摘要
论文介绍了德国长期照护保险制度的源起和制度设计及其诞生以来经历的诸项改革,并分析了该制度在过去二十多年来的主要发展趋势。根据西方福利多元主义理论,论文分析性地探索了福利五角中的国家、市场、家庭、社会网络和非营利取向的社会福利组织在德国如何相互混合并协同完成长期照护这一福利目标。论文进一步指出了具有社会工作和社会服务性质的长期照护制度不同于其他社会保险险种而具有自身的制度独特性,这使得单一的福利国家视角已无法解释和涵盖照护保险领域里的实际发展,而混合型态的福利多元主义则有助于理论解释长期照护保险的制度设计。此外,论文还介绍了德国长期照护保险制度对构建中国特色的长期照护制度的启示。
This article describes the origins and overall structure of the long- term care insurance system in Germany as well as the various reforms since its adoption. It further analyses major trends concerning the system over the past two decades. In accordance with Western welfare pluralism theory,this article explores how the pentagonal actors of the welfare sector- such as the state,market,family,social networks and intermediary social welfare organizations- are interwoven with each other and cooperate to achieve the goal of long- term care in Germany. This paper further points out the idiosyncratic features of long- term care. Along with social work and social services,long term careis unique and differs from other types of insurance and social insurance systems.The perspective of a single welfare state is insufficient to explain the empirical development of the long- term care insurance. Hybrid welfare pluralism,however,might contribute more to explaining the institutional design of the long term care program. After a theoretical analysis of the long- term care insurance system in Germany,this article then describes how the German long- term care insurance system has inspired the creation of a long- term care system with Chinese characteristics.
出处
《公共行政评论》
CSSCI
北大核心
2016年第4期68-87,207,共20页
Journal of Public Administration
关键词
照护保险
福利多元主义
混合
福利国家
福利社会
Long Term Care Insurance
Welfare Pluralism
Hybridity
Welfare State
Welfare Society
