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社会第三方参与长期护理保险监管的必要性和可行性探讨

Necessity and Feasibility of the Third Party Participation in Long-term Care Insurance Supervision

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【作者】 汪梦陈晓丽王鹏飞刘馨雅王颖

【Author】 Wang Meng;Chen Xiaoli;Wang Pengfei;Liu Xinya;Wang Ying;Department of Human Resources,Eye,ENT Hospital Affiliated to Fudan University;

【通讯作者】 王颖;

【机构】 复旦大学附属眼耳鼻喉科医院人力资源部复旦大学公共卫生学院/国家卫生健康委员会卫生技术评估重点实验室/公共卫生安全教育部重点实验室

【摘要】 目的:探讨引入社会第三方参与长期护理保险(以下简称长护险)监管环节的必要性与可行性。方法:利用文献归纳分析、横断面调查等方法,明确我国社会第三方参与长护险监管的政策背景、现状及模式等。结果:国家及地方政策均号召探索引入社会第三方参与长护险监管,以缓解政府监管人力不足的压力。同时,多地探索出了不同的第三方参与长护险监管模式并取得了一定的成效,结合可借鉴的国际相关经验,社会第三方参与长护险监管势在必行并具备一定的可行性。结论:引入社会第三方参与长护险监管势在必行,且多地已经探索形成了不同的第三方参与监管模式并取得了成效,提示第三方力量参与长护险全程或部分环节的监管具备可行性。

【Abstract】 OBJECTIVETo explore the necessity and feasibility of introducing third sector’s participation in the supervision of long-term care insurance. METHODS Through literature induction analysis, cross-sectional survey and other methods, the policy literature, current situation and specific mode of third sector’s participation in long-term care insurance supervision in China were clarified. RESULTS Both national and local policies call for the introduction of social third parties to participate in long-term care insurance supervision, so as to alleviate the pressure of government supervision manpower shortage. At the same time, different models of third sector’s participation in long-term care insurance supervision have been explored and achieved certain results. Combined with relevant international experiences, third sector’s participation in long-term care insurance supervision is necessary and feasible. CONCLUSION It is imperative to introduce social third parties to participate in the supervision of long term care insurance, and many places have explored and formed different third party participation supervision models and achieved results, suggesting that third party forces are feasible in participating in the whole or part of the supervision of long term care insurance.

【基金】 国家自然科学基金面上项目(71974034);上海市医疗保障局监督检查所委托项目(WAF201412)
  • 【文献出处】 中国初级卫生保健 ,Chinese Primary Health Care , 编辑部邮箱 ,2024年03期
  • 【分类号】R197.1;F842.6
  • 【下载频次】75
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