Core Viewpoint - The Chinese government has initiated the "Silver Hair Medical and Nursing Action" to support retired medical personnel in providing healthcare services in integrated medical and nursing institutions and elderly care facilities, with ten provinces identified as key areas for this initiative [1]. Group 1: Implementation Principles - The action is based on principles of practicality, equality, voluntary participation, mutual selection, and meeting the needs of the elderly [3]. Group 2: Rights and Benefits for Retired Medical Personnel - Local authorities are required to establish mechanisms to protect the rights of retired medical personnel, ensuring their basic rights to labor remuneration, rest, and vacation [5]. - Labor remuneration will be determined through mutual agreement, and flexible scheduling options along with paid leave are encouraged for re-employed retired medical personnel [5]. - Discounts on fees may be offered to retired medical personnel or their close relatives for staying in the integrated medical and nursing institutions, subject to mutual agreement [5]. Group 3: Support for Healthcare Services - Retired medical personnel are encouraged to provide public health, basic medical services, home visits, and family bed services in designated elderly care facilities [6]. - They will also participate in early screening, intervention, and guidance for chronic diseases prevalent among the elderly, as well as health assessments and medication consultations [6]. - Retired medical personnel are expected to serve as trainers for staff in integrated medical and nursing institutions, focusing on geriatric medicine and nursing [6]. - They will engage in community volunteer services and conduct health clinics in grassroots communities in accordance with regulations [6].

Core Viewpoint - The recent controversy over a 5 yuan elevator fee for patients at the Jishan Community Hospital in Guangzhou highlights the tension between community hospitals and residential property management, raising questions about the financial responsibilities and operational practices of healthcare facilities [1][2][3] Group 1: Elevator Fee Controversy - The elevator fee was instituted by the management of Shunyi Apartment, not the hospital, and the funds collected do not go to the hospital [1] - The local health bureau deemed the elevator fee "unreasonable," but patients accompanied by medical staff are exempt from this charge [1] - The hospital is negotiating with the apartment management to potentially pay a fixed annual fee to eliminate the elevator charge for patients [1] Group 2: Community Hospital Dynamics - The Shunyi Apartment's decision to charge for elevator use may reflect a broader acceptance among residents and businesses due to the "NIMBY" (Not In My Back Yard) effect associated with healthcare facilities [2] - The increased foot traffic from the hospital can lead to higher wear and tear on the elevator, justifying the management's stance on charging for its use [2] - The hospital, while a grassroots medical institution, is not government-operated, which complicates its financial situation regarding operational costs like elevator maintenance [3] Group 3: Government Support and Policy Implications - The government should consider providing financial or policy support to community hospitals to ensure equitable access to healthcare services, especially for those not government-funded [3] - Recent government initiatives aim to enhance the accessibility of primary healthcare services, which conflicts with the imposition of additional fees like the elevator charge [3]