中日韩老年长期护理保险给付制度比较研究

Comparative study on the payment system of long-term care insurance Among China and Japan and South Korea

社会政策给付是对社会政策对象给予什么、给予多少的问题,与给付内容、形式、水平以及服务传递方式相关联。合理的给付条件、给付内容、给付水平直接反映政策目标的实现程度。长期护理是对失能、半失能人员提供的日常生活和身体照护服务以及部分医疗护理。这种服务往往是将社会服务和医疗服务混杂在一起,服务方式包括机构护理和居家照护,服务内容包括现金支付和服务给付。本文以中日韩护理保险制度为例,着重分析护理保险给付条件、给付种类、给付内容和形式,比较其共性和差异,总结日本和韩国护理保险给付制度对中国的借鉴意义,为中国设计统一的护理保险制度提供政策依据。

Social policies payment is a question of what to give to social objects and how much to give,which is associated with form,content,level and service mode of the payment.The reasonable conditions,content and levels of payment directly reflect the degree of policy objectives’achievement.Long-term care includes daily life care,body care services,and provides parts of medical care for disabled and partially disabled people.The social services are always mixed with medical service.The service methods include institutional care and family care and the service content includes cash payment and service payment.Taking the China-Japan-Korea nursing insurance system as an example,this article analyzes conditions,types,contents,and forms of care insurance payment systems.It also points out the similarities and differences among three systems by making the comparative analysis.The author believes that the article can serve as a policy basis for China enacting the uniform care insurance system by summarizing the use for reference of care insurance payment system of Japan and Korea.