| 引用本文：段培新, 贾海彦, 刘锦如, 王佳艺.基于政策工具类别的长期护理保险政策扩散特征分析[J].中国卫生政策研究,2023,16(9):22-28 |
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| 基于政策工具类别的长期护理保险政策扩散特征分析 |
| 投稿时间：2023-07-21 修订日期：2023-09-10 PDF全文浏览 HTML全文浏览 |
| 段培新, 贾海彦, 刘锦如, 王佳艺 |
| 山东财经大学公共管理学院 山东济南 250014 |
| 摘要:目的：基于量化视角挖掘试点政策内容，探求长期护理保险政策扩散特征及扩散规律。方法：基于政策工具对长期护理保险政策进行量化分析，将两批试点地区分为均衡型、高需求型、高供给型、高环境型并分析其政策扩散特征。结论：长期护理保险环境型政策工具使用偏好明显，需求型政策工具最少；两批试点政策由高供给型向均衡型和高环境型转变；政策扩散呈现空间邻近与社会邻近交互的邻近扩散效应、垂直扩散与水平扩散交织的层级扩散效应以及自下而上与自上而下的“吸收—辐射”互动效应。建议:应注重政策工具的使用与政策扩散的多重效应的紧密联系，完善政策工具结构；中央鼓励、支持、引导地方自主政策创新，学习邻近经验与本土创新相结合。 |
| 关键词:长期护理保险政策 政策工具 政策扩散 政策试点 |
| 基金项目:国家社会科学基金项目(23CGL053);国家自然科学基金项目(71904105)；山东省重点研发计划(软科学项目)(2020RKB01369) |
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| Analysis of the diffusion characteristics of long-term care insurance policy based on policy tool categories |
| DUAN Pei-xin, JIA Hai-yan, LIU Jin-ru, WANG Jia-yi |
| School of Public Administration and Policy, Shandong University of Finance and Economics, Jinan Shandong 250014, China |
| Abstract:Objective: Based on a quantitative perspective, the study explores the content of the pilot policy, the diffusion characteristics and patterns of the policy of long-term care insurance(LTCI). Method: Based on the policy tools, the long-term care insurance policy is quantitatively analyzed. And the two pilot areas are divided into balanced type, high demand type, high supply type, and high environmental type, whose policy diffusion characteristics are further studied. Conclusion: The preference for environmental type policy tools is obvious, and demand-based policy tools are the least. The policy tools used in the two pilot areas have shifted from high supply to balanced type and high environmental type. The diffusion of LTCI policies has shown the proximity diffusion effect of spatial proximity and social proximity, the hierarchical diffusion effect of interweaving vertical diffusion and horizontal diffusion and from both bottom-up and top-down interactive effect of “absorption-radiation”. It is suggested that more attention be paid to close relationship between the use of policy tools and the multiple effects of policy diffusion, and optimize the structure layout of policy tools. The central government should encourage, support, and guide local independent policy innovation, and combine the learning from neighboring experiences with local innovation. |
| Key words:Long-term care insurance policy Policy tools Policy diffusion Policy pilot |
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