为实施积极应对人口老龄化国家战略,国务院发布了《国家积极应对人口老龄化中长期规划》,制定了《“十四五”国家老龄事业发展和养老服务体系规划》,拟在我国稳步推进长期护理保险制度,逐步建立起“覆盖城乡、惠及全民、均衡合理、优质高效”的长期照护服务体系。由于历史的原因,我国城乡差别大、农村老龄化率超高,而医疗和照护资源却严重不足,将成为实现上述目标的主要障碍。但这个问题尚未引起各级政府及社会的足够重视。本文以青岛市为例,对农村地区建立长期照护体系的紧迫性和可行性进行系统分析,并提出对策建议。

In order to implement the national strategy of actively responding to population aging, the State Council has issued the Medium and Long-Term Plan for Actively Responding to Population Aging and formulated the 14th Five-Year Plan for the Development of National Aging Undertaking and Elderly Care Service System. It is planned to steadily promote the long-term care insurance system in China and gradually establish a long-term care service system that covers urban and rural areas, benefits the whole population, with balanced, reasonable, and high-quality and efficient service. Due to historical reasons, there is a large urban-rural gap and a high aging rate in rural areas in China. However, medical and care resources are seriously insufficient, which will become the main obstacle to achieving the goals above. This issue has not yet received sufficient attention from governments and society. This article takes Qingdao City as an example to systematically show the urgency and feasibility of establishing a long-term care system in rural areas, and proposes countermeasures and suggestions.