Core Viewpoint - The National Healthcare Security Administration has issued a trial version of the National Long-term Care Insurance Service Project Directory, which includes 36 service items funded by the long-term care insurance fund, while also initiating a special rectification of medical insurance fund management to combat fraud [1][2]. Group 1: Long-term Care Insurance Development - Japan implemented the Long-term Care Insurance Law in 1997, establishing a mandatory nationwide care insurance system, which diversified the elderly care service system [1]. - Prior to the implementation of the Long-term Care Insurance Law, Japan's elderly care services relied heavily on public institutions and a few non-profit organizations, leading to a lack of competition and inefficiency [1]. - The introduction of the Long-term Care Insurance Law allowed private enterprises to participate in service provision, significantly increasing the number of care service institutions and creating a competitive market structure [1]. Group 2: China's Long-term Care Insurance Pilot - China officially launched the long-term care insurance pilot in 2016, covering 15 cities and 2 key provinces, focusing on providing support for severely disabled individuals under employee medical insurance [2]. - Various cities have explored diverse service models, with some focusing on institutional care and others emphasizing home-based services to meet daily care and medical needs of the elderly [2]. - These explorations have accumulated valuable experience for system improvement, leading to a rapid increase in demand for high-quality elderly care supplies as the long-term care insurance system expands [2]. Group 3: Financial Projections - In 2023, the number of individuals covered by long-term care insurance is projected to be 18.331 million, with a total medical insurance enrollment of 1.33389 billion [3]. - The long-term care insurance fund revenue for 2023 is estimated at 24.4 billion yuan, with an average per capita contribution of 133 yuan [3]. - If the long-term care insurance is expanded to cover all medical insurance participants, the revenue scale could reach 177.3 billion yuan, and if it matches the average revenue ratio of similar systems in the US, Japan, Germany, and France, it could reach 633.3 billion yuan [3].

Core Viewpoint - The "Wu Di Craftsman" vocational skills competition for elderly care in Suzhou highlights the city's commitment to enhancing the skills of elderly caregivers, with a focus on both theoretical knowledge and practical skills [1] Group 1: Competition Overview - The competition took place on September 26-27, 2023, at Suzhou Vocational Health Technology College [1] - It was co-hosted by the Suzhou Civil Affairs Bureau, Human Resources Bureau, and the Municipal Federation of Trade Unions, with 11 teams participating from various districts and cities [1] - The competition was based on the National Occupational Skill Standards for Elderly Care Workers (2019 version), focusing on both theoretical and practical assessments [1] Group 2: Assessment Criteria - The theoretical competition assessed caregivers' understanding of relevant occupational skill standards, while the practical competition evaluated their ability to provide basic care, rehabilitation services, psychological support, and training for the elderly [1] - Participants ranking in the top 50% with passing scores in both theoretical and practical assessments could advance to higher skill levels, with the top three earning a promotion to Level 2 (Technician) [1] Group 3: Results - Mei Xiaojie from the municipal team won the first prize, while Liu Yue and Fan Tingting from Taicang City won second prizes [1] - Wang Jinghan, Zhao Yangyang from Suzhou Industrial Park, and Wang Zhiying from Huqiu District received third prizes [1]

以下文章来源于盐财经 ，作者李秋悦 盐财经 . 洞察趋势，睿智人生。《南风窗》旗下专业财经媒体。 养老行业正面临"青黄不接"的难题。 文 ｜ 李秋悦 编辑 ｜ 江江 来源｜ 盐财经（ID：nfc-yancaijing） 封面来源 ｜ unsplash "人口老龄化，养老正在成为下一个风口，养老护理员轻轻松松月入过万。" 在家政服务培训机构的"广告叙事"中，这是一条十分丝滑的逻辑链。我国60岁及以上老年人目前约有3.1亿人，占全国总人口的22%，意味着，我国存在巨 大的养老护理需求，养老护理员市场蕴藏着巨大的发展潜力。 现实的确提供了有力的论据。根据智联招聘数据，今年二季度，护工职位数同比增长54%，平均招聘月薪5720元，同比增长8%，养老护理员行业迎来岗 位、薪资双增长。同时，据业内人士介绍，随着职级晋升，在一二线城市的护理人员月薪甚至能超过一两万。 养老/看护行业招聘职位数占比TOP 10 城市/图源：智联招聘 各大一线城市更是出台了高额补贴政策，吸引相关人才。 比如，广州市对于从事养老服务机构一线服务岗位满三年的中职（或普高）、高职、全日制本科及以上的毕业生分别给予6000元、11000元、12000元 ...

