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中国康复服务保障政策及支付体系研究

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新中国成立之初,针对特定群体建立了少量的康复服务项目,康复支付方式单一;改革开放以后,康复服务快速发展,逐渐形成多样化支付渠道;党的十八大以来,康复服务转向全人群和全生命周期,康复支付迈向多元化.但是,从总体上看,康复服务支付体系存在碎片化、低水平、地区化等问题,制约了康复服务的可获得性和可及性.基于人口老龄化发展趋势,未来应树立全人群、全生命周期康复服务理念,强化政府康复服务保障职能,完善康复服务筹资机制,适度统一康复保障政策,建立起高质量、可负担的康复服务支付体系.
China's Rehabilitation Service Guarantee Policy and Payment System
At the beginning of the establishment of the People's Republic of China,a small number of rehabilitation service projects were established for specific groups,with a single pay-ment method for rehabilitation.After the reform and opening up,rehabilitation services have de-veloped rapidly,forming multiple payment channels.Since the 18th National Congress of the Communist Party of China,the delivery of rehabilitation services has shifted towards the entire population and lifecycle,and rehabilitation payment methods have become more diversified.However,there are problems with the payment system for rehabilitation services,such as frag-mentation,low level,and regionalization,which restrict the availability and accessibility of such services.In the future,based on the trend of aging population development,we should establish the concept of entire population and full life cycle rehabilitation,strengthen the government's guarantee function,improve rehabilitation service financing mechanisms,moderately unify reha-bilitation payment security policies,and establish a high-quality and affordable rehabilitation ser-vice payment system.

Rehabilitation servicesPayment systemSocial securityInstitutional optimization

杨立雄、韦文高

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康复大学社会发展与管理学院 青岛 266114

中国人民大学劳动人事学院 北京 10087

康复服务 支付体系 保障政策 制度优化

2023年度中国残联研究课题

23&ZZ008

2024

残疾人研究
残疾人事业发展研究会

残疾人研究

CSSCICHSSCD
影响因子:0.615
ISSN:2095-0810
年,卷(期):2024.(1)
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