评估中国的长期护理保险政策
Qiang Li1, Yiwen Chen1, Yongmei Zhang1,2
1College of Economics and Management, Shandong Agricultural University, Tai'an, China.
Frontiers in public health
|April 12, 2024
概括
中国的试点长期护理保险 (LTCI) 计划显示出良好的结果,有效降低了家庭的财务和护理负担. 然而,区域差异和服务差距需要进一步发展以获得更广泛的影响.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 在中国,对老年护理服务的需求不断增长.
- 政府倡议:试点长期护理保险 (LTCI) 计划于2016年启动.
- 需要对LTCI计划的绩效和有效性进行评估.
研究的目的:
- 评估中国LTCI试点计划的性能和有效性.
- 为未来的LTCI系统开发和扩展提供建议.
- 评估对家庭财务和护理负担的影响.
主要方法:
- 制定了一个全面的评估框架.
- 评估了中国49个试点城市的LTCI政策.
- 使用基于事实和基于价值的评估标准.
主要成果:
- 平均LTCI课程得分:71.8 (范围:57.5-92.5). 在LTCI课程中,平均得分为71.8 (范围:57.5-92.5).
- 在大多数城市,基于事实与基于价值的评估得分更高.
- 总体而言,试点效果良好,但观察到地区差异很大.
结论:
- LTCI政策减轻了家庭的财务和护理负担.
- 挑战包括缺乏社区/家庭护理,需要扩大覆盖范围和多元化资金.
- 对未来LTCI发展和扩张的建议至关重要.
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