新时代实现“老有所养”的战略路径与政策重点

The Strategic Path and Policy Focus on Ensuring People's Access to Elderly Care in the New Era

关乎"老有所养"的养老保障与服务均存在着各自不同的突出问题,而国家与家庭人口结构双重变化趋向又使我国面临"老有所依"的新形势。新时代要更好地实现"老有所养",必须坚持养老保障与服务双轮驱动,其中养老服务应成为政策着力点。积极借鉴名义账户制核心思想,深化基本养老保险制度改革,在此基础上进一步规范基本养老保险缴费基数、适当降低缴费费率,同时鼓励和支持多层次补充性养老保障发展。促进不同性质与类型的养老服务业分类协同发展与治理,在居家社区养老模式下加强专业化、规模化养老服务供给,积极倡导与推广"机构养老"模式。必须直面发展障碍,深化养老服务领域的"放管服"改革。

The old-age security and aging service,which are related to the elderly care,have their own outstanding problems.The dual changes in the structure of the country and family＇s population have also made China face a new situation in the elderly support.Therefore,in order to better ensure people＇s access to the elderly care in the new era,we must adhere to a two-wheel drive of pension security and aging services,and accelerate the comprehensive development of aging services especially.On the one hand,we must deepen the reform of the basic endowment insurance system by actively learning from the core idea of the NDC system,and on this basis,we should further regulate the payment base of the basic old-age insurance premium and reduce the contribution rate appropriately.At the same time,it is imperative to encourage and support the development of multilevel supplementary old-age security.On the other hand,we should take a road of classified and synergistic development and governance of aging services,and actively promote and popularize the＂institutional elderly care＂model as strengthening the supply of specialized and large-scaled elderly support services under the home-based and community-based elderly care model.To this end,we must face the development obstacles and deepen the reform of the government self-targeted reform of decentralization,supervision and services in the field of aging services.