基于政策评估的长期护理保险差异化研究  

A study on the differentiation of long-term care insurance based on policy evaluation

作　　者：刘冰冰[1] 刘晓梅[2] 刘子琼 杜国明[1] LIU Bingbing;LIU Xiaomei;LIU Ziqiong;DU Guoming(School of Public Administration and Law,Northeast Agricultural University,Harbin 150030,Heilongjiang,China;School of Public Administration,Northeastern University of Finance and Economics,Dalian 116025,Liaoning,China;School of Medical Economics and Management,Anhui University of Chinese Medicine,Hefei 230012,Anhui,China)

机构地区：[1]东北农业大学公共管理与法学院,黑龙江哈尔滨150030 [2]东北财经大学公共管理学院,辽宁大连116025 [3]安徽中医药大学医药经济管理学院,安徽合肥230012

出　　处：《健康发展与政策研究》2024年第6期457-464,共8页Health Development and Policy Research

基　　金：黑龙江省哲学社会科学研究规划项目(24SHC003)。

摘　　要：目的检验我国长期护理保险制度的政策设计,优化长期护理保险实践路径。方法采用PMC指数模型对我国第一批和第二批长期护理保险制度试点中12个城市的政策文本进行量化,并对政策内容进行差异化分析。结果各试点城市政策等级均在良好及以上水平,整体水平较好,但在激励约束、政策时效层面以及发布机构指标维度上有待完善,各试点城市在参保缴费、服务方式、待遇享受条件和支付标准3个方面存在一定差异,碎片化问题突出。结论我国长期护理保险制度试点阶段取得初步成效,但仍有较大的上升空间。各试点地区长期护理保险制度差异性显著,亟待统筹与协调。健全筹资机制是长期护理保险制度得以长足发展的关键。Objective To examine the policy design of long-term care insurance in China and optimize its practical implementation path.Method The PMC index model was used to quantify the policy texts from 12 cities in China’s first and second pilot projects,followed by a differential analysis of the policy content.Results The policy level in each pilot city is at or above the“good”level,with an overall positive outcome.However,improvements are needed in areas such as incentives and constraints,policy timeliness,and institutional indicators.Moreover,remarkable differences and fragmentation exist among pilot cities in terms of insurance payment,service models,and standards for benefits and payment.Conclusions The pilot phase of China’s long-term care insurance system has yielded initial results,but substantial room for improvement remains.There are notable differences in long-term care insurance among pilot cities,and there is a pressing need for coordinated planning.A sound financing mechanism is the key to the sustainable development of the system.

关 键 词：长期护理保险 政策评估 PMC指数模型 差异化 

分 类 号：R197.1[医药卫生—卫生事业管理]