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]

此外，她介绍，由于特医食品（记者注：特殊医学用途配方食品，指为满足进食受限、消化吸收障碍等 人群对营养素或者膳食的特殊需要的食品）不属于药品，在日常监管中常被归为同类商品管理，而当前 养老机构普遍执行"禁止推销保健品"的规定，导致需在医生指导下使用的特医食品也无法通过正规渠道 进入养老机构。使真正需要特殊营养支持的失能、半失能老人面临专业产品获取无门、家属自行采购风 险高的困境。 她注意到，2025年"特医食品进医院"政策落地，北京允许医疗机构在增加经营范围后，为患者开具特医 食品处方。该政策明确特医食品需在医生指导下使用，区别于普通保健品，体现了分类管理、专业指导 的原则。"未来在封闭型医养结合的养老机构，我们也希望失能、半失能老人能用到这样的特殊医用食 品。" 新京报讯（记者王景曦）北京市第一部基础性、综合性的养老服务法规《北京市养老服务条例（草 案）》正在审议中。今年北京两会中，养老服务领域备受关注。市人大代表胡晓霞指出，失能、半失能 老人大多存在咀嚼和吞咽障碍，需要获得必要的特殊医学用途配方食品（特医食品）。她建议特医食品 通过规范渠道进入封闭型养老机构，并推动养老助残卡支付、医保衔接等配套措施，提升 ...