摘要
长期护理服务的递送包含服务准入、失能评估以及服务开展三个环节。在长期护理服务递送的过程中,失能老人及其家庭、政府以及长期护理服务提供者之间存在复杂的委托—代理关系。在这一关系下,根据信息不对称发生的时间,可将长期护理服务递送风险分为逆向选择、隐藏信息的道德风险以及隐藏行动的道德风险,这三类风险在服务递送的不同环节表现为不同的形式。为了降低风险发生的概率,风险防范机制应包含制度规范、约束与激励以及过程控制三个重要环节,并基于国内实践对各环节的风险防范政策进行相应的优化。
Long-term care service delivery includes three links:service access,disability assessment and service supply.During the process of long-term care service delivery,there exists a complex principal-agent relationship among the disabled elderly and their families,the government and the long-term care service providers.In this relationship,according to the occurrence time of information asymmetry,the risks of long-term care service delivery can be divided into adverse selection,moral hazard of hiding information and moral hazard of hiding action.These three types of risks show different forms at different links of the service delivery.In order to reduce the probability of risk occurrence,the risk prevention mechanism should include the three important dimensions:the institutional norms,the constraints and incentives,and the process control,and the risk prevention policies at each link should be optimized based on the domestic practice.
作者
万谊娜
张仲芳
WAN Yi-na;ZHANG Zhong-fang(Jiangxi University of Finance and Economics,Nanchang 330013,China)
出处
《江西财经大学学报》
CSSCI
北大核心
2021年第6期49-60,共12页
Journal of Jiangxi University of Finance and Economics
基金
国家自然科学基金项目“城乡居民医疗保险制度的减贫效应评估:一项基于‘准自然实验’追踪研究”(81760619)
国家社会科学基金项目“老年长期护理的社区服务网络研究”(15BSH122)。
关键词
委托—代理关系
长期护理服务递送
风险结构
风险表现
防范机制
principal-agent relationship
long-term care service
risk structure
risk performance
prevention mechanism
