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医养结合视域下服务项目纳入医养保险的未来性分析
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作者 王浴五谷 王浴四季 《中国卫生产业》 2020年第21期190-192,共3页
近年来,随着全球人口老龄化进程的加速推进,中国社会逐渐步入“老年时代”,由此产生有关老年人医疗、养老、康复等问题日趋严峻。医院和康复机构的相互独立的现状使得单一的医疗中心或养老机构已无法满足老龄社会的需求,亟需一种综合的... 近年来,随着全球人口老龄化进程的加速推进,中国社会逐渐步入“老年时代”,由此产生有关老年人医疗、养老、康复等问题日趋严峻。医院和康复机构的相互独立的现状使得单一的医疗中心或养老机构已无法满足老龄社会的需求,亟需一种综合的、切实可行的“医养一体化”医疗改革新发展模式。因此,自2016年起,我国卫生计生委便提出推行“医养结合”新型养老模式,并在部分地区单位进行了试点,迄今为止均取得了不错的社会反响。但基于目前中国“未富先老”“未储先支”等情况,拥有医养保险就显得尤为重要。鉴于此,该文就医养结合服务项目纳入医养保险的可行性进行了探讨和分析。 展开更多
关键词 结合 老龄化 医养保险
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The Chinese Dream of a More Progressive Welfare State: Progress and Challenges
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作者 Kristian Kongshoj 《Fudan Journal of the Humanities and Social Sciences》 2015年第4期571-583,共13页
"The Chinese Dream" and its ideational precursors in official discourse touch upon issues of social policymaking. More specifically, official China has stated the goal of achieving a "moderate" or "appropriate" ... "The Chinese Dream" and its ideational precursors in official discourse touch upon issues of social policymaking. More specifically, official China has stated the goal of achieving a "moderate" or "appropriate" universal welfare state in order to mitigate increasing inequality and the individualization of social risk. Consequently, the new millennium witnessed a wave of social reforms in China's Mainland, the most significant of which were arguably within the policy fields of health insurance, pensions and unemployment protection. This paper reviews reform efforts within these three policy fields and discusses progress and looming challenges with the concept of universalism as the yardstick. From the perspective of universalism, the social right dimensions of coverage (the share of the population included), generosity (benefit levels or adequacy of welfare proved for those included) and financing (such as state, contributions or private) are quintessential. Coverage of social protection has increased significantly with new schemes in all three policy fields. The hukou divide in coverage of social insurance is not as pronounced as before, especially in health insurance. However, major challenges still persist. Declining benefit generosity or adequacy has been a tendency in both pensions and unemployment protection. The pension system also faces problems of financial fragmentation and unsustainability. The health insurance system is still inadequate in terms of protection against health risks, particularly serious or chronic illnesses. These issues are more pronounced in schemes catering to rural residents or urban residents outside the labor market. This reflects that schemes for urban workers are still much more generous. In this regard, recent tentative efforts to integrate the divided welfare system should be noted. 展开更多
关键词 China · Welfare · Social policy · Unemployment · Health · Pension
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