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国内外长期照护服务分级制度与启示

Domestic and International Long-Term Care Service Grading System and Implications

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科学评估是构建老年长期照护分级服务体系的关键和根本.本文对目前国外长期照护服务等级评估的研究现状进行了梳理,重点关注了照护对象、评估内容和分级标准三个核心领域.发现德国、日本依据照护时间分级,韩国、法国、美国商业长期照护保险依据身心功能状态分级,美国的社会长期照护保险根据身心状况和资源利用程度分级,各国均在其分级的基础上提供多层次的照护服务.基于对这些国家先进经验的总结,提出建议:合理扩大长期照护的保障范围、制定统一的长期照护分级服务内容和标准及发挥数字技术对长期照护分级服务的支撑作用.
Scientific evaluation is the key and foundation for building a graded long-term care service system for the elderly.This paper reviewed the current status of research on tiered long-term care service assessment abroad,focusing on three core areas:care objects,assessment contents,and grading standards.Commercial long-term care insurance in Germany and Japan is graded according to the time of care,in South Korea,France and the United States is graded according to physical and mental function,and social long-term care insurance in the United States is graded according to physical and mental status and resource utilization.All countries provide multi-level care services based on their classification.Based on the summary of the advanced experience of these countries,recommendations are made to reasonably expand the coverage of long-term care,formulate unified content and standards of long-term care grading services,and fully play the supporting role of digital technology in long-term care grading services.

Long-term care servicesDisabled elderly peopleAssessment of disability levelsAssessment criteria

刘婧星、张红萍

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武汉轻工大学医学与健康学院

长期照护服务 失能老人 失能等级评估 评估标准

2024

医院管理论坛
北京大学

医院管理论坛

影响因子:0.807
ISSN:1671-9069
年,卷(期):2024.41(9)