荷兰长期护理服务质量监管的经验与启示

Experience and Insights from Quality Regulation of Long-Term Care Services in the Netherlands

目的:针对长期护理保险服务质量监管问题,本研究深入分析荷兰长期护理服务质量监管标准、过程和干预措施,为提升我国长期护理保险服务质量提供可借鉴经验。方法:运用文本分析法,整理荷兰长期护理服务质量监管的可借鉴措施与经验。结果:作为最早一批建立长期护理社会保险制度的国家,荷兰在为有护理需求的个体提供复杂多样的护理服务的同时,坚持以人为本的质量监管原则,建立多部门合作的护理服务提供者质量监管体系,设立公开透明且惩罚严苛的信息收集制度,制定系统性的质量监管干预措施。结论:长期护理服务质量监管对实现长期护理保险目标、管理长期护理服务资源和促进长期护理保险健康、可持续运营具有重要作用。借鉴荷兰长期护理服务质量监管经验,我国应建设以人为本的护理服务质量监管体系,重视护理服务提供者的管理水平,完善非正式护理服务体系,建设长期护理服务质量监管信息平台。

Objective:To address the quality regulation of long-term care insurance services,this article analyses the quality regulation standards,process and intervention measures of long-term care service in the Netherlands,so as to provide lessons that can be learnt for improving the quality of long-term care insurance services in China.Methods:The article uses the text analysis method to collate measures and experience in the quality regulation of long-term care services in the Netherlands.Results:As one of the earliest countries to establish a social insurance system for long-term care,the Netherlands,while providing complex and various care services for people with care needs,adheres to the person-centered principle in quality regulation of care services,establishes a multi-sectoral system for quality regulation of care providers,sets up an open,transparent and punitive information collection system,and formulates systematically implemented quality regulation interventions.Conclusion:Quality regulation of long-term care services plays an important role in achieving the goals of long-term care insurance,managing long-term care insurance resources,and promoting the healthy and sustainable operation of long-term care insurance.Drawing on the experience of the Netherlands in quality regulation of long-term care services,China should build a person-centered quality regulation system of care services,pay attention to the management level of care providers,improve the informal care system,and build an information platform for quality regulation of longterm care services.