日本长期护理保险2005—2017年改革述评与启示

发布时间：2018-04-21 22:21

本文选题：人口老龄化 + 长期护理保险制度　；参考：《社会保障研究》2017年04期

【摘要】：日本于2017年6月颁布的长期护理保险法修正案,是该制度自2000年4月实施以来的第5次改革。虽然历次改革的内容不尽相同,但改革的主要动因和措施是相同的。改革的主要动因是为应对人口快速老龄化所带来的护理需求压力和不断攀升的护理支出成本。改革的主要措施一是通过上调被保险人的保险缴费率和个人自付比例来增加保险收入;二是通过增加预防性保健服务、大力发展成本低廉而高效的居家、社区护理服务和限制成本高昂的机构护理服务来控制保险支出。即遵循以收定支、收支均衡原则,实现制度的可持续发展。日本长期护理保险制度历次改革启示我们,我国长期护理保险的制度建设应当建立具有可持续性的筹资机制、严格控制资金给付条件以及构建优质便捷的服务体系。
[Abstract]:The amendment to the long term Care Insurance Law promulgated by Japan in June 2017 is the fifth reform of the system since its implementation in April 2000. Although the contents of previous reforms are different, the main reasons and measures of reform are the same. The main motivation of the reform is to cope with the pressure of nursing demand and the rising cost of nursing care caused by the rapid aging of the population. The main measures of the reform are, first, to increase the insurance income by raising the insurance premium rate of the insured and the ratio of personal contributions to the insured; second, to increase preventive health care services, and to vigorously develop low-cost and efficient households. Community care and curbs on costly institutional care to control insurance spending. That is, to follow the principle of income and expenditure balance, to achieve the sustainable development of the system. The reform of long-term nursing insurance system in Japan has inspired us that the construction of long-term care insurance system in China should establish a sustainable financing mechanism, strictly control the conditions of fund payment and establish a high-quality and convenient service system.
【作者单位】：上海工程技术大学社会科学学院;
【基金】：上海市哲学社会科学规划基金项目(2016BGL012)资助成果
【分类号】：F841.3

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