摘要
新中国成立之初,针对特定群体建立了少量的康复服务项目,康复支付方式单一;改革开放以后,康复服务快速发展,逐渐形成多样化支付渠道;党的十八大以来,康复服务转向全人群和全生命周期,康复支付迈向多元化。但是,从总体上看,康复服务支付体系存在碎片化、低水平、地区化等问题,制约了康复服务的可获得性和可及性。基于人口老龄化发展趋势,未来应树立全人群、全生命周期康复服务理念,强化政府康复服务保障职能,完善康复服务筹资机制,适度统一康复保障政策,建立起高质量、可负担的康复服务支付体系。
At the beginning of the establishment of the People’s Republic of China,a small number of rehabilitation service projects were established for specific groups,with a single payment method for rehabilitation.After the reform and opening up,rehabilitation services have developed rapidly,forming multiple payment channels.Since the 18th National Congress of the Communist Party of China,the delivery of rehabilitation services has shifted towards the entire population and lifecycle,and rehabilitation payment methods have become more diversified.However,there are problems with the payment system for rehabilitation services,such as fragmentation,low level,and regionalization,which restrict the availability and accessibility of such services.In the future,based on the trend of aging population development,we should establish the concept of entire population and full life cycle rehabilitation,strengthen the government’s guarantee function,improve rehabilitation service financing mechanisms,moderately unify rehabilitation payment security policies,and establish a high-quality and affordable rehabilitation service payment system.
作者
杨立雄
韦文高
YANG Lixiong;WEI Wengao
出处
《残疾人研究》
2024年第1期11-23,共13页
Disability Research
基金
2023年度中国残联研究课题:残疾人康复服务支付保障政策研究(23&ZZ008).
关键词
康复服务
支付体系
保障政策
制度优化
Rehabilitation services
Payment system
Social security
Institutional optimization