[1]卢瑞鹏,房 芬,李红艳.长期护理保险财务“质态均衡”探析[J].卫生经济研究,2019,(05):59-63,67.
　LU Rui-peng,FANG Fen,LI Hong-yan.Analysis on the “Quality Balance” of Long-term Nursing Insurance Finance[J].Journal Press of Health Economics Research,2019,(05):59-63,67.
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长期护理保险财务“质态均衡”探析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2019年05期
页码:
59-63,67
栏目:
医保天地
出版日期:
2019-04-26

文章信息/Info

Title:
Analysis on the “Quality Balance” of Long-term Nursing Insurance Finance
作者:
卢瑞鹏1; 房 芬1; 李红艳1
1.上海工程技术大学，上海 201620
Author(s):
LU Rui-peng; FANG Fen; LI Hong-yan
Shanghai University Of Engineering Science，Shanghai 201620，China
关键词:
长期护理保险; 财务平衡; 质态均衡; 覆盖人群; 评估标准; 保障待遇
Keywords:
long-term care insurance; financial balance; qualitative balance; coverage population; assessment criteria; security benefit
分类号:
R19
文献标志码:
A
摘要:
截至2018年元旦，全国15个试点城市的长期护理保险试点政策均已落地实施。然而，国内长期护理保险在制度试点、学术研究领域均呈现“神散形乱”的局面，对财务平衡的研究更是存在对本质理念把握不足的问题。财务平衡影响要素分析发现，覆盖人群、评估标准、保障待遇三个因素对长期护理保险的财务运行具有“牵一发而动全身”的作用。将覆盖群体设定为16岁以上参加基本医疗保险人群，构建生理性指标与社会性指标兼具的综合性评价指标，保障标准延伸至生活照料、医疗护理领域，实现80%的保障纵深并配合以统筹层次的提升，从质态上保证长期护理
Abstract:
Till the New Year's Day in 2018，the pilot policies for long-term care insurance in 15 pilot cities across the country have been implemented. However，the domestic long-term care insurance has presented a situation of “distraction” in the pilot and academic research fields. The study of financial balance has the problem of insufficient grasp of the essential concepts. The analysis of the factors affecting financial balance found that the coverage，evaluation criteria，and guarantee treatment have the major effects on the financial operation of long-term care insurance. We should set the coverage group to be more than 16 years old to participate in the basic medical insurance population，build a comprehensive evaluation index combining physiological indicators and social indicators，and extend the protection standard to the field of life care and medical care，achieving 80% of the protection depth and cooperation to achieve the financial balance of the long-term care insurance system from the qualitative aspect.

参考文献/References:

[1] 郑秉文.加拿大养老金“DB型部分积累制”新范式20年回望与评估——降低养老保险费率的一个创举[J].经济社会体制比较,2017(6):87-117.
[2] 刘金涛,陈树文.我国老年长期护理保险筹资机制探析[J].大连理工大学学报(社会科学版),2011,32(3):44-48.
[3] 朱铭来,贾清显.我国老年长期护理需求测算及保障模式选择[J].中国卫生政策研究,2009,2(7):32-38.
[4] 胡宏伟,李延宇,张澜.中国老年长期护理服务需求评估与预测[J].中国人口科学,2015(3):79-89，127.
[5] 周志凯.试论养老保险制度的可持续发展[J].理论月刊,2005(6):143-147.
[6] 雷晓康,陈茜,常沁芮.我国养老保险制度可持续发展的内涵与实现路径[J].西北大学学报(哲学社会科学版),2014,44(4):64-70.
[7] 李珍.论建立基本养老保险个人账户基金市场化运营管理制度[J].中国软科学,2007(5):13-21.
[8] 郑功成.中国社会保障发展报告2017 [M].北京:中国劳动社会保障出版社，2018.
[9] 王玮. 南京市长期护理保险财务供需平衡分析[D].南京财经大学,2015.
[10] 戴卫东.长期护理保险的“中国方案”[J].湖南师范大学社会科学学报,2017,46(3):107-114.
[11] 杨明旭. 中国人口多属性预测研究暨失能老人长期照护政策仿真[D].浙江大学,2016.
[12] 长期医疗护理、医疗专护或居家医疗护理的经办流程 [EB/OL].[2018-03-04].http://www.qdhrss.gov.cn/pages/hdjl/fwdh/533 97.html.
[13] 景跃军,李元.中国失能老年人构成及长期护理需求分析[J].人口学刊,2014,36(2):55-63.
[14] 谭睿. 我国长期护理保险制度的实践及思考[J]. 卫生经济研究, 2017(5):54-60.
[15] 林宝.中国长期护理保险筹资水平的初步估计[J].财经问题研究,2016(10):66-70.
[16] 林姗姗.我国长期照护保险制度的构建与财务平衡分析[J].福建师范大学学报(哲学社会科学版),2013(1):28-34.
[17] 刘涛.福利多元主义视角下的德国长期照护保险制度研究[J].公共行政评论,2016,9(4):68-87，207.
[18] 杜飞进,张怡恬.中国社会保障制度的公平与效率问题研究[J].学习与探索,2008(1):1-22.

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更新日期/Last Update: 2019-04-26