Core Viewpoint - The aging population in China is creating a significant demand for elderly care services, leading to a burgeoning market for caregivers, with salaries increasing and job opportunities expanding [4][7]. Group 1: Market Demand and Growth - As of now, there are approximately 310 million individuals aged 60 and above in China, accounting for 22% of the total population, indicating a vast need for elderly care services [4]. - In the second quarter of this year, the number of caregiver job postings increased by 54% year-on-year, with an average monthly salary of 5720 yuan, reflecting an 8% increase compared to the previous year [4]. - Major cities are implementing substantial subsidies to attract talent in the elderly care sector, with cities like Guangzhou and Shenzhen offering one-time employment subsidies ranging from 6000 to 15000 yuan for qualified candidates [7]. Group 2: Challenges Faced by Caregivers - Despite the attractive salary prospects, many young individuals entering the elderly care field face harsh realities, including physically demanding tasks and emotional stress [8][12]. - Caregivers often deal with challenging situations, such as managing elderly patients with severe health issues, which can lead to high turnover rates among new entrants [14][21]. - The work environment is often described as tough, with caregivers experiencing significant physical and psychological pressure, leading to a reluctance among many to remain in the profession long-term [22][34]. Group 3: Workforce Composition and Trends - The elderly care workforce is predominantly composed of older individuals, with nearly 40% of caregivers aged between 50 and 55, and only 3% under 30 years old, highlighting a "youth gap" in the industry [29][30]. - Although many graduates from relevant fields enter the industry, a significant portion chooses to leave, with a reported turnover rate of 40% to 50% for new caregivers [30]. - The industry is increasingly recognizing the need for younger caregivers to provide companionship and adapt to technological advancements in care, which older workers may find challenging [31][32]. Group 4: Economic Viability and Future Outlook - The elderly care sector faces economic challenges, with only 6.4% of institutions achieving profitability, while many others operate at a break-even point or incur losses [34]. - The industry is exploring new business models, such as integrating childcare and elderly care services, to enhance operational efficiency and improve caregiver compensation [36]. - The ongoing development of the elderly care sector is crucial for ensuring sustainable growth and attracting a younger workforce, which is essential for meeting the needs of an aging population [37].

Group 1: Policy Measures and Economic Impact - The Chinese government has introduced 19 measures to stimulate service consumption, aiming to expand domestic demand and enhance economic growth [1][4] - The measures focus on various sectors including culture, sports, education, and healthcare, indicating a comprehensive approach to boost service consumption [4][5] - Analysts believe that these policies will enhance investor confidence in the consumer market and positively impact the A-share market [5][6] Group 2: Service Consumption Growth - In the first eight months of this year, the total retail sales of consumer goods in China grew by 4.6%, while service retail sales increased by 5.1%, indicating a robust growth in service consumption [1] - The People's Bank of China projects that the share of service consumption in per capita household expenditure will reach approximately 46.1% by 2024, suggesting significant growth potential [2] Group 3: Sector-Specific Opportunities - The policy measures emphasize the development of high-quality service supply, including support for the film and animation sectors, and extending operating hours for popular cultural venues [5][6] - The sports industry is highlighted as a key area for growth, with encouragement for hosting international sports events and promoting grassroots sports [7][8] - The aging population presents opportunities in the elder care sector, with a focus on establishing long-term care insurance and improving service quality [9]

Group 1 - The Henan Gig Market officially opened on September 20, providing over 3,500 job positions for job seekers [1] - The first gig job fair, focusing on flexible employment, aims to connect job demand and supply, particularly for key groups like college graduates [1] - The market emphasizes non-full-time, seasonal, and temporary employment needs, offering "one-stop" services for gig workers and employers [1] Group 2 - The job fair will feature over 2,000 gig positions and 1,500 full-time positions across various popular industries, including food service, retail, logistics, and IT [1] - Participating companies include well-known firms such as Haoxiangni Group, Yutong Group, and JD.com, indicating strong corporate interest in the event [2]

Core Insights - The aging population in China is creating a significant demand for elderly care services, with approximately 310 million people aged 60 and above, accounting for 22% of the total population [1] - The elderly care industry is experiencing a dual growth in job positions and salaries, with caregiver job postings increasing by 54% year-on-year and an average monthly salary of 5720 yuan, up 8% from the previous year [2] Group 1: Job Market and Salary Trends - The elderly care sector is seeing a rise in job vacancies and salaries, particularly in first-tier cities where high subsidy policies are being implemented to attract talent [2][4] - Cities like Guangzhou and Shenzhen are offering substantial one-time employment subsidies for caregivers, with amounts reaching up to 20,000 yuan for experienced workers [5][6] - The average salary for caregivers in first-tier cities can exceed 10,000 yuan, especially with career advancement opportunities [2] Group 2: Challenges Faced by Caregivers - Many young individuals are drawn to the elderly care industry due to high salary prospects but face harsh realities once employed, including physical and emotional stress [8][31] - Caregivers report high workloads, with many working 9 to 12 hours a day, and a significant portion earning less than 4,000 yuan monthly [37] - The job involves challenging tasks such as assisting with personal hygiene and dealing with difficult situations, including the death of residents [22][25][30] Group 3: Workforce Demographics and Retention Issues - The elderly care workforce is aging, with a significant portion of caregivers being over 50 years old, while only 3% are under 30 [50] - Despite the availability of training programs, many graduates choose not to pursue careers in elderly care, leading to a high turnover rate of 40% to 50% [54][56] - The industry faces a "youth gap," as younger workers are needed for their ability to engage with elderly residents and adapt to technological advancements in care [57][58] Group 4: Industry Structure and Profitability - The elderly care industry is characterized by high initial investments and low profit margins, with only 6.4% of institutions reporting profitability [65] - State-owned and insurance-backed enterprises are leading in profitability, often leveraging government resources to reduce operational costs [66][67] - New models, such as "intergenerational care," are emerging to address the challenges posed by a declining birth rate and to create sustainable care environments [69][70]

