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长期护理保险与老年照护机构供给:基于S市试点的证据

Long Term Care Insurance and the Supply of Elder Care Institutions: A Study Based on the Evidence From a Pilot City

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【作者】 余央央张毅封进

【Author】 YU Yangyang;ZHANG Yi;FENG Jin;

【通讯作者】 封进;

【机构】 上海财经大学公共经济与管理学院复旦大学经济学院

【摘要】 引导照护供给资源合理配置是长护险制度可持续发展的关键问题之一。文章利用长护险某试点城市1152家照护机构数据,考察待遇给付模式对不同类型照护机构供给的影响。采用双重差分法的实证结果显示,优先针对居家照护提供待遇给付会引导此类机构供给率先增加。进一步,当长护险覆盖对象从城镇职工医保参保人扩大至城乡居民医保参保人时,郊区农村的居家照护机构供给随之增加,集中指数测度结果表明城乡配置不均有所缓解。文章研究表明,长护险对养老服务供给侧改革有积极作用,要进一步优化长护险制度,以提升养老服务供给能力。

【Abstract】 One of the key issues for the sustainable development of Long Term Care(LTC) insurance systems is to guide the rational allocation of care resources. This paper analyses 1152 elder care institutions and finds that differences in benefit models affect the supply of care institutions, and that providing reimbursement for home care as a priority leads to an increase in the supply of such institutions. Furthermore, when the coverage of longterm care insurance is extended from urban employees’ medical insurance to urban and rural residents’ medical insurance, this leads to an increase in the supply of home care institutions in rural suburbs, alleviating the uneven distribution between urban and rural areas. This paper shows that LTC insurance has a positive effect on the supplyside reform of elderly services and that the LTC insurance system should be further optimised in order to enhance the supply capacity of elderly services.

【基金】 国家自然科学基金“长期护理保险制度与老年照护供给效率及公平:影响机制与政策措施”(项目编号:72274117);上海市哲学社会科学一般项目“长期护理保险对上海护理供给的影响:基于养老护理人员的视角”(项目编号:2018BJB017)的阶段性成果
  • 【文献出处】 社会科学 ,Journal of Social Sciences , 编辑部邮箱 ,2023年08期
  • 【分类号】F842.6;F719;D669.6
  • 【下载频次】175
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