薛惠元, 张永高. 共同富裕视域下我国长期护理保险政策评价与优化路径研究——基于PMC指数模型. 2023. biomedRxiv.202306.00018
共同富裕视域下我国长期护理保险政策评价与优化路径研究——基于PMC指数模型
通讯作者: 张永高, FADZYG102102@163.com
DOI:10.12201/bmr.202306.00018
Study on the Evaluation and Optimization Path of Chinas Long- term Care Insurance Policy from the Perspective of Common Prosperity——Based on PMC Model
Corresponding author: ZHANG Yong-gao, FADZYG102102@163.com
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摘要:【摘要】目的:从共同富裕的角度对长期护理保险政策进行科学分析和客观评价,致力于探究我国长期护理保险政策的现存问题和优化路径,以期为新一轮政策制定与优化提供理论参考和实践依据。方法:研究采用政策文本量化方法,运用PMC指数模型构建长期护理保险政策综合评价体系,对2016—2022年中央和第一批试点省份省级政府出台的长期护理保险政策进行量化评价。结论:长期护理保险法律法规支持体系不够完善,政策效力不足;资金筹集方面,对医保基金依赖程度较高,个人缴费责任需进一步提升,筹资分担比例不尽合理;长期护理保险覆盖面仍不足,农村面临专业护理机构缺乏和护理人员不足等困境。应加强长护险政策顶层设计,尽快出台相应法律法规,完善政策实施细则;发挥激励型政策工具作用,促进长护险市场繁荣发展,满足群众多样化长期护理需求;实现长护险基金多元化筹资,建立完善基金监管机制,提升可持续发展能力;以共同富裕为导向促进参保对象覆盖城乡居民医保参保群体,推进农村长护险服务能力体系建设,助力实现共同富裕。
Abstract: AbstractObjective:To scientifically analyze and objectively evaluate long-term care insurance policies from the perspective of common prosperity, the paper explores the existing problems and optimization paths of long-term care insurance policies in China, to provide theoretical and practical basis for the new round of policy formulation and optimization. Methods: The study adopted a quantitative methods for policy text, using the PMC index model to construct a comprehensive evaluation system for long-term care insurance policies, and conducted a quantitative evaluation of the policies issued by the central government and the first batch of pilot provincial governments from 2016 to 2022. Conclusion: The legal and regulatory support system for long-term care insurance is not insufficient; In terms of fund raising, there is a high degree of dependence on medical insurance funds, and individual payment responsibilities need to be further enhanced; The coverage of long-term care insurance is still insufficient and rural areas face difficulties such as a lack of professional nursing institutions and insufficient nursing personnel. We should strengthen the top-level design of long-term protection insurance policies, promulgate relevant laws and regulations as soon as possible, and improve policy implementation rules; Give play to the role of incentive policy tools, promote the prosperity and development of the long-term care insurance market, and meet the diverse long-term care needs of the masses; Realize diversified financing of long-term care insurance funds, establish and improve fund regulatory mechanisms, and enhance sustainable development capabilities; Guided by common prosperity, expand coverage for urban and rural residents, promote the construction of rural long-term care insurance service capacity system, and help achieve common prosperity.
Key words: Long-term Care Insurance; Common Prosperity; Policy Evaluation; PMC Index Model提交时间:2023-06-30
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序号 提交日期 编号 操作 1 2023-04-03 bmr.202306.00018V1
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