重庆市中老年人长期护理保险需求现状及其影响因素研究

发布时间：2018-11-24 15:13

【摘要】：目的在老龄化逐步加快的背景下,针对如何保障中老年人的长期护理保险需求提出。通过对重庆市中老年人长期护理保险需求的影响因素进行研究,借鉴国内外的研究成果及经验,据此提出发展长期护理保险的分阶段、分层次的建议。方法运用文献研究法,对187篇长期护理保险相关文献进行研究;运用专家访谈法,对7名社保专家、卫生事业管理等领域专家进行访谈;以重庆市社区中老年人为调查对象,并按经济状况差异在重庆市主城区、一小时经济圈、渝东南北两翼随机抽取了六个区县共发放调查问卷365份,有效问卷361份。结果通过实地调研数据得出重庆市长期护理保险的需求现状并运用统计学方法分析了重庆市长期护理保险需求的影响因素;在文献分析的基础上总结了国际上长期护理保险产生的动因、发展状况、趋势和经验以及对我们的启示;并针对我国实际情况,借鉴国内外的研究成果及经验,提出了发展长期护理保险的分阶段、分层次的政策建议。结论与建议得出目前重庆市长期护理保险需求不足,其中人口统计学因素中的的年龄、文化程度、工作状况,健康因素中的身体状况满意度、慢性病情况、生活自理状况,经济因素中的家庭月收入、长期护理保险费用支付能力与认知与观念中的对现行医疗保险的了解状况、对长期护理保险的了解情况、养老观念会影响到长期护理保险需求。并根据影响因素的结论从发展模式、制度设计、拓宽筹资渠道、加强宣传、提高服务能力、长期护理回归社区六个方面提出建议。
[Abstract]:Objective under the background of accelerating aging, how to protect the long-term nursing insurance demand of middle and old people is put forward. Based on the research on the influencing factors of the demand of long-term nursing insurance for the middle-aged and the elderly in Chongqing, and drawing on the research results and experience at home and abroad, the paper puts forward some suggestions for the development of long-term nursing insurance in stages and levels. Methods 187 articles related to long-term nursing insurance were studied by the method of literature research, and 7 experts in social security, health care management and other fields were interviewed by the method of expert interview. Taking the middle and old people in Chongqing community as the object of investigation, 365 questionnaires were randomly selected from six districts and counties in Chongqing main urban area, one hour economic circle, and six districts and counties according to the economic situation difference, and 361 valid questionnaires were given out. Results the demand status of long-term nursing insurance in Chongqing was obtained by field investigation data and the influencing factors of long-term nursing insurance demand in Chongqing were analyzed by statistical method. On the basis of literature analysis, this paper summarizes the causes, development status, trends and experiences of long-term nursing insurance in the international community, as well as its enlightenment to us. According to the actual situation of our country and the domestic and foreign research results and experience, the paper puts forward the policy suggestions of developing long-term nursing insurance in stages and levels. Conclusion and suggestions are drawn that the demand for long-term care insurance in Chongqing is insufficient at present. Among them, age, education, working condition, satisfaction degree of physical condition, chronic disease, self-care of life in demographic factors are the main factors. The monthly income of families, the ability to pay for long-term care insurance, the understanding of current medical insurance in cognition and concept, the understanding of long-term care insurance, and the concept of old-age will affect the demand of long-term care insurance. According to the conclusion of influencing factors, this paper puts forward some suggestions from six aspects: development mode, system design, widening financing channel, strengthening propaganda, improving service ability, and long-term nursing returning to the community.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F842.6;R47

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