目的: 分析以色列长期护理保险制度发展历程和运行机制,探讨我国长期护理保险制度现存问题和未来发展思路。方法: 本文从制度设计、基金筹集、失能等级评估和给付内容等多个方面分析了以色列长期护理保险制度的现状。结果: 以色列长期护理保险具有以下优点:长期护理保险制度顶层设计较为完善;失能等级评定细化清晰,护理服务水平与收入相挂钩;给付形式多样,满足多样化需求;护理服务灵活性高,服务提供方市场化程度高。结论: 后续应完善我国长期护理保险制度的顶层设计;建立居家和社区护理为主的长期照护体系;丰富给付内容,提供灵活的护理服务,将报销比例与收入相挂钩;健全服务质量考评标准、推动护理服务提供方市场化。
Abstract
Objective: The paper analyzes the development history and the operation mechanism of long-term care insurance system in Israel, and explores the problems and development path of long-term care insurance system in China. Methods: This paper analyzes the current situation of long-term care insurance system in Israel from the aspects of system design, fund raising, disability rating and payment content. Results: It is found that long-term care insurance in Israel has the following advantages: the top-level design of long-term care insurance is relatively perfect, the disability level assessment is refined, the level of nursing services is linked with income, the payment contents are various to meet diverse needs, nursing services are highly flexible and service providers are market-oriented. Conclusion: China's long-term care insurance system should improve top-level design, establish a long-term care system based on home and community care, enrich the contents of payment, provide flexible services, link reimbursement rates with income, improve service quality evaluation standards and promote the marketization of nursing service providers.
关键词
以色列 /
长期护理保险 /
人口老龄化
Key words
Israel /
long-term care insurance /
population aging
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参考文献
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基金
广州市哲学社会科学发展“十四五”规划2023年度共建课题“广州市农村互助型长期护理保险可行性研究”(2023GZGJ200); 广州中医药大学2021年人文社科一般培育项目“广州市长期护理保险受益人满意度及影响因素研究”(2021SKYB02)