摘要
基于社会福利政策分析框架,从社会分配基础、社会供给类型、输送系统以及财务模式四个要素出发,评析中国主要试点城市长期护理保险制度的共同特征及存在的问题。结果发现,失能认定评估工具较为简单、服务供给的精准度较低、非正式照护缺乏政策支持以及对医疗保险基金的过度依赖,是目前中国试点城市长期护理保险制度存在的主要问题。基于此,提出了相应的优化策略:完善失能认定评估工具,为福利对象提供自主表达需求与自主选择福利供给内容的途径,构建正式照护与非正式照护相结合的长期照护服务体系,建立多层次的长期护理保险体系。
Based on the analysis framework of social welfare policy, the common characteristics and existing problems of the LTCI system in major pilot cities of China are evaluated from four factors;social allocation basis, social provision nature, delivery' system design and finance mode. The results show' that, the main problems of the pilot cities’ LTCI system in China are the simplicity of assessment tools for disability identification, the poor accuracy of service supply, the lack of policy support for informal care and the over-reliance on medical insurance funds. Based on this analysis, corresponding optimization strategies are made;to improve the assessment tools of disability identification, to provide the welfare objects with the path of expressing their needs and choosing the content of welfare supply independently, to construct a long-term care service system combining formal care with informal care, and to establish a multi-level LTCI system.
作者
孙敬华
SUN Jing-hua(School of Philosophy and Social Development,Shandong University,Ji’nan 250100,China)
出处
《北京社会科学》
CSSCI
北大核心
2019年第10期107-116,共10页
Social Sciences of Beijing
基金
教育部人文社会科学研究青年基金项目“居家养老服务多元供给主体合作治理研究:影响因素分析及路径构建”(16YJC630046)
