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["附件1"]
["甘肃省消费品以旧换新居家适老化改造\n所用物品和材料补贴目录"]
["序号","物品名称","备注"]
[1,"防滑地砖、地板、地胶","进行防滑处理、高差处理，安装扶手，防止老年人跌倒、摔伤、撞伤。"]
[2,"卫生间、厨房湿态防滑地砖，地胶，防滑垫"]
[3,"无障碍扶手"]
[4,"卫生间、淋浴间助起架、抓杆"]
[5,"橡胶坡道"]
[6,"防撞垫"]
[7,"全屋照明总开关、全屋智能开关","确保老年人可视环境。"]
[8,"床头照明开关"]
[9,"智能陪护灯"]
[10,"本地语音床头灯"]
[11,"感应地灯"]
[12,"下压式门把手","便于老年人抓握，开关屋内房门。"]
[13,"床边护栏","防止老年人翻身跌落。"]
[14,"紧急呼叫装置（系统）","便于老年人发生意外后呼救。"]
[15,"AI语音紧急呼叫器"]
[16,"适老化储物空间","拉杆式或电动式储物隔板，便于老年人取放物品。"]
[17,"在厨房吊柜下方设置的开敞式\n中部柜、中部架，或可下拉式拉篮","便于老年人取放物品。"]
[18,"可升降式衣架、低位晾衣杆","便于老年人晾晒衣物。"]
[19,"烟雾报警器","对周围环境中烟雾浓度监测，可通过电话语音 、短信等多种手段，向监护人等发出预警信息。"]
[20,"燃气浓度检测报警器及紧急切断装置","对周围环境中低浓度可燃气体进行实时采集监测 ，可通过电话语音 、短信等多种手段，向监护人等发出预警信息。"]
[21,"积水报警器","对地面溢水、积水情况进行监测，可通过电话语音 、短信等多种手段，向监护人等发出预警信息。"]
[22,"防干烧与定时灶具","避免因老年人忘记关闭灶具造成的火灾事故"]
[23,"炉灶自动熄火保护装置"]
[24,"视频监控装置","双向实时视频或语音通话 ，及时掌握老人在家实时情况。"]
[25,"跌倒监测雷达","对老年人跌倒情况进行监测，可通过电话语音 、短信等多种手段，向监护人等发出预警信息。"]
[26,"坠床监测雷达","对老年人坠床情况进行监测，可通过电话语音 、短信等多种手段 ，  同时向子女 、社区等发出报警信息。"]
[27,"生命体征监测雷达","对老年人生命体征进行监测，可通过电话语音 、短信等多种手段，向监护人等发出预警信息。"]
[28,"手动轮椅、电动轮椅","便于老年人出行。"]
[29,"助行器"]
[30,"助行推车"]
[31,"老年助行代步车"]
[32,"健步机器人"]
[33,"旅行便携车"]
[34,"手杖、腋杖"]
[35,"楼梯升降椅","帮助行动不便的老年人上下楼梯。"]
[36,"老花镜","改善老年人视物能力。"]
[37,"放大装置"]
[38,"助听器","改善老年人听力减弱问题。"]
[39,"跌倒防护服","为老年人提供全方位的保护，有效减少跌倒带来的伤害。"]
[40,"防走失穿戴设备","便于监护人实时查看老年人的轨迹和当前位置，防止老年人因记忆力下降而迷路或走失。"]
[41,"智能尿湿感知器","监测尿布湿度与温度，提醒监护人便及时提醒更换。"]
[42,"智能门锁","提供多样化解锁方式，满足老年人无钥匙进入。"]
[43,"可视门铃、声光震动提醒门铃","采用无线传输，以震动闪光方式提醒老人有客来访。"]
[44,"适老化鞋柜、换鞋凳","助力老人起身坐下，避免弯腰跌倒。"]
[45,"无尖角（大圆角）餐桌椅、茶几","防指老年人磕碰、撞伤。"]
[46,"助起沙发","辅助老年人起身。"]
[47,"适老化餐具、辅助进食器具","便于（辅助）老年人进食。"]
[48,"深色遮光降噪窗帘","为老年人提供舒适的睡眠环境。"]
[49,"脑机智能安睡仪"]
[50,"电子血压计","便于老年人更好地了解自身血压波动情况，及时发现血压异常。"]
[51,"电子血糖仪","便于老年人更好地了解自身血压波动情况，及时发现血糖异常。"]
[52,"指夹式血氧仪","便于老年人更好地了解自身血氧波动情况，及时发现血氧异常。"]
[53,"家用制氧仪","改善老年人因肺功能减弱造成的缺氧状况，缓解因缺氧引起的各种不适。"]
[54,"床边助起架","便于老年人起身。"]
[55,"护理床、护理型床垫","便于失能老年人的照料。"]
[56,"防压疮垫","避免长期卧床老年人发生严重褥疮。"]
[57,"多姿态电动平躺移位机","提供助浴、助洁、助厕、移位功能，便于失能老年人的照料。"]
[58,"卧床二便护理系统","辅助解决失能老年人床上排便护理问题。"]
[59,"马桶增高器","提高马桶的座位高度，以便老年人更方便、安全地使用。"]
[60,"坐便椅、马桶辅助升降椅"]
[61,"适老化分体智能马桶盖","提高卫生标准、提升使用舒适度、减少疾病风险、增强老年人使用安全性和便利性。"]
[62,"座便器、智能坐便器"]
[63,"可移动坐便器","方便老年人起夜。"]
[64,"淋浴椅","便于老年人坐姿淋雨，避免意外滑倒摔伤。"]
[65,"混水水龙头、恒温花洒","防止老年人烫伤。"]
[66,"采暖设备","避免淋浴前后温差较大。"]
[67,"便携洗浴机","便于失能老年人洗浴。"]

