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长期护理保险数智化转型的地方经验及未来趋向 被引量:2

Local Experiences and Future Trendsin the Digital and Intelligent Transformation of Long-Term Care Insurance
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摘要 现阶段我国长期护理保险制度建设总体运行平稳,规范明确、评估公平、监管有力,试点城市因地制宜进行实践创新,形成了具有地域特色的典型经验,青岛创建预防失能机制,北京创新混合服务模式和支付方式,天津优化亲情照护体系,上海建构基金长效监管机制,开封创新“互联网+医保”服务体系,促进了照护体系发展,机构护理未来可期。为此,基于协同治理理论和技术接受模型建立分析框架,加快建立长期护理保险制度,推广成功经验,线上线下宣传长护险,正视护理领域刚性就业需求,涵养职业情怀,壮大护理队伍,建立多元化动态筹资机制,完善薪酬体系,健全数智化照护体系和监管评估机制,强化品牌建设,“数智+社工”赋能机构护理服务质量提升,强化人文关怀,推进中国特色长期护理保险制度有序发展,助力银发经济,促进社会和谐发展。 At current stage,the overall building of insurance system for long-term care in China is running smoothly,with clear norms,fair evaluation and effective supervision.Pilot cities carry out practice and explore innovative service models according to local conditions,and have formed typical experiences with regional characteristics.Qingdao has created a disability prevention mechanism,Beijing has innovated a mixed service model and payment method,Tianjin has optimized a family caregiving system,Shanghai has built a long-term supervision mechanism for funds,and Kaifeng has innovated an“Internet+medical insurance”service system,which have contributed to the development of the caregiving system and making institutional care promising for the future.Therefore,this paper offers some recommendations:an analytical framework should be established,grounded in collaborative governance theory and the technology acceptance model(TAM),and speed up the building of insurance system for long-term care,promote successful experiences,publicize long-term care insurance online and offline,face up to the rigid employment needs in the caregiving field,cultivate a sense of professionalism and strengthen the caregiving team,establish a diversified and dynamic financing mechanism,improve the remuneration system,the digital and intelligent caregiving system,supervision and evaluation mechanisms,strengthen brand building,and make use of“digital intelligence+social work”to empower institutional caregiving service so as to improve care service quality and enhance humanistic considerations in practice,which will advance the orderly development of the long-term care insurance system with Chinese characteristics,helping to develop the silver economy and contributing to the harmonious development of society.
作者 罗英豪 LUO Yinghao(School of Politics and Public Administration,Zhengzhou University,Zhengzhou 450001,China)
出处 《开发研究》 2025年第2期118-129,共12页 Research On Development
基金 河南省教育科学规划一般课题“研究生导学思政革新的数字赋能方法研究”(2024YB005) 郑州大学党风廉政专题研究项目“大学生廉洁文化教育课程革新的数字赋能方法研究”(2024DFLZZD-05) 郑州大学一流本科建设课程《老年社会工作》(2023ZZUYLKC002)。
关键词 长期护理保险 地方经验 数智赋能 制度建设 long-term care insurance local experience digital and intelligent empowerment the building of insurance system
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