摘要
经历了多年试点之后,长期护理保险制度将在全国普遍实施,其保障对象应当是包括残疾人在内的全体社会成员,这就要求重新谋划残疾人照护保障体系。事实上,评残标准中的“残疾”与长期护理保险中的“失能”内涵有所区别,面向残疾人的照护服务内容与面向失能人员的护理服务内容也有所不同,而且残疾人及其家庭对照护服务费用的支付能力更弱,因而残疾人比一般社会成员有更多的照护保障需求。据此,需要对全社会的照护保障体系作出整体性安排。残疾人照护保障体系可以由两项制度构成:一是与其他社会成员一起参加长期护理保险,政府财政予以一定的保费补助;二是建立残疾人照护服务补助制度,由财政资金解决长期护理保险制度未能解决的那部分照护服务费用。现阶段的重点:一是将残疾人纳入长期护理保险保障范围;二是适度增加财政对残疾人照护保障的投入;三是创新残疾人照护服务供给机制;四是提高照护保障及相关服务的专业化水平。
After years of piloting,the long-term care insurance system will be implemented across China,with all members of society covered,including persons with disabilities.This makes a re-planning of the caring security system for persons with disabilities necessary.It is found that the connotation of“disability”in the disability evaluation standard differs from that of“disabled”in the long-term care insurance system.Additionally,the content of care services for persons with disabilities also varies from that provided to disabled individuals.Moreover,persons with disabilities and their families have weaker capacity to afford care services.It causes their caring security needs greater than those of general members of society.Therefore,it is necessary to make comprehensive arrangements for a nationwide caring security system.The proposed care security system for this group consists of two components:participating in long-term care insurance alongside the other society members where the government provides certain subsidies for premiums;establishing a caring service subsidy system for persons with disabilities,to address the left cost through using financial funds.The current focus lies in four points:involving persons with disabilities in long-term care insurance coverage;moderately increasing the financial support to their caring security;innovating the caring services supply mechanism;enhancing the professional standards of caring security and related services.
作者
何文炯
纪楠楠
刘来泽
何山
严晓斌
惠文
HE Wenjiong;JI Nannan;LIU Laize;HE Shan;YAN Xiaobin;HUI Wen
出处
《残疾人研究》
2024年第1期24-32,共9页
Disability Research
基金
国家社会科学基金重大项目“人口老龄化与长寿风险管理的理论与政策研究”【项目批准号13&ZD163】。
关键词
残疾人
照护保障
长期护理保险
残疾人照护服务补助
Persons with disabilities
Caring security
Long-term care insurance
Caring services subsidy for persons with disabilities
