照料社会化:长期照护保险制度实践研究——基于对青岛市长期医疗护理保险的考察
发布时间：2018-08-09 10:22
【摘要】：以2016年国家人社部发布《人力资源社会保障部办公厅关于开展长期护理保险制度试点的指导意见》为契机,对青岛长期医疗护理保险制度进行重点考察,从社会照料转向的视角,着重探讨长期照护制度中政府、社区、家庭与市场等多元主体责任及其协同安排,并就中国长期照护保障体系的责任主体和模式选择的多元化、社会化提出相应对策建议:以目前青岛市的制度实践而言,存在制度基础、制度设计、制度执行等方面的实践限度;在医疗护理上,居家医护在4种医护形式中实际使用和业务结算均占比最高,居家安排仍是绝对主流;在生活照料上,家庭仍承担主要责任,但社会支持明显不足,严重缺乏家庭照护者支持政策,亟待长期照护保障体系向社会照料方面拓展。
[Abstract]:Taking the "guidance opinion of the General Office of the Ministry of Human Resources and Social Security" issued by the Ministry of Human Resources and Social Security in 2016, as an opportunity to carry out a pilot project on long-term nursing insurance in Qingdao, this paper focuses on the investigation of the long-term medical and nursing insurance system in Qingdao. From the perspective of social care shift, this paper focuses on the responsibility of the government, the community, the family and the market in the long-term care system, and discusses the diversification of the responsibility subject and mode choice of the long-term care and security system in China, including the government, the community, the family and the market. The socialization puts forward the corresponding countermeasures and suggestions: in terms of the current system practice in Qingdao, there are practical limits in the aspects of system foundation, system design, system implementation, etc. Among the four forms of medical care, the proportion of actual use and business settlement of home care is the highest, and the home arrangement is still the absolute mainstream. In the life care, the family still bears the main responsibility, but the social support is obviously insufficient. There is a serious lack of support policy for family carers, and the long-term care system needs to be extended to social care.
【作者单位】： 中国社会科学院社会学研究所;
【基金】：中国社会科学院创新项目资助;中国社会科学院亚洲研究中心课题资助(2017YYZX002)
【分类号】：D632.1
本文编号：2173778
[Abstract]:Taking the "guidance opinion of the General Office of the Ministry of Human Resources and Social Security" issued by the Ministry of Human Resources and Social Security in 2016, as an opportunity to carry out a pilot project on long-term nursing insurance in Qingdao, this paper focuses on the investigation of the long-term medical and nursing insurance system in Qingdao. From the perspective of social care shift, this paper focuses on the responsibility of the government, the community, the family and the market in the long-term care system, and discusses the diversification of the responsibility subject and mode choice of the long-term care and security system in China, including the government, the community, the family and the market. The socialization puts forward the corresponding countermeasures and suggestions: in terms of the current system practice in Qingdao, there are practical limits in the aspects of system foundation, system design, system implementation, etc. Among the four forms of medical care, the proportion of actual use and business settlement of home care is the highest, and the home arrangement is still the absolute mainstream. In the life care, the family still bears the main responsibility, but the social support is obviously insufficient. There is a serious lack of support policy for family carers, and the long-term care system needs to be extended to social care.
【作者单位】： 中国社会科学院社会学研究所;
【基金】：中国社会科学院创新项目资助;中国社会科学院亚洲研究中心课题资助(2017YYZX002)
【分类号】：D632.1
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