group 2: Innovative Mechanisms - The province has initiated the "Five Beds Linkage" pilot program, which includes elderly care beds, medical beds, family elderly care beds, family sick beds, and palliative care beds, achieving a 68% concentration rate for disabled and impoverished elderly individuals [3] - Shandong has established a dynamic adjustment mechanism for the support standards of impoverished individuals and provides approximately 2 billion yuan annually in subsidies for elderly care services [3]. Group 3: Service Quality Enhancement - 96.5% of secondary and above public hospitals have established geriatric medicine departments, and 96% of counties have at least one palliative care unit, enhancing the quality of elderly health services [4] - The integration of traditional Chinese medicine into elderly health services is emphasized, with all township health centers setting up traditional Chinese medicine facilities [4]. Group 4: Service Experience Optimization - By September 2024, 88% of comprehensive hospitals and rehabilitation institutions have become elderly-friendly medical institutions, improving service accessibility for the elderly [5] - Shandong is actively exploring accessible palliative care services, with a structured three-tier system established in cities like Jinan, serving 1,560 elderly individuals [5]. Group 5: Policy Innovations - In September 2024, Shandong's health commission and 16 departments issued a three-year action plan to enhance the integrated medical and elderly care model, introducing policies for the evaluation of nursing professionals and support for the transformation of medical institutions into integrated care facilities [6] - The plan includes financial incentives for establishing cognitive impairment care facilities and the implementation of long-term care insurance policies for eligible rehabilitation and palliative care services [6].