[1]付思佳,张良文,阙 霜,等.长期护理保险经办管理模式及风险防控研究[J].卫生经济研究,2022,39(1):23-26.
　FU Si-jia,ZHANG Liang-wen,QUE Shuang,et al.Study on Handling Management Mode and Risk Prevention and Control of Long-term Care Insurance[J].Journal Press of Health Economics Research,2022,39(1):23-26.
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长期护理保险经办管理模式及风险防控研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年1期
页码:
23-26
栏目:
健康老龄化
出版日期:
2022-01-07

文章信息/Info

Title:
Study on Handling Management Mode and Risk Prevention and Control of Long-term Care Insurance
作者:
付思佳1; 张良文1; 2; 阙 霜1; 方 亚1
1.厦门大学公共卫生学院，卫生技术评估福建省高校重点实验室， 福建 厦门 361102
2.厦门大学经济学院， 福建 厦门 361005
Author(s):
FU Si-jia;  ZHANG Liang-wen;  QUE Shuang;  FANG Ya
School of Public Health, Key Laboratory of Health Technology Assessment of Fujian Province, Xiamen University, Xiamen Fujian 361102, China
关键词:
长期护理保险; 经办管理模式; 风险防控
Keywords:
long-term care insurance;  handling management mode;  risk prevention and control
分类号:
F840.684
文献标志码:
A
摘要:
目的：对比分析我国试点城市长期护理保险经办管理模式及风险防控实施情况。方法：运用文献研究，对比15个试点城市长期护理保险经办管理模式及风险防控异同之处，选取上海、成都、荆门、嘉兴长期护理保险相关负责人员进行问卷调查与访谈。结果：大部分试点城市长期护理保险采用“社商合作”的经办管理模式，其经办管理及风险防控体系已较为完备；但也存在失能评估标准不统一、缺乏客观性，缺少风险防范机制等问题。结论：应从夯实“社商合作”经办管理模式、扩大覆盖面和保障范围、健全失能评估标准、完善风险防范机制等方面着手，为长期护理保险制度的稳步推行提供保障。
Abstract:
Objective Compare and analyze the management mode of long-term insurance management and the implementation of risk prevention and control in pilot cities in China. Methods Using literature research, this paper compared the similarities and differences of long-term insurance management mode and risk prevention and control in 15 pilot cities, and the relevant personnel in charge of long-term insurance in Shanghai, Chengdu, Jingmen and Jiaxing were selected for questionnaire survey and interview. Results Most pilot cities adopted the handling and management mode of "social business cooperation", and its long-term insurance handling management and risk prevention and control system has been relatively complete; However, there were also disunity of disability assessment standards, lack of objectivity, lack of risk prevention mechanism and other problems. Conclusion The steady implementation of the long-term insurance system should be guaranteed by strengthening the management mode of "social business cooperation", expanding the coverage and guarantee scope, improving the disability evaluation standard, perfecting the risk prevention mechanism and so on.

参考文献/References:

[1] Zhang L,Fu S,Fang Y. Prediction of the Number of and Care Costs for Disabled Elderly from 2020 to 2050:A Comparison between Urban and Rural Areas in China[J].Sustainability,2020,12(7): 2598.
[2] 人力资源社会保障部.关于开展长期护理保险制度试点的指导意见.[2016-06-27].http://www.nhsa.gov.cn/art/2020/9/16/art_37_3586.html.
[3] 国家医疗保障局.关于扩大长期护理保险制度试点的指导意见.[2020-09-16].http://www.nhsa.gov.cn/art/2020/9/16/art_14_3584.html.
[4] 周富玲，张继元.长期护理保险体系社商协作机制研究综述[J].社会福利（理论版），2018（12）：18-24,31.
[5] 臧文斌，赵绍阳，刘国恩.城镇基本医疗保险中逆向选择的检验[J].经济学（季刊），2013，12（1）：47-70.
[6] 谢俊萍，蒋红梅，谭邦均.浅析我国长期照护保险的制度定位[J].中国医疗保险，2017（2）：30-32.
[7] 陈诚诚.老年人长期照护等级评估工具发展综述[J].中国医疗保险，2017（4）：8-11.
[8] 梁鸽，谢晖.老年人长期照护需求评估工具的研究进展[J].蚌埠医学院学报，2015，40（6）：838-839.
[9] 赵元萍，黄春芳，刘守国，等.长期照护保险失能评估工具的研究进展[J].中国护理管理，2019，19（1）：113-119.
[10] 李小青，周云，韩丽.长期护理保险服务给付研究[J].卫生经济研究，2019，36（11）：49-52.
[11] 周海珍.老年长期护理保险需求分析——基于对浙江省居民的调查[J].上海保险，2012（12）：11-15,30.
[12] 李林，任晓雅.我国长期护理保险制度建设中的政府责任研究[J].金融理论探索，2019（4）：53-62.

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更新日期/Last Update: 2022-01-07