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长期护理保险经办服务与监督管理的国内外实践与启示

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长期护理保险试点启动至今已有8年,如何推动其由点及面、全面施行是值得探究的现实问题.本文通过分析长期护理保险经办服务与监督管理的国内实践现状发现,当前存在政策覆盖范围不足、监管体系不充分以及现有护理资源供给不足等问题.因此,借鉴国外实践经验,从建立第三方监管机制、制定科学评定标准、促进政府跨部门协作与信息共享、强化人员技能培养等方面提出政策建议,以期为建立适应我国国情的长期护理保险制度提供启示.
Domestic and International Practice and Insights on Long-Term Care Insurance Administration,Supervision and Management
It has been 8 years since the launch of the long-term care insurance pilot program,and it is worth exploring how to promote its full implementation from pilots to regions.By analyzing the current domestic practice of long-term care insurance operation,service and supervision,it is found that there are problems such as insufficient policy coverage,over-reliance on medical insurance funds for financing,difficulties in the supervision of commercial insurance organizations,and insufficient supply of existing nursing resources and supporting facilities.Therefore,drawing on the practical experience of foreign countries,policy recommendations are proposed from the aspects of establishing third-party regulatory mechanisms,formulating scientific evaluation standards,promoting cross-department cooperation and information sharing among governments,and strengthening personnel skill training,in order to provide inspiration for establishing a long-term care insurance system that adapts to China's national conditions.

long-term care insurancemanagement servicessupervision and management

翟绍果、贺晓迎、张星

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西北大学公共管理学院 西安 710127

西安电子科技大学 西安 710126

长期护理保险 经办服务 监督管理

国家社会科学基金一般项目

21BSH021

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.(4)
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