学校2013

政策找上门 照护送进家 一张“颐养清单” 让失能老人有“医靠”_我的网站

一 |     每周一、三、五上午，萧山区北干街道广德小区的长护险护理员来优美都会准时来到张奶奶家中。首先是给张奶奶翻身、叩背、排痰，然后进行口腔清洁、生命体征监测、更换被单，再协助老人吃早饭、喝水，一套动作行云流水。一旁张奶奶的家人面露欣慰：“现在不仅有了专业的护理人员，还有社区医生定期上门服务，老人舒坦，我们也放心了。    TOKYO -- Japan’s government asked a court Friday to revoke the legal status of the Unification Church after an Education Ministry investigation concluded the group for decades has systematically manipulated its followers into donating money, sowing fear and harming their families.The request submitted to the Tokyo District Court asks for it to issue a dissolution order revoking the church's status as a religious organization. Education Ministry officials submitted 5,000 pieces of documents and evidence in cardboard boxes to the court to support its request. The process involves hearings and appeals from both sides and would take a while. If the order is approved and its legal status is stripped, the church could still operate but would lose its tax exemption privilege as a religious organization and would face financial setbacks.The request was made a day after Education Minister Masahito Moriyama announced a panel of experts had endorsed the revocation request based on the findings of the ministry's investigation into the church's fundraising tactics and other allegations. The Japan branch of the South Korea-based church, which officially calls itself the Family Federation for World Peace and Unification, earlier condemned the government's decision.“It is our deepest regret that the Japanese government made the serious decision based on distorted information provided by a leftist lawyers’ group formed for the purpose of destroying our organization,” the church said in a statement late Thursday. “It will be a stain in Japan’s Constitutional history.”As part of the Education Ministry investigation, officials interviewed more than 170 people allegedly harmed by the church's fundraising tactics and other problems. The church failed to respond to dozens of questions during the seven inquiries, Moriyama said Thursday. The church tried to steer its followers’ decision-making, using manipulative tactics, making them buy expensive goods and donate beyond their financial ability and causing fear and harm to them and their families, Moriyama said Thursday. The tactics seriously deviated from the law on religious groups, in which the purpose of the churches’ legal status is to give people peace of mind, he said. “The activities are wrongful conducts under the Civil Code and their damages are immense.”The Agency for Cultural Affairs found 32 cases of civil lawsuits acknowledging damages totaling 2.2 billion yen ($14.7 million) for 169 people, while the amount of settlements reached in or outside court totaled 20.4 billion yen ($137 million) and involved 1,550 people, Moriyama said.Japan has in place hurdles for restraining religious activities due to lessons from the prewar and wartime oppression of freedom of religion and thought.The investigation followed months of public outrage and questions about the group’s fundraising and recruitment tactics after former Prime Minister Shinzo Abe’s assassination last year. The man accused of shooting Abe allegedly was motivated by the former prime minister’s links to the church that he blamed for bankrupting his family.Decades of cozy ties between the church and Japan’s governing Liberal Democratic Party were revealed since Abe's assassination and have eroded support for Prime Minister Fumio Kishida's government. Kishida told reporters Thursday that the government’s decision to seek the revocation order was made carefully based on facts and was not political, denying speculation it was intended to shore up dwindling public support.The Unification Church obtained legal status as a religious organization in Japan in 1968 amid an anti-communist movement supported by Abe’s grandfather, former Prime Minister Nobusuke Kishi.The church has acknowledged excessive donations but says the problem has been mitigated for more than a decade. It also has pledged further reforms.Experts say Japanese followers are asked to pay for sins committed by their ancestors during Japan’s 1910-1945 colonial rule of the Korean Peninsula, and that the majority of the church’s worldwide funding comes from Japan.If the church's status is revoked, it would be the first under civil law. Two earlier cases involved criminal charges — the Aum Shinrikyo doomsday cult, which carried out a sarin nerve gas attack on the Tokyo subway, and the Myokakuji group, whose executives were convicted of fraud.。”今年94岁的张奶奶是一位重度失能老人，患尿毒症8年，有20余年高血压病史。两个月前，老人的居家照护服务高度依赖年过六旬的子女。改变，源于萧山“医康养护助”融合改革中的一项关键探索——“两站协同”。

二 | 作为“医康养护助”融合改革省级试点，萧山试图通过打造社区支持服务站，并与社区卫生服务站深度协同，创新推出“站长+颐养管家”常态化运行机制，破解失能失智老人的居家照护难题，让“医疗更近、响应更快、照护更专业”。

三 | 精准制定“颐养清单”今年6月，广德社区在萧山率先落地“医康养护助”社区支持服务站。

四 | 站点整合原有居家养老服务中心、社区卫生服务站资源，统一对接民政、医保、卫健、残联等部门，将慢病随访、中医康复同步纳入服务体系，并推出“站长+颐养管家”常态化运行机制。广德社区居委会副主任孙凯妮兼任站长，社区居家养老服务中心的服务商骨干俞李燕则担任颐养管家。两人“上岗”后的第一件事，便是入户走访，摸清底数，为精准制定“颐养清单”打下基础。正是在走访中，张奶奶的情况被“重新发现”。

五 | “此前她是中度失能，主要享受‘爱心卡’服务。但我们评估发现，她的身体状况已符合重度失能标准。”俞李燕说。经协助申请，张奶奶通过了重度失能评估，并顺利申办了长护险。

六 | 张奶奶的家属算了一笔账：目前，老人已叠加享受长护险、“爱心卡”、家庭医生签约等多项服务，每月照护费用减负超过2000元。从“人找政策”到“政策找人”线下，站长、颐养管家和服务人员脚步不停；线上，各类养老服务数据也在“跑起来”。依托“颐养+”数字化平台，萧山打破部门数据壁垒，构建起“萧山区老年人360画像”数据库。“以前是老人或家属跑部门问政策，现在是系统为老人匹配政策。”萧山区民政局相关负责人介绍，平台已集成28项失能失智老人高频福利政策。

七 | 通过老人子女端与颐养管家端的双向联动，系统可根据老人身体状况，自动匹配“爱心卡”、长护险、消费券等福利政策，生成“颐养清单”供管家参考调整。在“硬核”数字之外，广德社区还聚焦就近就便的“基层互助”力量，从居民中挖掘了三支“匠人队伍”，提供健康监测类、便民代办类等8大类24项服务，通过低价服务帮助高龄独居老人维持生活便利、重获生活尊严。有了广德社区的先行先试，萧山的改革步伐正在全域加快。2026年，萧山将在临浦、进化、北干、闻堰等10个镇街开展“两站协同”试点建设，并根据试点成效分步扩容，力争2027年实现萧山区站点服务全覆盖，让每一位失能失智老人在家门口都能更有“医”靠。

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