首页|积极推进长期护理保险制度建设的思考:基于我国49个长期护理保险试点城市的政策分析

积极推进长期护理保险制度建设的思考:基于我国49个长期护理保险试点城市的政策分析

Actively Promoting the Construction of Long-Term Nursing Insurance System:Policy Analysis of 49 Pilot Cities of Long-Term Nurs-ing Insurance in China

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目的 对长期护理保险制度(长护险)政策文件进行分析,剖析存在问题,为其可持续发展提供参考.方法 从中国长期护理保险试点政策数据库和各试点城市政府网站收集 49 个长护险试点城市的相关政策和实施方案,从参保对象、保障对象、筹资渠道、方式与标准、服务形式与内容等 4 个方面进行比较分析.结果 试点城市在长护险建设过程中,参保对象和保障对象范围有所扩大,但仍存在参保对象范围不一、保障对象准入门槛较高、筹资可持续性面临挑战、筹资标准不统一、服务内容有待优化等问题.建议逐步实现参保对象城乡居民全覆盖,适当扩大保障范围,探索独立的筹资机制和统一的筹资标准,以需求为导向,建立政府、社区和家庭等共同参与的多层次、多元化服务体系.
Objective To analyze the policy documents of long-term nursing insurance system and the existing problems,and provide reference for its sustainable development.Methods The related policies and implementation schemes of 49 pilot cities of long-term nursing insurance in China were sorted out,and compared and analyzed in four aspects:insured object,guaranteed object,financing channel,way and standard,service form and content.Results In the process of the construction of long-term nursing insurance in pilot cities,the scope of insured objects and protected objects had been expanded,but there were still problems such as the scope of insured objects varied from place to place,the threshold of access for protected objects was high,the sustainability of financing faced challenges,the financing standards were not uniform,and the service content needed to be optimized.It is suggested that the insured object should gradually achieve full coverage of urban and rural residents,appropriately expand the scope of insurance,explore inde-pendent financing mechanisms and unified financing standards,and establish a multi-level and diversified service system with the participation of the government,communities and families as the orientation of demand.

Long-Term Care InsurancePopulation AgingPolicy Analysis

李雨畅、俞清源、陈星宇、胡琳琳、刘远立

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中国医学科学院 北京协和医学院卫生健康管理政策学院 北京 100073

长期护理保险 人口老龄化 政策分析

中国医学科学院医学与健康科技创新工程

2021-I2M-1-046

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(7)