我国长期护理保险政策试点发展的路径——基于政策扩散理论的分析  

The path of pilot development on long-term care insurance policy in China——Analysis based on policy diffusion theory

作　　者：罗遐[1] 王容 LUO Xia;WANG Rong(Management School of Anhui University,Hefei Anhui 230601,China)

机构地区：[1]安徽大学管理学院,安徽合肥230601

出　　处：《卫生软科学》2021年第1期31-34,共4页Soft Science of Health

基　　金：安徽省哲学社会科学规划重点项目“安庆市长期护理保险试点评估与制度优化研究”(AHSKZ2018D01)。

摘　　要：基于政策扩散理论,对我国长期护理保险政策试点扩散路径进行分析。研究发现,我国长期护理保险政策在学习国外经验基础上进行本土化探索经历了3个阶段:先行试点阶段、局部试点阶段和扩大试点阶段,政策试点扩散路径表现出3个特征:区域间跟进扩散、自上而下层级扩散和自下而上吸纳辐射扩散。政策推广受到各地保险政策碎片化、对政策探索不够深入、长期护理保险筹资机制不健全3个因素的制约。为切实推进长期护理保险在全国推广,需尽快加强顶层设计,加快地方性政策与标准规范的融合,深入对成熟的、可复制试点政策模式的探索和总结,建立长护险多元化融资渠道。Based on policy diffusion theory,this paper analyzes diffusion path of long-term care insurance policy pilot in our country.The study finds that China’s long-term care insurance policy carries through localization exploration and has undergone three stages of pilot phase in advance,partial pilot phase and expansion pilot phase based on learning foreign experience.And diffusion path of policy pilot shows three characteristics of inter-regional follow up diffusion,top-down hierarchical diffusion and top-down absorb-radiation diffusion.The policy promotion is restricted by three factors of fragmentatization of local insurance policies,insufficient deep on policies exploration,and imperfect of long-term insurance financing mechanism.Therefore,in order to practically promote long-term care insurance in nationwide,it needs to strengthen top-level design as soon as possible,accelerate the integration between local policy and standard specification,deeply explore ripe and reproducible policy model,establish diversified financing channels of long-term care insurance.

关 键 词：长期护理保险 政策扩散 试点 

分 类 号：R-1[医药卫生—卫生事业管理] R19[医药卫生—公共卫生与预防医学]