摘要
长期护理保险制度在我国试点八年,至今制度顶层设计还在酝酿之中。在正式制度出台前,从整体性治理理论出发,需要对长护险制度的保障对象、筹资与支付模式、服务体系建设、隐含风险四个方面进行前瞻性思考。其中包含的12个核心问题的分析与解决,既吸收了国际制度经验,也体现了中国国情特色。长期护理保险的“第六险”定位,表明失能这一社会现象在我国这个人口加速老龄化的人口大国已经成为一个新的社会风险。新生事物不总是一帆风顺的,更需要我们高瞻远瞩从长远角度、大局意识出发设计好长护险制度框架。
The long-term care insurance system has been piloted in China for eight years,and the toplevel design of the system is still under consideration.Before the formal system is introduced,starting from the theory of holistic governance,it is necessary to conduct forward-looking thinking on the protection objects,financing and payment models,service system construction,and hidden risks of the long-term care insurance system.The analysis and resolution of the 12 core issues included not only absorb international experience,but also reflect Chinese characteristics.The positioning of long-term care insurance as the"sixth insurance"indicates that disability has become a new social risk in China,a populous country with an accelerating aging population.The development path of new things is not always a plain sailing,and we need to have a far-sighted perspective and a sense of the overall situation to design a framework of longterm care insurance system.
出处
《社会政策研究》
2024年第3期38-47,132,共11页
Social Policy Research
基金
国家社科基金重点项目“‘兜底性’失能老年人养老服务体系建设研究”(项目批准号:20AZD082)
浙江省高校重大人文社科攻关计划项目“浙江省长期护理保险试点评估、政策优化、关键机制与推广路径研究”(项目批准号:2023GH030)。
