| 引用本文：肖颖, 朱勤, 王雪辉.长期护理保险的再分配与社会投资功能:来自德日韩的经验与启示[J].中国卫生政策研究,2023,16(7):23-30 |
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| 长期护理保险的再分配与社会投资功能:来自德日韩的经验与启示 |
| 投稿时间：2023-05-05 修订日期：2023-07-04 PDF全文浏览 HTML全文浏览 |
| 肖颖, 朱勤, 王雪辉 |
| 复旦大学社会发展与公共政策学院 上海 200433 |
| 摘要:文章基于发展型福利理论构建了长期护理保险制度实施效果的分析框架，着重考察其再分配和社会投资效应，并对德国、日本和韩国进行了比较分析。分析结果表明：(1)无论采用何种待遇支付水平和给付方式，长护险实施均能促进老年照护服务市场的发展，但服务质量和从业人员稳定性受到政府监管程度等因素的影响。(2)低水平的待遇给付将难以促进家庭照料者参与劳动力市场；较高的待遇给付水平虽能在一定程度上对家庭照料形成替代作用，但难以完全取代家庭照料者的角色。(3)在待遇给付水平相近的条件下，较高的自付比例和混合给付方式将在一定程度上造成老年人照护服务使用不平等，不利于促进社会公平。 |
| 关键词:发展型福利 长期护理保险 再分配 社会投资 |
| 基金项目:国家社科基金重大项目(20ZDA077) |
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| Redistribution and social investment functions of long-term care insurance:Experiences and inspiration from Germany, Japan and South Korea |
| XIAO Ying, ZHU Qin, WANG Xue-hui |
| School of Social Development and Public Policy, Fudan University, Shanghai 200433, China |
| Abstract:The article constructs a framework to analyze the redistribution and social investment effects of the Long-Term Care Insurance(LTCI) based on developmental welfare theory, and conducts a comparative analysis of these in Germany, Japan and South Korea. The following conclusions are drawn: Firstly, the LTCI promotes the development of the LTC service market, regardless of the payment level and method, yet quality of the service and stability of nursing staffs are influenced by the degree of government regulation. Secondly, Low levels of entitlement payments will make it difficult to promote the participation of family caregivers in the labor market; Although a higher level of entitlement can form a substitute for family care to a certain extent, it is difficult to completely replace the role of family caregivers. Thirdly, at similar payment level, the mixed payment method and high out-of-pocket ratio will cause unequal use of care services for the elderly to a certain extent, which is not conducive to promoting social equity. |
| Key words:Developmental welfare Long-term care insurance Redistribution Social investment |
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