【作者】 杨帆；

【导师】 王海龙；

【作者基本信息】 大连理工大学 ， 公共管理（专业学位）， 2023， 硕士

【摘要】 伴随人口老龄化与高龄化程度的不断加深,中国老年人的护理需求逐渐“外溢”出家庭,演化为亟需解决的社会问题。为应对此问题,中国开始探索长期护理保险制度。2018年北京市石景山区部分街道开展长期护理保险试点,2020年石景山全区成为我国长期护理保险试点地区之一,标志着北京市长期护理保险制度踏上新的征程。整体而言,北京市石景山区长期护理保险制度经过5年的探索与实践,为3000多名重度失能人群提供了高质量的护理服务,取得了一定成效。但随着北京市石景山区老龄人口增多,失能人群也随之上升,对长期护理服务质量、内容等要求也随之提高,加上现阶段石景山区长期护理保险制度不完善,保障质量较低等问题,也会让北京市计划全面推广长期护理保险的工作受到巨大挑战。针对以上问题,本文运用问卷调查法、访谈调研法、统计分析法对北京市石景山区长期护理保险试点发展现状进行调查研究。通过对石景山区居民的长期护理保险认可度,护工对于护理工作的满意度情况分析,结合对石景山区医保局、商业保险机构、服务机构进行走访调研情况,整理出北京市石景山区长期护理保险试点的发展现状,找出发展中遇见的主要问题,即长期护理保险筹资渠道单一、缺少社商协同激励机制、护理工作福利待遇低、长期护理保险制度宣传不到位。通过分析问题产生原因,并结合文献和国内外发展长期护理保险的经验,从筹资模式、社商协同合作、人才培养、宣教体系四个方面入手,提出优化北京市石景山区长期护理保险制度的具体改进建议。更多还原

【Abstract】 With the aging and hyper-aging of the population getting deeper and deeper,the elderly’s care needs are gradually "overflowing" from the family,developing into a social problem that needs to be solved urgently.To cope with this problem,China has started to explore long-term care insurance system.In 2018,some streets in Shijingshan District,Beijing started a pilot project of long-term care insurance.In 2020,the whole area of Shijingshan became one of China’s pilot regions of long-term care insurance,which marked that the long-term care insurance system in Beijing started a new journey.Overall,after five years of exploration and practice,the long-term care insurance system in Shijingshan District,Beijing has provided high-quality care services for more than 3,000 severely disabled people,and achieved certain results.However,with the increase of elderly people in Shijingshan District,Beijing,the disabled population has also increased.The requirements for the quality and content of long-term care services have also increased.In addition,the current long-term care insurance system in Shijingshan District is not perfect and has low quality.Therefore,the plan to promote long-term care insurance in Beijing will also be greatly challenged.In response to the above issues,this article uses questionnaire survey,interview research method and statistical analysis method to investigate the current situation of the pilot development of long-term care insurance in Shijingshan District,Beijing.Through analyzing the approval of long-term care insurance by residents in Shijingshan District and satisfaction of caregivers for nursing work,combined with visits to Shijingshan District Medical Insurance Bureau,commercial insurance institutions and service institutions,this article sorts out the current situation of the pilot development of long-term care insurance in Shijingshan District,Beijing,finds out the main problems encountered in the development,which are single financing channel for long-term care insurance,lack of incentive mechanism for social business cooperation,low welfare treatment for nursing work and insufficient publicity of long-term care insurance system.Through analyzing problems and combining with literature and domestic and foreign experience in developing long-term care insurance,this article proposes specific suggestions for optimizing the long-term care insurance system in Shijingshan District,Beijing from four aspects: financing mode,social business cooperation,talent training and education system.更多还原