| 引用本文：王俊, 白杨, 刘怡均.政策工具视角下中国长期护理保险政策的发展脉络与演进逻辑——基于310篇政策文本的内容分析(2012—2022)[J].中国卫生政策研究,2022,15(10):26-33 |
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| 政策工具视角下中国长期护理保险政策的发展脉络与演进逻辑——基于310篇政策文本的内容分析(2012—2022) |
| 投稿时间：2022-09-03 修订日期：2022-10-24 PDF全文浏览 HTML全文浏览 |
| 王俊, 白杨, 刘怡均 |
| 中国人民大学卫生政策研究与评价中心 北京 100872 |
| 摘要:目的：为了提高系统评价的有效性，制定有效的老龄化策略，创建三维政策分析框架，讨论中国长期护理保险趋势和演进逻辑，为相关政策优化提供理论、方法和实证依据。方法：从政策工具视角出发，通过把政策工具、政策过程、政策主体有机结合，从三维立体角度建立研究框架，分析不同阶段的政策演进和政策作用。结果：目前我国政策变迁可分为三个阶段，其中政策推进阶段所发布的政策占比最高；长期护理保险的政策工具以供给型和环境型为主；政府机构中的保险经办、民政、医保、财政等部门以及非政府机构中的定点协议服务、评估、商业保险等机构是政策关注的重点。结论：(1)关注需求型政策工具，加强机构合作、政府购买服务等模式探索；(2)加强对长期护理需求人群的关注和政策保障；(3)加强政策学习，结合财政、医疗等相关政策共同推进长期护理保险政策发展。 |
| 关键词:政策工具 长期护理保险 政策演进 政策文本 |
| 基金项目:国家自然科学基金项目(7206160491)；北京市社科基金重大项目“北京高质量整合型医疗卫生服务体系构建：理论、机制与路径研究”；中国人民大学公共管理学院院级科研基金项目(2022031) |
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| Development and evolution logic of China's long-term care insurance policy from the perspective of policy tools：Content analysis based on 310 policy texts (2012—2022) |
| WANG Jun, BAI Yang, LIU Yi-jun |
| Center for Health Policy Research and Evaluation, Renmin University of China, Beijing 100872, China |
| Abstract:Objective:To improve the effectiveness of systematic assessment, formulate effective aging strategies, the paper discusses the trend and evolution logic of China's long-term care insurance within a three-dimensional policy analysis framework, to provide theoretical, methodological and empirical reference for optimizing relevant policies. Methods:Analyze evolution and roles of policies at different stages from the perspective of policy tools, with a new research framework organically interwaving policy tools, policy processes and policy subjects. Results:So far development of China's policies can be divided into three stages, during the promotion stage of which the highest proportion of policies were issued; policies aiming at long-term care insurance feature mainly supply type and environment type; Insurance agencies, civil affairs departments, medical insurance departments, financial departments and fixed-point agreement service agencies, assessment agencies and commercial insurance agencies in non-governmental organizations are the emphases of the policy. Conclusion:(1) Focus on demand-based policy tools and service model explorations like strengthening institutional cooperation, government service purchase etc.. (2) Pay more attention to people who need long-term care provide policy assurance to them. (3) Strengthen policy learning and promote the development of long-term care insurance policy in combination with financial, medical and other relevant policies. |
| Key words:Policy tools Long-term care insurance Policy evolution Policy text |
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