首页|长期护理保险定点护理机构发展思考——基于定点护理机构的问卷调查

长期护理保险定点护理机构发展思考——基于定点护理机构的问卷调查

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党的二十大报告明确要"建立长期护理保险制度".2016年我国启动长期护理保险制度试点工作,2020年试点进一步扩大,各长期护理保险试点城市普遍施行护理机构定点管理,出台相关管理政策,减轻了失能人员特别是重度失能人员及其家庭的经济和事务性负担,促进了养老等相关产业的发展.本文基于全国长期护理保险试点地区定点护理机构问卷调研数据(2022年度),从机构运营、服务规模、服务从业人员、服务管理等方面对提供长期护理保险服务的居家上门服务机构、养老机构、医疗机构进行了分析.结果显示,目前长期护理保险服务总体以上门服务机构为主,提供机构护理服务的养老机构和医疗机构数量基本相当.三类机构发展水平、服务能力存在差异,区域间发展存在不平衡性.各地在机构类型、数量、管理要求等方面标准化有待提高.本文针对定点机构管理、从业人员队伍建设、监管能力提升等方面提出对策建议.
Reflections on Development of Designated Care Institutions for Long-Term Care Insurance——A Questionnaire Survey Based on Designated Care Institutions
The 20th National Congress of the Communist Party of China explicitly called for the"establishment of a long-term care insurance system".In 2016,China initiated a pilot project for the long-term care insurance system,and in 2020,the pilot project was further expanded.In the pilot cities,designated management of care institutions has been widely implemented,accompanied by the introduction of relevant management policies.This has alleviated the economic and transactional burdens on disabled individuals,especially those with severe disabilities,and their families.It has also promoted the development of industries related to elderly care.This article is based on survey data from designated care institutions in national long-term care pilot areas(2022),analyzing home-based service institutions,elderly care institutions,and medical institutions that provide long-term care insurance services in terms of operational aspects,service scale,service personnel,and service management.The results indicate that,currently,overall long-term care insurance services are predominantly provided by home-based service institutions,with the number of elderly care institutions and medical institutions providing institutional nursing services being roughly equivalent.There are differences in the development level and service capacity among the three types of institutions,and there is imbalance among regions.Standardization in terms of institution types,quantity,and management requirements needs improvement across different regions.This article puts forth recommendations for strategies in managing designated institutions,building the workforce of service personnel,and enhancing regulatory capabilities.

long-term care insurancedesignated care institutionsmanagement mechanism

李淑春、赵秀竹、魏倩、陈灿、赵琨

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国家医疗保障局医药服务管理司 北京 100830

复旦大学附属中山医院 上海 200032

清华大学万科公共卫生与健康学院 北京 100084

长期护理保险 定点护理机构 管理机制

2024

中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
年,卷(期):2024.(2)
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