【摘要】 家庭视角下我国长期照护服务体系建设历经“家庭化”时期、“去家庭化”时期及“再家庭化”到“家国合作”的转型三阶段。理论上划分了家庭照护和机构上门照护两种模式，实践中却依然面临家庭照护者支持性政策缺失、机构上门照护质量效率低下、两者协同发展程度有待提升等问题。在参考德国长期照护体系建设有益经验的基础上，本研究提出了以“提升家庭能力”为核心的对策思路，一是发挥家庭照料者主体价值，平衡家庭整体福利；二是实现政策整合与模式链接，提升长期照护体系协整性；三是促进多元主体有效协同，构建支持家庭的多方行动体系；四是发挥长护险的经济给付功能，增强家庭照护能力。更多还原

【Abstract】 From the perspective of family, the construction of China’s long-term care service system has gone through three stages: familization period, defamilization period, refamilization and family-state cooperation transition period. Theoretically, there are two models: family care and institution-based door-to-door care. In practice, however, problems exist including lack of supportive policies for family caregivers, low quality and efficiency of home care, and the degree of synergistic development between the two needs to be improved. Based on the beneficial experience of long-term care system construction in Germany, this study puts forward four countermeasures with “improving family ability” as the core, that is, to give full play to the main value of family caregivers and balance the overall welfare of families; The second is to achieve policy integration and model link to enhance the co-integration of long-term care system; Third, to promote the effective coordination of multiple entities and build a multi-party action system to support families; The fourth is to give full play to the economic payment function of long-term care insurance and enhance the ability of family care.更多还原