Group 1 - The core focus is on ensuring that the elderly population in Shenyang has access to medical care and support for aging, with a significant portion of the population being 60 years and older, approximately 2.34 million, which constitutes 30.6% of the total registered population [1] - Shenyang has established a comprehensive elderly health service system, with 83% of secondary and higher-level hospitals having set up geriatric medicine departments and 100% providing green channels for elderly patients [1] - The city has enhanced rehabilitation services, with 58 secondary and higher-level medical institutions setting up rehabilitation medicine departments and 40 offering rehabilitation outpatient services [1] Group 2 - Shenyang is actively promoting the integration of medical and elderly care services, with 27 institutions having "two certificates" for medical and elderly care integration by the end of 2024, and 280 elderly care institutions signing contracts with community health service centers [2] - A family doctor service network covers urban and rural areas, with 2,053 family doctor teams providing services to elderly individuals aged 65 and above, achieving a signing rate of 65.8% [2] - Initiatives to improve cognitive health among the elderly include the launch of an Alzheimer's prevention and treatment action, training 156 medical staff and volunteers, and screening 7,530 individuals for cognitive function [2] Group 3 - Shenyang plans to enhance elderly health services by introducing new oral health projects covering at least 300 communities and aims for 90% of secondary and higher public hospitals to have geriatric medicine departments [3] - The city will standardize cooperation agreements between medical and elderly care institutions, develop service quality assessment plans, and strengthen regulatory oversight of medical institutions within elderly care facilities [3] - For palliative care services, Shenyang will establish a quality standard system, add pilot institutions, implement professional talent training programs, and conduct strict service quality inspections to ensure high standards [3]

推动老年医疗服务从单病种诊疗模式向多病共治模式转变。 5月8日，国家卫健委发布"关于印发老年医学科建设与管理指南（2025年版）的通知"（以下简称"新指 南"）。相较于2019年发布的原指南，国家卫健委医政司称本次修订的内容主要包括以下四个方面：一 是扩大了老年医学科的建设范围；二是细化了老年医学科科室设置标准和业务内容；三是明确了老年医 学科的服务模式；四是调整了责任主体和质控模式。 新指南还提出，二级综合医院老年医学科要加强与基层医疗卫生机构、养老服务机构、康复医院、护理 院和安宁疗护机构等机构合作指导，带动基层老年健康服务能力提升。 《"十四五"健康老龄化规划》显示，中国78%以上的老年人至少患有一种以上慢性病。除了心血管疾病 等常见基础慢病，近年来，罹患精神心理疾病、睡眠障碍、营养不良以及肿瘤等疾病的老年人群也逐渐 增多。为回应多种老年综合征的诊疗和康复需求，新指南明确，要推动老年医疗服务从单病种诊疗模式 向多病共治模式转变。 "老年医学科要逐步建立多学科团队工作模式，根据临床工作需要，主动吸纳内科、肿瘤、中医、康 复、精神心理、护理、药学、营养等各专科医护人员，开展多学科联合诊疗、共病诊疗特色服务， ...