Concept of Constructing a Quality Supervision Platform for Home Care Plans of Long-Term Care Insurance

China Health Insurance ›› 2024, Vol. 0 ›› Issue (11) : 76-81.

China Health Insurance ›› 2024, Vol. 0 ›› Issue (11) : 76-81. DOI: 10.19546/j.issn.1674-3830.2024.11.009
Special Topic Analysis

Concept of Constructing a Quality Supervision Platform for Home Care Plans of Long-Term Care Insurance

Author information +
History +

Abstract

Objective: The paper systematically reviews the progress of the demand for home care service of long-term care insurance of the disabled elderly in China, to provide policy suggestions for optimizing the quality supervision efficiency of long-term care insurance in China. Methods: Through literature review, logical analysis and other research methods, the paper deeply analyzes the core issues and practical basis of the evaluation of the effectiveness of long-term care insurance in China, and proposes the concept of a quality supervision platform for long-term care insurance home care service. Results: The quality supervision platform with the relevant policies of long-term care insurance in Guangzhou as a reference, guided by the needs of insured individuals, and based on nursing procedures can improve the accuracy of nursing plans for service recipients and implement full process supervision of home care, thereby achieving a closed-loop management of home care evaluation, decision-making, implementation, and evaluation for the insured. Conclusion: The establishment of a knowledge base for planning, decision-making and quality evaluation based on the current home care project to achieve the continuity of specialist care and management with medical insurance operators, designated institutions and medical institutions can simplify the process of long-term care insurance for the insured and provide new ideas for the accurate guarantee and payment, as well as for the integration and development of long-term care insurance with the “Internet plus nursing service”.

Key words

long-term care insurance / home care / information platform / quality monitoring

Cite this article

Download Citations
Concept of Constructing a Quality Supervision Platform for Home Care Plans of Long-Term Care Insurance[J]. China Health Insurance. 2024, 0(11): 76-81 https://doi.org/10.19546/j.issn.1674-3830.2024.11.009

References

[1] 国家医疗保障局. 2023年全国医疗保障事业发展统计公报[EB/OL].(2024-07-25)[2024-08-01].https://www.nhsa.gov.cn/art/2024/7/25/art_7_13340.html.
[2] 沈敏,徐晓敏,刘小青,等.长期护理保险护理站居家护理服务质量评价指标研究[J].外科研究与新技术,2022,11(04):290-296.
[3] 广东省医疗保障局.广东省医疗保障局关于省政协第十三届二次会议第20240456号提案会办意见的函[EB/OL].[2024-05-16] (2024-08-16).https://hsa.gd.gov.cn/zwgk/content/post_4424055.html.
[4] 程蕾,邝远芳.广州市长期护理保险试点现状、问题及对策分析[J].卫生软科学,2024,38(01):1-7.
[5] 廖再波,赵文婷,夏兴,等.我国失能老人长期照护服务体系研究进展[J].实用医院临床杂志,2021,18(03):217-220.
[6] 于保荣,孔维政,廖森,等.长期护理保险监管机制的国内外实践与启示[J].卫生经济研究,2023,40(12):24-27.
[7] 刘璟锟. 长期护理保险相关标准存在的问题及对策研究[J].卫生软科学,2024,38(04):24-28.
[8] 王黎黎. 长期护理保险居家护理项目的伦理基础与制度保障[J].医学与哲学,2024,45(01):42-45.
[9] 王婷. 我国长期护理保险的法律性质、现状和展望[J].产业与科技论坛,2023,22(22):44-47.
[10] 姚佳伟,杨露.基于多因素二项Logistic模型的上海长期护理保险满意度分析[J].经济研究导刊,2022(4):60-62.
[11] 黄懿炘,刘美兰,彭献莹,等.长期护理保险制度下居家护理服务的研究进展[J].护理学杂志,2021,36(11):102-105.
[12] 王倩. 高质量发展框架下我国社会长期护理保险服务供给效率提升的路径研究[J].保险理论与实践,2023(04):104-120.
[13] 孙晨晗,胡敏,陈文.德国长期护理服务质量监管的经验与启示[J].中国卫生政策研究,2023,16(09):72-79.
[14] 孟佳娃,胡静波.长期护理保险待遇给付问题研究[J].人民论坛,2022(07):71-73.
[15] 邓清文,魏艳,陈英耀.我国长期护理保险的供需分析与建议[J].医学与社会,2023,36(01):87-92.

Accesses

Citation

Detail

Sections
Recommended

/