我国长期护理保险试点方案比较研究——基于内容分析法

本文采用内容分析法,从政策出台部门、失能评估标准、筹资机制、护理服务方式和待遇支付5个方面,选取全国28个长期护理保险试点城市,对其政策进行比较。建议我国在建立长期护理保险制度的过程中发挥国家医保局在长期护理保险推行过程中的指导作用,并完善失能评估标准。各试点应逐步拓宽长期护理参保覆盖面,强调单位和个人的筹资责任,因地制宜丰富长期护理服务方式,开展失能失智预防工作,以及建立合理的长期护理待遇支付机制。

Comparative study on china's pilot programs of long-term care insurance based on content analysis approach

Based on the content analysis approach, this paper compares relevant policies of 28 pilot cities in China for long-term care insurance in terms of policy-makers, assessment criteria for disability, financing mechanisms, models of care services and payment mechanism. This paper advises that the National Healthcare Security Administration should play a guiding role in establishing the long-term care insurance system in China and improve a disability assessment criterion. The pilot cities should gradually broaden the coverage of the long-term care insurance, emphasize the financing responsibility of institutions and individuals, diversify long-term care services according to actual local conditions, implement precautions to reduce disability and dementia, and establish a reasonable payment mechanism for long-term care.