[1]陈奕男.长期护理保险费用控制的机理、类型与策略[J].卫生经济研究,2022,39(2):45-49.
　CHEN Yi-nan.The Mechanism, Type and Strategy of Long-Term Care Insurance Cost Control[J].Journal Press of Health Economics Research,2022,39(2):45-49.
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长期护理保险费用控制的机理、类型与策略
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年2期
页码:
45-49
栏目:
健康老龄化
出版日期:
2022-01-27

文章信息/Info

Title:
The Mechanism, Type and Strategy of Long-Term Care Insurance Cost Control
作者:
陈奕男1
1.华东政法大学政治学与公共管理学院，上海 201620
Author(s):
CHEN Yi-nan
School of Political Science and Public Administration, East China University of Political Science and Law, Shanghai 201620, China
关键词:
长期护理保险; 费用控制; 失能老人
Keywords:
long-term care insurance;  cost control;  disabled elderly
分类号:
F840.684
文献标志码:
A
摘要:
长期护理保险实现可持续发展，不仅要求具备稳定的筹资来源，还要控制照护费用的不合理增长。本文基于长期护理保险的运行机制，阐明其费用控制机理，结合我国试点实际，分析费用不合理增长的根本原因、刺激因素、可行性与现实空间，提出长期护理保险费用控制的类型——逐利约束型、服务机构生存型、保险机构主导型、信息公开型、利益协调型。最后，从需方、供方和供需双方角度提出控费策略，并强调评估机构对费用控制的重要性。
Abstract:
The sustainable development of long-term care insurance requires not only a stable source of financing, but also the control of unreasonable growth in its cost. Based on the operation mechanism of long-term care insurance, this paper firstly clarified cost control mechanism, and had an insight into the pilot cases. Then, this study analyzed the cause, stimulus, feasibility and realistic possibility of the unreasonable increase in cost. Five types of long-term care insurance cost control were proposed, namely profit-seeking constrained, organization run-to-survive, insurance-institution-leading, information-disclosure, and interest-coordinated type. Finally, this study put forward cost control strategies from the perspective of demand and supply, and emphasized the important role of evaluation agency.

参考文献/References:

[1] 世界卫生组织编.中国老龄协会译.积极老龄化政策框架[M].北京：华龄出版社，2003:46.
[2] 曹信邦.中国失能老人长期护理保险制度研究：基于财务均衡的视角[M].北京：社会科学文献出版社，2016:21.
[3] 丁华，严洁.中国老年人失能率测算及变化趋势研究[J].中国人口科学，2018（3）：97-108,128.
[4] 朱大伟，于保荣.基于蒙特卡洛模拟的我国老年人长期照护需求测算[J].山东大学学报（医学版），2019（8）：82-88.
[5] Courtage C,Zweifel P. Two-sided intergenerational moral hazard, long-term care insurance,and nursing home use[J].Journal of Risk & Uncertainty,2011,43(2):65-80.
[6] Bakx P,Chernichovsky D,Paolucci F,et al.Demand-side strategies to deal with moral hazard in public insurance for long-term care[J].Journal of Health Services Research & Policy,2015,20(3):170-176.
[7] 陈诚诚.长期照护保险道德风险问题初探：理论综述与政策分析[J].学习与实践，2019（8）：81-89.
[8] 陈诚诚，郭佳琪.长期护理费用控制与支付方式研究——以S市长期医疗护理保险试点为例[J].卫生经济研究，2020（2）：49-53.
[9] 陈奕男.上海长期护理供需匹配机制探索[J].科学发展，2021（2）：106-113.

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更新日期/Last Update: 2022-01-27