Group 1 - The core viewpoint emphasizes the need for a specialized nutritional support mechanism for elderly individuals in closed nursing institutions, particularly those who are disabled or semi-disabled [3][4] - A proposal was made to establish a "prescription supply mechanism for special medical foods" in closed nursing institutions, allowing compliant special medical foods to be sold and used following assessments by licensed physicians or clinical nutritionists [3] - The "14th Five-Year Plan" in Beijing highlights the importance of enhancing services for vulnerable elderly populations, including the establishment of a basic elderly care service system and the promotion of integrated medical and nursing services [3] Group 2 - The recommendation includes creating an "integrated medical and nursing" access list, with the health department leading the development of a recommended directory for special medical foods applicable in nursing institutions [4] - The proposal aims to implement a closed-loop management system that ensures product compliance, prescription access, and institutional procurement, alongside establishing standardized supply processes and enhancing cross-departmental supervision [4] - The initiative also suggests promoting the use of elderly care assistance cards for purchasing special medical foods and establishing norms for nutritional screening and intervention [4]