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["附件2"]
["居家适老化改造所用物品和材料购置补贴申请表"]
["            市（州）            县（市、区）            乡（镇、街道）\n\n                        村（社区）"]
["申请老年人姓名",{"$nulls":3},"身份证号"]
[]
["家庭其他老年人姓名",1,{"$nulls":3},1]
[null,2,{"$nulls":3},2]
["联系\n电话",{"$nulls":3},"备用联系电话"]
["申请改造\n家庭住址","（详细地址）"]
["申请家庭老年人情况","分散特困供养老年人□        低保老年人□        其他老年人□"]
["住宅情况","自有□      子女（监护人）所有 □      其他□"]
["居家适老化改造所用物品和材料","物品和材料名称",null,"单价","购置数量","小计总价（ 元）"]
{"$rows_empty":13}
["合计数量（件）"]
["合计总价（元）"]
["银行卡号和开户行信息"]
["适老化改造确认","         本人及家庭成员自愿对所住房屋进行适老化改造，根据老年人生活需求购置以上物品和材料，同意承担政府补贴外相关费用和房屋改造中有关责任，接受政府相关部门或单位的监督。  \n\n                                                                                                                                                                                                                                                                           \n                                                                                                                          \n                                                                     申请人（监护人）签字：                                                                                           \n                                                                                          \n                                                                                年    月     日"]
["乡镇（街道）审核意见","        经核查，申请对象系辖区内常住人口，户内有    名老年人，符合补贴条件；属于分散供养特困老年人□ 低保老年人□其他老年人□，购置的物品和材料在补贴清单、补贴时限范围之内；申请资料符合政策规定，拟同意补贴。                                                                                  \n \n                              \n                            \n                                                                                  审核人签字：\n                           \n                                                                                 单位（盖章）\n                 \n                                                                                  年    月    日"]
[]
["县级民政\n部门审批\n意见","        申请对象符合补贴条件，申请事项符合政策规定，适老化所用物品和材料购置总价为    万元，补贴比例是75%□70%□，补贴金额为     万元，同意拨付补贴资金。                                               \n                                                                \n                     \n                                   \n\n\n                                                                                审批人签字：\n                            \n                                                                                单位（盖章）\n                 \n                                                                                 年    月    日"]

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["附件 2-2"]
["甘肃省居家适老化改造所用物品和材料购置需求表（线下）"]
["             市（州）               县（市、区）               乡（镇、街道）            村（社区）"]
["老人姓名",null,"性别",null,"配偶姓名"]
["身份证号",null,null,"户籍所在地"]
["申请改造\n家庭住址","（详细地址）",null,null,"联系电话"]
["住宅情况","房产所有人：","建设年代：       年    月",null,"□电梯房 □楼梯房 □平房"]
[null,"居住人数：","建筑面积：       平方米",null,"户型：       室     厅     卫"]
["改造需求","所用物品和材料名称",null,null,"所需数量","费用（ 元）"]
[]
[]
[]
[]
[]
[]
["需求确认","       本人及家庭成员确有需求，自愿对家庭适老化改造，需购置相关物品和材料，接受政府相关部门或单位的监督，同意承担政府补贴外相关费用和房屋改造中有关责任。  \n\n\n                                                                                                                                                                                            申请人（监护人）签字：                                                                                    \n                                                          年     月      日"]
["县（市、区）\n民政局\n审核意见","                                                     审核人签字：                                                                                                                                                                                     \n                                                  审核单位（盖章）\n                                                                                                                                                                                                                                                                            年     月      日"]

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["附件 3"]
["前后对比档案（ 范本）"]
["             市（州）               县（市、区）               乡（镇、街道）            村（社区）"]
["老人姓名",{"$nulls":7},"性别"]
["身份证号"]
["家庭住址"]
["联系电话",{"$nulls":7},"家庭人数"]
["改造情况",{"$nulls":3},"   根据其本人需求等实际情况， 共进行了      项设施改造，  并配备了                               等          个设备，  累计费用             元。"]
["改造项目",{"$nulls":3},"改造前图片",{"$nulls":3},"改造后图片"]
[]
[]
["                                                                                 \n\n                                                                                                                         老年人（监护人）签字："]
["       说明：  1 .设施改造和新添设备都须有照片存档，  页面不够可另加 。2.设施改\n造照片要突出前后对比效果 。3.所有照片须有文字说明。"]