长护险失能评估社会化SWOT分析及对策研究

SWOT Analysis and Countermeasures Research on Socialization of Long-Term Care Insurance Disability Assessment

失能等级评估是长期护理保险制度运行的关键环节,也是长期护理保险待遇资格准入、资源合理配置及基金精准流向的依据。纵观国际上实行长期护理保险制度的国家,基本建立了全国统一的评估体系。为打破失能评估碎片化现状,构建全国统一的失能评估体系,我国长期护理保险试点城市亟须转变失能评估模式、优化失能评估机制,其中转换失能评估主体、培育定点评估机构是首要任务。本文基于SWOT矩阵,分析定点评估机构参与失能评估的优势、劣势、机遇及挑战,并借鉴国际经验提出优化策略,为优化试点城市转变失能评估模式提供参考。

The assessment of disability levels is a key link in the operation of the long-term care insurance system,and is the basis for the admission of eligibility for long-term care insurance benefits,the rational allocation of resources and the precise flow of funds.Throughout the world,countries that have implemented long-term care insurance systems have basically established a unified national assessment system.In order to break the fragmentation of disability assessment and build a unified national disability assessment system,pilot cities in China need to change the disability assessment mode and optimize the disability assessment mechanism,among which converting the main body of disability assessment and cultivating designated assessment agencies are the primary tasks.Based on the SWOT matrix,this paper analyzes the advantages,disadvantages,opportunities,and challenges of the designated assessment agencies'participation in disability assessment,and puts forward the optimization strategy by drawing on international experience,so as to provide references for optimizing the disability assessment model in pilot cities.