| 引用本文：王馨慧, 孙晨晗, 刘稳, 胡敏.长期护理保险对居家社区护理需求的规范与引导：国际经验及启示[J].中国卫生政策研究,2024,17(1):75-81 |
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| 长期护理保险对居家社区护理需求的规范与引导：国际经验及启示 |
| 投稿时间：2023-11-14 修订日期：2024-01-03 PDF全文浏览 HTML全文浏览 |
| 王馨慧1, 孙晨晗1, 刘稳2, 胡敏1 |
1. 复旦大学公共卫生学院 上海 200030;
2. 浙江中医药大学人文与管理学院 浙江杭州 310053 |
| 摘要:为贯彻“以人为中心”的服务理念、增强长护服务体系的可持续性，世界各国纷纷在配置使用公共长护资金时，有侧重地进行待遇设计，以规范、引导长期护理需求，发展居家社区护理。本文基于服务购买理论，将典型国家的长期护理保障待遇模式总结为“机构待遇资格限定型”与“居家待遇水平倾斜型”两类，并介绍了其待遇设计。我国长期护理保险正处于起步阶段，应通过公共保险购买机制优化服务利用结构、引导资源合理配置，有机结合待遇资格限定、差异化待遇水平、额外支持等多元待遇设计，建立健全以居家为基础、社区为依托的多层次长护服务体系。 |
| 关键词:服务购买 长期护理服务 长期护理保险 居家社区护理 |
| 基金项目:教育部人文社会科学项目(18YJC630048)；泰康溢彩公共卫生及流行病防治专项基金 |
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| The regulation and guidance of long-term care insurance to the demands of home and community-based care: International experiences and implications |
| WANG Xin-hui1, SUN Chen-han1, LIU Wen2, HU Min1 |
1. School of Public Health, Fudan University, Shanghai 200030, China;
2. School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou Zhejiang 310053, China |
| Abstract:In order to implement a “people-centered” service concept and promote the sustainability of long-term care systems，countries worldwide are increasingly focusing on benefit package design when allocating and using public long-term care funds. This emphasis is aimed at regulating and guiding long-term care demand and developing home and community-based care. Based on the purchasing theory, this study categorized the long-term care benefit package models in representative countries into two types: “Institutional Eligibility Restrictions Type” and “Home-care-focused Benefit Type”, and further elaborated the specific benefit package design. In China, long-term care insurance are still in the initial stages of development. We should optimize the service utilization structure and promote a rational allocation of resources through purchasing, while incorporating diverse benefit designs such as eligibility restrictions, differential benefit levels, and supplementary support, to establish a robust, multi-tiered long-term care system based on home and community-based care. |
| Key words:Service purchasing Long-term care service Long-term care insurance Home and community-based care |
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