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