日本长期护理保险制度的经验与启示

 
投稿时间: 2015-09-07  最后修改时间: 2015-11-22  摘要点击次数: 3395  全文下载次数: 1645
 
引用本文:陈晨, 黄万丁.日本长期护理保险制度的经验与启示[J].中国卫生政策研究,2016,9(2):17-21
陈晨1, 黄万丁2
1. 上海工程技术大学管理学院 上海 201620;
2. 中国人民大学公共管理学院 北京 100872
基金项目:上海工程技术大学研究生科研创新项目(E1-0909-15-01105)
 
 摘要:日本长期护理保险制度以基层政府为保险人,以全部老年人群和部分非老年人群为被保险人,费用通过"政府+社会+个人"的方式实行分摊,支付通过机构、社区和居家等进行细分。自建立以来,制度的保障水平不断提高,预防的作用不断受到重视,社区养老的地位不断凸显,和相关产业的联动不断加强。但与此同时,伴随着制度的运行成本不断增长,制度的持续发展也面临转型压力。我国护理保障制度建设在借鉴日本有益经验的同时,也应该尽力避免其不足之处。 
  关键词:长期护理保险  日本  老龄化社会
 
The long-term care insurance in Japan: Experience and enlightenment
CHEN Chen1, HUANG Wan-ding2
1. School of Management, Shanghai University of Engineering Science, Shanghai 201620, China;
2. School of Public Administration and Policy, Renmin University of China, Beijing 100872, China
 
 Abstract:Japan's long-term care insurance takes grassroots governments as its insurer and the elderly and part of the non-elderly as its insured; The costs is shared by government、society和individual, and is, payed through istitutions, communities and hothes. Since its establishment, its security level has been increasing, the role of prevention has been rising, the status of community-based and home-based has been highlighting, and the cooperation among relevant industry has been strengthening. But at the same time, its costs was soaring during the past decade, and the continued development of the system is facing transformation pressure now. Take this as a warning, the development of long-term care in China should learn its strong points, but also try to avoid its shortcomings. 
 keywords:Long-term care insurance  Japan  Aging society