发展型社会福利理论视域下的长护险试点经验与启示——基于广西南宁的实证分析  

The Long-Term Care Insurance Pilot Experience and Enlightenment from the Perspective of Developmental Social Welfare Theory--Based on an Empirical Analysis of Nanning City,Guangxi Zhuang Autonomous Region

作　　者：郝邦彦 黄李凤 王前强 黄时毅 李培源 

机构地区：[1]广西医科大学人文社会科学学院,南宁530021 [2]南宁市医疗保障局,南宁530028

出　　处：《中国医疗保险》2023年第11期86-92,共7页China Health Insurance

基　　金：国家社会科学基金项目“十八大以来医药领域反腐败政策降低制度性交易成本的效应研究”(18XZZ013);广西高等学校千名中青年骨干教师培育计划人文社会科学类立项课题项目“DRG付费方式下医保基金监管模式研究”(2022QGRW016);广西高校人文社会科学重点研究基地健康与经济社会发展研究中心资助项目“广西长期护理保险制度试点存在问题及对策研究”(2020RWB03)。

摘　　要：建立长期护理保险制度是我国积极应对老龄化、失能化问题的重要措施。本文基于发展型社会福利理论,选取长期护理保险第二批试点城市中的广西南宁作为研究对象,从参保对象、政策保障、资金筹集、待遇保障和定点机构管理等五个方面梳理南宁市长护险试点做法,发现南宁市长护险试点建立了相对高效的社商合作机制,基本实现独立筹资,提高了照护资源供给能力并推动了长护险相关产业发展。但是在长护险实施过程中,仍存在保障对象覆盖面窄、多元主体共识缺失和制度供需失衡等问题。因此,为进一步推进长护险制度建设,应协调经济增长与社会发展关系、制定中长期发展政策、构建多元主体治理模式和加强人才资本投资等。The establishment of long-term care insurance system is an important measure to actively deal with the problem of aging and disability in China.Based on the theory of developmental social welfare,this paper selects Nanning City as the research object,and analyzes the pilot practice of Nanning City's long-term care insurance system from five aspects,i.e.participants,policies,fund raising,benefits and designated institution management.It is found that the pilot of Nanning City's long-term care insurance system has established an efficient social security-commercial insurance cooperation mechanism,basically achieved independent raising,improved the supply of care resources and promoted the development of long-term insurance related industries.However,during the implementation process of the long-term care insurance system,there are still problems such as insufficient coverage of participants,lack of consensus among multiple subjects,and imbalance between supply and demand of the system.Therefore,in order to further promote the construction of long-term care insurance system,we should coordinate economic growth and social development,formulate medium and long-term development policies,build a multi-subject governance mode and strengthen talent investment.

关 键 词：发展型社会福利理论 长期护理保险制度 老龄化 试点实践 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]