失能老人照护服务补助制度研究

Research on the Subsidy System for the Care Service of the Disabled Elderly

加快发展老年人照护服务业、加强老年人照护保障制度建设已成为社会共识,但对照护保障具体实现形式还有争论。特别是近年来,学界和业界的注意力集中于长期照护保险试点,而对照护保障的其他形式关注不够。低收入家庭失能老人缺乏有效的照护支持,迫切需要建立非保险型照护保障机制。本文基于老年照护保障体系整体设计,阐释失能老人照护服务补助制度功能定位,通过建立定量分析模型,估算了实施此项制度所需资金量,发现其运行成本可控,具有较强可行性。建议在加强老年保障的整体设计和政策统筹的基础上,尽快组织实施该项制度,并建立相关评估制度,采用有效的筹资机制,为制度实施创造良好条件。

Accelerating the development of the elderly care service industry and improving the elderly care security system has become a social consensus,but there is still controversy over the specific implementation form of the care security.Especially in recent years,the academia and industry has focused on the pilot of long-term care insurance,while less attention has been paid to other forms of care security.The disabled elderly in low-income families lack effective care support,and there is an urgent need to establish a noninsurance care security mechanism.Based on the overall design of the elderly care security system,this paper explains the disabled elderly care service subsidy system.By establishing a quantitative analysis model,this paper estimates the amount of funds needed to implement this system and finds that the operating costs are affordable.Therefore,this system has strong feasibility.It is recommended to implement the system as soon as possible on the basis of strengthening the overall design of old-age security,establish a related evaluation system,and use an effective financing mechanism to create good conditions for the implementation of the system.