首页|长期护理保险筹资政策有效性研究——基于49个试点城市的实证分析

长期护理保险筹资政策有效性研究——基于49个试点城市的实证分析

扫码查看
随着人口老龄化的加深与家庭结构的变迁,失能失智老年人群的照护需求增加,而长期护理保险是解决我国老年人照护难题的关键.在建立长期护理保险体系过程中,资金筹措是迫切需要解决的核心问题.文章以长期护理保险49个试点城市政府公开发布的57份政策文本为研究对象,利用文本挖掘手段分析政策内容,并参考PMC模型相关研究的评价指标,构建了长期护理保险筹资政策的量化评价指标体系,分别从人口老龄化程度与空间视角对各试点城市政策文本进行量化评价与对比研究.为更全面地了解长期护理保险筹资政策的演进过程,选择了典型试点城市更新前后的政策文本进行实证研究.研究表明,长期护理保险筹资政策的整体评级合格,但存在一定程度的政策供需错配问题,一是政策有效性与人口老龄化水平之间存在错配,二是在"参保范围"和"支付范围"等方面存在较大的改进空间.从空间区域的角度看,我国长护险试点政策的有效性与一致性呈现出"北高南低"的特征.从政策延续性方面则发现同一试点城市更新前后的长期护理保险政策在筹资方面改善不大.文章通过对长期护理保险筹资政策的细致研究,为我国建设更为完善和适应性强的长期护理保险体系提供了有益的政策建议.深入了解政策的强项和薄弱点,有助于更有针对性地改善政策,以应对不断变化的老龄化社会的挑战.
Study on the Effectiveness of Long-Term Care Insurance Funding Policy:An Empirical Analysis Based on 49 Pilot Cities
With the deepening of population aging and the transformation of family structures,there is an increasing demand for care for the elderly population with disabilities and dementia.Long-term care insurance has become a key solution to address the challenges of elderly care in China.In the process of establishing a long-term care insurance sys-tem,the core issue that needs to be addressed urgently is fund-raising.This study focuses on 63 policy texts related to long-term care insurance released by the governments of 49 pilot cities.Employing text mining methods,the study ana-lyzes the content of these policy documents.By referring to evaluation indicators from the PMC model and constructing a quantitative evaluation index system for long-term care insurance fundraising policies,the study conducts a quantita-tive assessment and comparative analysis of the policy texts from the perspectives of the degree of population aging and spatial distribution in each pilot city.To comprehensively understand the evolution of long-term care insurance fund-raising policies,the study selects policy texts from representative pilot cities before and after updates for empirical re-search.The findings reveal that the overall rating of long-term care insurance fundraising policies is qualified,but there is a certain degree of mismatch between policy effectiveness and the level of population aging.Additionally,there is significant room for improvement in aspects such as the"coverage scope"and"payment scope".From a spatial per-spective,the effectiveness and consistency of China's long-term care insurance pilot policies exhibit a"high in the north and low in the south"characteristic.Furthermore,in terms of policy continuity,it is found that there is not signif-icant improvement in the fundraising aspect of long-term care insurance policies before and after updates in the same pilot city.Through a detailed investigation of long-term care insurance fundraising policies,this study provides valu-able policy recommendations for the construction of a more comprehensive and adaptable long-term care insurance sys-tem in China.A deeper understanding of the strengths and weaknesses of policies will facilitate targeted policy improve-ments to address the challenges of an evolving aging society.

Long-term Care InsuranceFunding PolicyPMC Index Model

巴曙松、曾好、孙维嘉、李成林

展开 >

北京大学 汇丰金融研究院,广东 深圳 518055

浙江财经大学 中国金融研究院,杭州 310000

中央财经大学 金融学院,北京 100000

中国工商银行 成都分行,成都 610000

展开 >

长期护理保险 筹资政策 PMC指数模型

国家社科基金一般项目

22BJL042

2024

西北人口
甘肃省计划生育委员会,兰州大学, 甘肃省统计局,甘肃省人口学会

西北人口

CHSSCD北大核心
影响因子:0.806
ISSN:1007-0672
年,卷(期):2024.45(1)
  • 16