日本现有的65岁以上独居老年人口已高达700万。谁来承担这些老年人的护理，已经成为一个亟待解决的课题。 编者按：日本现有的65 岁以上独居老年人口已高达700万，随着老龄化问题日益加重，这一数字还在持续增长。 究竟谁来承担这些老年人的护理，成为一个亟待解决的课题。 近年，东京的棚户街山谷逐渐发展为探索实践理想照护的地方。2022 年的一天，社会学家上野千鹤子与记者末并 俊司一起探访了山谷地区。 上野千鹤子长期亲临现场，深耕独居老人的护理和看护领域，著有《一个人的老后》一书。末并俊司是护理行业 的记者，他对山谷地区的持续关注最终化作一本非虚构作品《山谷，我的家》，该书荣获小学馆非虚构文学大 奖，并于近期由上海译文出版社推出中文版。经出版社授权，第一财经节选了书中部分篇章。 "我可以打扰一下吗？" 跟在上门护士身后进入房间的是社会学家、东京大学名誉教授上野千鹤子。 "房间有些小……请进吧。" 患有晚期肺癌的久田先生（化名，84岁）撑起瘦弱的身体回应道。在三叠大的房间里，久田先生盘腿坐在护理床 上，护士站在床边，这就没有多少空间了。 这里是东京山谷地区的棚户街的一个房间。负责的护士开始检查久田的血压和脉搏等生命体征 ...

Core Viewpoint - The company is currently involved in a legal dispute regarding the termination of management consulting agreements with several non-profit institutions in the healthcare sector, which may significantly impact its future revenue from this segment [2][3][10]. Group 1: Litigation Background - The lawsuit is in the second instance, with the company’s wholly-owned subsidiary, Shanghai Renxing Health Management Co., Ltd., as the appellant [2]. - The total amount involved in the case is reported as 0 yuan, indicating no direct financial claim is being pursued [3]. - The company is unable to receive operational income from the healthcare segment due to the unilateral termination of agreements by the non-profit institutions [3][10]. Group 2: Details of the Agreements - The company acquired 100% of Shanghai Renxing for 600 million yuan in 2019, which included management rights over several healthcare institutions [4]. - In April 2020, management consulting rights were transferred to a subsidiary, Horqin Renheng Health Management Co., Ltd., which subsequently faced contract terminations from the non-profit institutions [5]. Group 3: Legal Proceedings - The company filed lawsuits to declare the management consulting agreements invalid after receiving termination notices from the non-profit institutions [5][6]. - The first-instance judgment rejected all of the company’s claims, leading to an appeal filed on April 11, 2025 [7][12]. - The second-instance ruling upheld the original judgment, confirming the termination of the agreements [8][9]. Group 4: Financial Impact - The company anticipates a loss of approximately 56.65 million yuan in consulting management fee income, which constituted 15.63% of its total revenue in 2021 [10]. - Following the termination of agreements, the company has improved operational efficiency in its self-operated nursing institutions to mitigate losses [10]. - The company has fully recognized impairment provisions for future income from these management consulting fees in its 2022 annual report [11]. Group 5: Future Actions - The company plans to appeal the court's decision and will actively seek a retrial [12].

Core Points - The Guangdong Provincial Human Resources and Social Security Department has established the first vocational skill training and examination standards for the Greater Bay Area, focusing on elderly care [1] - A pilot program for the "One Test, Three Certificates" initiative has been launched, with 21 candidates from Guangdong, Hong Kong, and Macau successfully obtaining multiple certifications [1] - The developed standards include the "Guangdong Elderly Care Training Course Guide" and the "Evaluation Norms for Elderly Care Workers," which provide a framework for talent cultivation and assessment in the region [1] Group 1 - The evaluation system integrates advanced technologies and concepts from the elderly care sectors of Guangdong, Hong Kong, and Macau, allowing candidates to earn three certificates through a single examination [1] - The collaborative development of evaluation standards is expected to enhance talent mobility within the Greater Bay Area's elderly care industry and facilitate quicker employment opportunities for caregivers [1] Group 2 - The standards emphasize a human-centered approach, incorporating emotional management and privacy protection into training and evaluation, alongside physical health care for the elderly [2] - The terminology used in the standards refers to the elderly as "elders," and emphasizes effective communication techniques with those suffering from cognitive impairments [2] - The evaluation process requires obtaining consent from the elders before preparing any materials for the assessment, reflecting a commitment to care and respect for the elderly [2]