[1]韩 进,鲁志鸿,肖越阳,等.山东省长护险服务项目开展及其与国家目录的衔接研究[J].卫生经济研究,2026,43(09):90-93.
　HAN Jin,LU Zhihong,XIAO Yueyang,et al.Study on the Implementation of Long-Term Care Insurance Service Items and Their Alignment with the National List in Shandong Province[J].Journal Press of Health Economics Research,2026,43(09):90-93.
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山东省长护险服务项目开展及其与国家目录的衔接研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年09期
页码:
90-93
栏目:
医疗保障
出版日期:
2026-09-02

文章信息/Info

Title:
Study on the Implementation of Long-Term Care Insurance Service Items and Their Alignment with the National List in Shandong Province
作者:
韩 进1; 鲁志鸿2; 肖越阳1; 韩志琰1
1.山东第一医科大学（山东省医学科学院）医疗保障学院，山东 济南 250117
2.山东中医药大学卫生管理学院，山东 济南 250035
Author(s):
HAN Jin;  LU Zhihong;  XIAO Yueyang;  HAN Zhiyan
School of Health Care Security, Shandong First Medical University(Shandong Academy of Medical Sciences), Jinan Shandong 250117, China
关键词:
长期护理保险; 服务项目; 目录; 映射; “利用—需求”匹配
Keywords:
long-term care insurance;  service items;  National List;  mapping;  utilization-demand matching
分类号:
R19
文献标志码:
A
摘要:
目的：分析山东省长期护理保险服务项目的开展情况及其与国家目录的衔接，提出优化策略。方法：基于山东省16个地市政策文件及27 801份问卷数据，构建“利用—需求”四象限模型，并与国家目录进行映射分析。结果：山东省长期护理保险目录中共有90项服务项目，其中生活照料类33项、医疗护理类45项、康复辅具类12项；与国家目录映射显示，32项未能有效映射，多集中于低覆盖、低需求项目，以医疗服务项目为主；已映射的46项中，存在服务利用与实际需求错配的情况；康复辅具类项目仅在7个地市开展，整体匹配水平偏低。结论：山东省应以长期护理保险国家目录为基准，优化项目设置，推动省级目录与国家目录有效衔接；调整长期护理保险服务项目结构，提升高需求项目的供给能力；加快康复辅具类项目的制度化纳入，提升制度的公平性与可持续性。
Abstract:
Objective To analyze the implementation of long-term care insurance service items in Shandong Province and their alignment with the National List, and to propose optimization strategies. Methods Based on policy documents from 16 cities in Shandong Province and questionnaire data from 27 801 beneficiaries, a four-quadrant "utilization-demand" model was constructed and used to conduct a mapping analysis with the National List. Results The long-term care insurance service catalog in Shandong Province comprised 90 items, including 33 daily living care services, 45 medical care services, and 12 rehabilitation assistive device services. Mapping with the national catalog revealed that 32 items failed to align, which were predominantly medical care items and were concentrated in categories with low coverage and low demand. Among the 46 successfully mapped items, there were instances of mismatches between service utilization and actual demand. Rehabilitation assistive device services were only available in 7 cities, indicating an overall low level of matching. Conclusion It is recommended to optimize the setting of long-term care insurance items based on national List to promote effective alignment between provincial and national lists, adjust the structure of long-term care insurance items to enhance the supply capacity of high-demand items, and expedite the institutional integration of rehabilitation assistive device services to improve the fairness and sustainability of the system.

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更新日期/Last Update: 2026-09-02