引用本文:卞虎,黄俊星.日本长期护理制度融资模式对我国的启示[J].中国卫生政策研究,2010,3(11):58-62 |
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日本长期护理制度融资模式对我国的启示 |
投稿时间:2010-05-25 修订日期:2010-09-16 PDF全文浏览 HTML全文浏览 |
卞虎, 黄俊星 |
南开大学经济学院 |
摘要:日本自2000年开始实施长期护理制度以来,经历了近10年的完善与发展,取得了非常好的效果,而良好的融资制度是其顺利实施的保证。一方面它将市町村(基层行政单位)作为长期护理制度实施的主体,直接担任保险者的角色,这就使得制度的实施从组织上得到了保障,为全国范围的推广奠定了基础;另一方面它采用了公私混合融资的形式,即由政府和个人共同缴纳保费来构成长期护理制度资金的来源,这样既减轻了个人负担又保证了资金来源。借鉴日本长期护理制度的融资模式,对我国建立老年人护理制度,应对人口老龄化具有重要意义。我国政府应积极投入到长期护理制度的建设中去,加快培育护理市场,形成护理产业链;实现家庭护理向公共护理转变;保证资金来源的稳定性与可靠性,尽快建立一个低水平、广覆盖、经济型的长期护理制度。 |
关键词:日本 长期护理制度 融资模式 老龄化 |
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The financing mode of Japanese long term care system and its implication to China |
BIAN Hu, HUANG Jun-xing |
School of Economics, Nankai University |
Abstract:Japan’s long term nursing system has made great achievements since its initialization in 2000, with a supportive financing system as its premise. Firstly, as an entity of long term nursing system, shityoson’s functioning as insured provides an institutional security and lays the foundation to long term nursing system and its domestic universalization. Secondly, Mixed financing, namely the government and private individual share the premium, has made a relief on individual’s burden of premium and ensured a sufficient fund. Japan’s practice of long term nursing system could be used as reference to construct our own senior nursing system. We therefore suggest government initiatively devotes itself to establish a low cost, wide coverage and economical senior nursing system: speeding up construction of nursing market to form a nursing industry chain, transferring nursing from family to public, ensuring the stability and reliability of financing. |
Key words:Japan Long term care system Financing mode Aging |
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