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社会包容、普遍服务和养老精准供给 Social Inclusion, Universal Services and Targeted Provision for elderly Care 许正中,经济学博士,管理学博士后,中共中央党校(国家行政学院)经济学部副主任、教授,博导,学科带头人。国家百千万人才,享受国务院特殊津贴。在Energy Policy、财政研究、人民日报等国内外一流刊物发表学术论文200余篇,担任联合国、世界银行等国际机构战略咨询专家,养老、医疗、扶贫是中国的三大现实问题,也是每个人需要面对的三个方面,我们正在阜南县探索以养老和医改为突破口,以大数据挖掘使用为抓手,实现三位一体的融合治理模式,让人民更方便,让政府更高效,让效果更透明。以区块链支撑的综合改革项目正在阜南落地实践,通过这一全新的融合治理模式实现阜南县惠及全民的公共治理的飞跃。 There are three social problems in China, elderly care, medical care and poverty, and nobody can avoid these problems. We are exploring the FUNAN model for older care and medical care. Bigdata digging is an effective method for inclusive governance. It is convenience for peoples life, promoting government efficiency and transparency. Blockchain supports the comprehensive reform in FUNAN county. That is an innovation for inclusive governance, and a leap for public governance benefit all.,以养老为抓手融合解决中国公共治理问题 Elder care will be the starting point for Integrating and Resolving the problems for Chinas public governance.,中国老年人受教育程度低成为重要问题 It is the main point that Chinese older people with the lower level of education,Primary school 49.72,Never been to school 22.5,Jonior school 18.7,Undergreduate 1.23,Master 0.03,high school 5.83,College 1.99,检验我们在养老事业探索的进步的标志,不是看我们是否为那些绰绰有余的老年人锦上添花,而是看我们能否使那些缺衣少食的老年人安享晚年。 The standard for examining the progress of elder care is not focus on how much money we spend on the rich elder, but for the poor elder and guarantee them have a happy life in their old age.,社会普遍服务的要义 Main points for social universal services,一、 公共服务的均等性Equality of public services 二、公共服务的可获得性 Availability of public services 三、公共服务的全覆盖性Full coverage of public services 四、公共服务的公正性fairness of public services 五、公共服务的可持续性sustainability of public services,构筑养老社会普遍服务体系是社会能力的基石 Building the social universal services system is the cornerstone for social capacity,一、 构筑社会人文普遍服务体系 1.Building social humanity universal services system 二、构筑社会产业普遍服务体系 2. Building social industrial universal services system 三、构筑社会信息知识普遍服务体系 3.Building social information and knowledge universal services system,精心设计,上下一体共建,让服务覆盖城乡 Well-designed, co-construction, full coverage services in urban and rural area,注重在发展的空间布局、资源布点、设施布置上统筹考虑、精细规划,构筑健康服务网。面对全县养老资源不优、技术能力不强、人才引进不活、就医负担较重的现状,2015年以县人民医院、中医院、三院牵头组建三个医共体,2016年试行县乡医疗服务一体化管理,由三家县级医院托管五家卫生院,2017年实现医共体全覆盖,破解了基层医改这一全国性难题。 Overall consideration for space arrangement, resources point, infrastructure, and fine planning to build up services net for medical care. FUNAN county has build up three medical care union, which are leading by peoples hospital, Chinese medicine hospital, and the third hospital, to improve the present situation in the range of all the county, that is not good at the resources of elder care, not strange at technical capacity, and not flexible for talent introduction. Funan has tried to operate the integrate medical services management on county and village level. There are tree county level hospital manage five health-centers in 2016, and achieving the goal of the full coverage of all medical care union in 2017. Funan successful resolve the difficult problem of basic level medical care reform in nationalwide,从N 1,从1 0,秒级响应,高效处理,信用创造价值,实施一门式一网式改革,建立全覆盖全天候的一对一治理模式 Building all standing one for one governance all weather model,One door and one net reform,Building cloud platform for social comprehensive governance,Innovative practice on Intelligent-credit and block chain,Respond on second order and high-activity processing,From N to 1, From 1 to 0,Making profit by credit,一门式 改革,区块链 block chain,大数据,云平台,障碍,探索 exploring,Big data,One door reform,Cloud platform,基于关怀老人的政府管理创新 Government management innovation based on care for the elderly people,No Running,No Running without paper document,Try on no Running business,No card,Elder services,Examine and approve in trust,Authorized Visiting For care records,Accept examining result for each other,三大建设,“我是我” IMI身份认证平台,“我的空间我做主” 的个人数据空间,“自信+他信” 的新型信用评价体系,IMI(Intelligent Multifunctional Identity)是依托于区块链底层技术、基于可信数据空间构建的最真实的自然人和法人信息的智慧多功能身份认证平台。该平台推出“我是我”个人信用身份认证体系,以政府现场认证作背书,利用区块链安全、可溯源、不可篡改、不可抵赖的技术特点,有效解决网上虚拟世界所面临的人员真实身份的确认问题。,构建老年健康服务的社会技术基础设施 Social technology infrastructure for elders healthy services,Three suggestions,IMI identify platform,Build up he new evaluation system Self trust +Other trust,Personal data spaces,一、程序即合约: The data itself has a program-Smart contract: 二、可溯源; Who the data belong to -Digital assets ; 三、转移唯一合法:不可更改; Transfer only legal ; 四、交割即清算。 Program is contract.,区块链引发普遍服务供给的全面创新 Blockchain triggers overall innovation for universal services provision,国家邮政局鼓励将智能快递末端纳入便民服务、民生工程和基础设施定位。2017年底,行业投入运营智能快件箱超过20.6万组,智能快件箱投递服务占比7%,丰巢和速递易等成为主流快递柜资源。,智能快件、冷链递寄成为老人美好生活梦的“共享单车” Smart express delivery, cold chain delivery will be the shared bikes for elders happly life,政府向社会力量购买养老服务可以实现多赢、将成为新常态 Government purchases elder care services from society will be the new normal and achieving multiple win,从政府角度看,调动社会组织力量和资源,引入市场竞争机制,促进创新,提升服务质量和水平 In the view of government, to enhance social organizations power and resources, lead into market competition mechanism, promote innovation, and improve service quality and level. 从社会组织角度看,社会组织拥有的专业知识和经验,有效满足社会服务的多样化需求 in the view of social organization, they have
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