国家卫生健康委、民政部等五部门近日，印发通知，决定开展为期三年的医养结合促进行动。未来三年，我国将大力发展居家和社区医养结合服务，提升家 庭医生签约的质量和效果，到2027年底，失能、高龄、残疾等特殊困难老年人家庭医生签约覆盖率不低于80%。我们首先到先行试点地区去看看。 家庭医生团队根据老年人的身体状况，提供中医适宜技术，开展膳食、运动等专业指导。 在成都市温江区，10家基层医疗卫生机构组建107支家庭医生服务团队，为社区老人开展慢性病管理、疫苗接种等服务。81岁的白琼如老人患有高血压、糖 尿病，在家庭医生团队的精心照料下，各项指标都控制在合理范围内。 为了让失能、半失能老人在家门口得到照护，未来三年，国家将推动医疗资源较丰富地区的部分二级及以下医疗卫生机构转型为康复医院、护理院。江西省 上饶市万年县76岁的王志上老人患糖尿病、脑梗塞十多年了，今年3月，他又跌倒导致股骨骨折，做了手术后长期卧床。入住镇上的护理院后，王志上的身 体明显好转。 成都市温江区和盛镇中心卫生院医生 薛福治：比如说做一些艾灸，教他们简单的自我保健康复操。开始的时候婆婆的身体也不是很好，走路都需要搀扶， 后面婆婆的肌力慢慢地恢复一些，现 ...

Core Viewpoint - The APEC meeting in South Korea will address the significant demographic changes in the Asia-Pacific region, with a focus on transforming demographic challenges into economic opportunities through regional cooperation [1][2]. Demographic Changes - The proportion of individuals aged 60 and above in the Asia-Pacific region is projected to rise from 15.1% in 2024 to approximately 25% by 2050, indicating a significant demographic shift [3]. - South Korea is expected to enter a "super-aged society" by 2024, with over 20.2% of its population aged 65 and older, while its total fertility rate is projected to drop to between 0.72 and 0.75, marking a historical low [2][3]. Economic Implications - The demographic transition presents both challenges and opportunities for economic restructuring, necessitating reforms to foster new growth drivers and sustainable prosperity [3][4]. - Industries such as traditional manufacturing may face pressure to relocate to regions with younger populations, while sectors related to healthcare, elder care, and technology are anticipated to experience significant growth [4][10]. Policy Responses - Various countries are implementing policies to address declining birth rates, with South Korea reporting a 7.4% increase in births in the first half of the year, attributed to government support measures [6]. - Spain has also seen a positive trend in birth rates due to family support policies, including extended parental leave and enhanced childcare services [7]. Regional Cooperation - The integration of artificial intelligence and demographic change discussions at the APEC meeting highlights the need for collaborative solutions to labor shortages and the creation of new economic opportunities [9]. - The diversity in demographic challenges across Asia-Pacific countries can be leveraged for mutual benefits through labor mobility, capital collaboration, and technology exchange [10].

Core Insights - The silver economy in China is recognized as a high-potential sector, but challenges such as policy gaps and market difficulties persist, leading to operational hardships for market players [1][2] - The growth of the silver economy is driven by both policy and market forces, with a significant increase in the number of elderly care-related enterprises and a rise in demand for services like rehabilitation, education, and healthcare [1][3] - The current economic environment presents structural imbalances in supply and demand within the silver market, necessitating a reevaluation of consumer capabilities and willingness to spend [2][4] Current Development Trends - As of December 31, 2024, there are approximately 160,000 elderly care-related enterprises in China, marking a 24.36% increase from the end of 2023 [1] - Key sectors such as rehabilitation care, elderly education, and medical care have seen growth rates of 36.05%, 34.15%, and 31.26% respectively [1] - The demand for elderly-friendly renovations, smart elderly care, and silver tourism is rapidly increasing, with silver tourism accounting for 20% of total national tourism [1] Challenges and Market Dynamics - The silver economy faces a dual challenge of demand contraction and supply surplus, with the aging population not translating into effective demand due to economic constraints [2] - Misconceptions about potential demand versus effective demand hinder the assessment of risks and uncertainties in the silver economy [2] - The phenomenon of elderly individuals being unable to afford services or finding suitable services remains a significant issue [2] Characteristics of Silver Economy Development - The silver economy in China exhibits multi-layered and heterogeneous demand, with varying economic conditions and consumption behaviors across different elderly demographics and regions [3] - By 2035, it is anticipated that China will enter a stage of severe aging, further driving the need for diverse silver economy services [3] Strategic Recommendations - The development of the silver economy should leverage both public and private consumption resources, integrating government support with private sector engagement [6] - Policies should be optimized to facilitate demand release, transitioning from a government-led approach to a collaborative model involving both industry and service sectors [7] - A focus on technological innovation and the establishment of a comprehensive industrial chain is essential for sustainable growth in the silver economy [8][9]