摘要
通过对比分析我国各试点城市的长期护理保险,发现在分级护理中提供的护理服务和待遇给付存在差异,具体表现为护理服务形式碎片化、服务项目分布不均匀、服务内容错位、给付条件阈限、补偿比例不一、支付限额各异等方面,主要原因在于分级护理享受主体界定模糊、评估依据和内容简单、评估指标和工具单一、评估等级标准参差不齐。对此,参照国外经验,结合我国国情,提出建立和完善分级护理标准与待遇给付的措施。
Through comparative analysis of long-term care insurance in China’s pilot cities,we found that there are differences in nursing services and treatment benefits provided in graded care,which are characterized by fragmentation of nursing service forms,uneven distribution of service items,dislocation of service contents,and threshold of payment conditions. The main reasons for the different compensation rates and different payment limits are that the classification of the subject enjoys a vague definition,the evaluation basis and content are simple,the evaluation indicators and tools are single,and the evaluation level standards are uneven. In this regard,with reference to foreign experience,combined with China’s national conditions,this paper proposes measures to establish and improve graded care standards and treatment payment.
作者
李小青
周云
韩丽
LI Xiao-qing;ZHOU Yun;HAN Li(Wuhan University of Science and Technology,Wuhan Hubei 430071,China)
基金
国家社会科学基金青年项目“长期护理保险制度试点效果评估及优化路径研究(17CRK012)”
关键词
长期护理保险
分级护理
待遇给付
long-term care insurance
graded care
treatment payment
