摘要
人口老龄化的日益突出和家庭空心化现象的不断发展,使老年人的护理需求受到越来越多的社会关注,长期护理保险制度应运而生。作为试点城市之一,上海市长期护理保险制度颇具特色:其定位为鼓励居家养老的独立险,制定了规范统一的需求评估流程,建立了多层次的长期护理服务体系、完善的长期护理保险信息系统,强调服务质量与监督控制。不过,上海市长期护理保险制度还存在一系列问题,主要包括:保障范围还有待探讨,财务可持续性有待增强,还存在服务与需求脱节的现象,护理能力亟待提升,等等。上海市应逐步调整长期护理保险制度的保障范围,审慎确定其筹资模式,积极推进医养结合,大力提升护理服务能力。
Population aging and the hollowing-out of families are becoming increasingly prominent,making the nursing needs of the elderly get more and more eye-catching. Therefore, the long-term care insurance system has emerged. As one of the pilot cities of long-term care insurance, Shanghai has its features： its long-term care insurance is an independent insurance that encourages home-based elderly care; it developed a unified demand assessment process, a multi-level long-term care service mechanism and a perfect information system, emphasizing on service quality control and supervision. However, some problems still exist： the coverage of the insurance needs to be further discussed; financial sustainability needs to be improved;service supply is out of line with demand, and nursing abilities need to be accelerated, to name just a few. In this regard, Shanghai should gradually adjust the coverage of long-term care insurance, carefully determine its funding model, promote the ＂integration of medical care service and elderly care service＂positively and improve its nursing service ability.
作者
孙永勇
施葹
SUN Yongyong;SHI Shi(School of Public Administration,Central China Normal University,Wuhan 430079,Hubei Province,Chin)
出处
《老龄科学研究》
2018年第7期3-11,共9页
Scientific Research on Aging
基金
全国老龄办2018年度老龄政策理论研究课题(项目编号:QLB2018A005)
关键词
上海市
长期护理保险
财务可持续性
Shanghai
the long-term care insurance
financial sustainability
