[1]袁 玲,张良文,方 亚.典型国家长期护理保险支付方式及启示[J].卫生经济研究,2022,39(8):29-33.
　YUAN Ling,ZHANG Liangwen,FANG Ya.Payment Methods and Enlightenment of Long-Term Care Insurance in Typical Countries[J].Journal Press of Health Economics Research,2022,39(8):29-33.
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典型国家长期护理保险支付方式及启示
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年8期
页码:
29-33
栏目:
医疗保障
出版日期:
2022-07-27

文章信息/Info

Title:
Payment Methods and Enlightenment of Long-Term Care Insurance in Typical Countries
作者:
袁 玲1; 张良文1; 2; 方 亚1
1.卫生技术评估福建省高校重点实验室，厦门大学公共卫生学院，福建 厦门 361102
2.厦门大学经济学院，福建 厦门 361005
Author(s):
YUAN Ling;  ZHANG Liangwen;  FANG Ya
Key Laboratory of Health Technology Assessment of Fujian Province, School of Public Health, Xiamen University, Xiamen Fujian 361102, China
关键词:
长期护理保险; 支付方式; 启示; 激励相容
Keywords:
long-term care insurance;  payment methods;  enlightenment;  incentive compatibility
分类号:
R197
文献标志码:
A
摘要:
美国长护险支付方式已由后付制转向预付制，德、日、韩则以按床日支付和按服务项目支付为主，支付标准日益精细化。我国长护险试点初期主要采用按床日支付和按服务项目支付，存在支付标准不能反映个体实际资源消耗、控费能力较弱等问题。对此，本文借鉴国外经验，提出建议：居家护理支付应转向预付制，支付标准要与护理需求相匹配，利用经济杠杆引导居家护理使用，并通过激励相容实现价值医疗。
Abstract:
The payment method of long-term care insurance in the United States has changed from post-payment to pre-payment, while Germany, Japan and South Korea mainly pay by bed-day and service items, and the payment standards are increasingly refined. In the early stage of long-term care insurance pilot projects in China, payment by bed-day and service-item was mainly adopted, and there were problems such as payment standards that could not reflect the actual resource consumption of individuals and weak ability to control expenses. It is suggested that home care payment should shift to a pre-payment system, payment standards should be matched with nursing needs, economic leverage should be used to guide the use of home care, and value medical care should be realized through incentive compatibility.

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更新日期/Last Update: 2022-07-27