风险嵌入式需求溢出理论视角下的护理救助制度支付机制:德国的经验与启示  

The payment mechanism of care assistance system from the perspective of Risk-embedded Need Spillover Theory: Experience and enlightenment from Germany

作　　者：龚曦 GONG Xi(School of Public Administration and Policy,Renmin University of China,Beijing 100872,China;Health Security Research Center,Renmin University of China,Beijing 100872,China)

机构地区：[1]中国人民大学公共管理学院,北京100872 [2]中国人民大学健康保障研究中心,北京100872

出　　处：《中国卫生政策研究》2023年第11期1-7,共7页Chinese Journal of Health Policy

基　　金：中国人民大学“中央高校建设世界一流大学(学科)和特色发展引导专项资金”。

摘　　要：德国护理救助制度是长期护理保障体系整体支付的有机组成部分,作为“多元主体共担”最后一道防线,其支付机制精准识别个体溢出护理需求进而实现差异化兜底保障。本文在需求溢出理论的基础上结合学科特征对该理论纵深发展并提出“风险嵌入式需求溢出理论”,应用该理论分析德国长期护理救助制度支付机制实现差异化兜底保障的底层逻辑。研究发现,其支付机制从风险视角出发,细化家庭能力资源保障类型并实现对不同人群护理需求的差异化兜底保障。在健全护理保障体系的背景下,学习和借鉴德国的经验是应对我国护理保障不充分问题的有效途径。The nursing care assistance system in Germany is an integral part of the overall payment of long-term care insurance,and as the last line of defense of"multiple subjects sharing",its payment mechanism accurately identifies individual overflow nursing care needs and provides differentiated guarantee.This study proposes the“risk-embedded need spillover theory”based on the need spillover theory and applies this theory to analyze how the payment mechanism of care assistance system in Germany provides differentiated guarantee,and found that the payment mechanism classified families’ability and resources from the perspective of risk.In the context of building a care protection system,learning Germany s experience is an effective way to cope with the problem of inadequate care protection in China.

关 键 词：需求溢出理论 风险嵌入 护理救助支付机制 德国 

分 类 号：R197[医药卫生—卫生事业管理]