[1]刘 勇,吴宏洛.略论长期照护保险与医疗保险的有效衔接[J].西安建筑科技大学学报(社会科学版),2018,37(06):48-53.[doi:10.15986/j.1008-7192.2018.06.008]
 LIU Yong,WU Hong-luo.A Brief Discussion on the Effective Connection between the Long-term Care Insurance and the Medical Insurance[J].Journal of Xi’an University of Architecture & Technology(Social Science Edition),2018,37(06):48-53.[doi:10.15986/j.1008-7192.2018.06.008]
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略论长期照护保险与医疗保险的有效衔接()
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西安建筑科技大学学报(社会科学版)[ISSN:1008-7192/CN:61-1330/C]

卷:
37
期数:
2018年06期
页码:
48-53
栏目:
经济与管理
出版日期:
2018-12-15

文章信息/Info

Title:
A Brief Discussion on the Effective Connection between the Long-term Care Insurance and the Medical Insurance
文章编号:
1008-7192( 2018 )06-0048-06
作者:
刘 勇1吴宏洛2
1.福建师范大学 公共管理学院,福建 福州 350000; 2.福建师范大学 马克思主义学院,福建 福州 350000
Author(s):
LIU Yong1 WU Hong-luo2
1.School of Public Administration, Fujian Normal University, Fuzhou 350000, China; 2. School of Marxism, Fujian Normal University, Fuzhou 350000, China
关键词:
长期照护保险 医疗保险 制度衔接
Keywords:
long-term care insurance medical insurance system connection
分类号:
F 840
DOI:
10.15986/j.1008-7192.2018.06.008
文献标志码:
A
摘要:
长期照护保险与医疗保险的衔接是满足失能失智老人照护需求和完善社会保障制度体系的重要举措。基于目前我国试点城市都把长期照护保险作为医疗保险的制度延伸,因此有必要对两种保险的功能定位和职责进行梳理。从保险职责、筹资模式、待遇给付、保险对象、经办服务管理等角度阐释了长期照护保险与医疗保险衔接过程中存在的问题,以期通过制度衔接建设、经办管理建设、需求评估建设、保险待遇给付建设、信息管理建设来完善长期照护保险与医疗保险的有效衔接,最大程度地降低制度内耗,提高制度运行绩效,保证长期照护保险与医疗保险的可持续发展。
Abstract:
The connection between the long-term care insurance and the medical insurance is one of the important initiatives to meet the nursing needs of the elder men who are disabled or with dementia, thus improving the social security system. Given that the long-term care insurance is regarded as the extension of the medical insurance in the pilot cities of China, it is necessary to clarify their functional orientation and responsibility. Expounding the problems existing in the connecting process of both insurances from the perspectives of insurance responsibility, financing modes, insurance benefits, insured objects, and agency services management, the paper proposes to adopt the construction of system connection, handling management, demands assessment, insurance benefits, and the information management. It aims to perfect the effective connection between the long-term care insurance and the medical insurance by minimizing the system internal consumption, improving the system performance and ensuring the sustainable development of both insurances.

参考文献/References:

[1] 张映芹,许易.日本护理保险制度对我国社会保障发展的启示[J].社会保障研究,2015(3):92-97.
[2] 戴卫东,徐谷雄.长护险的“有所为”和“有所不为”[J].中国社会保障,2018(5):24-25.
[3] 胡苏云.长期照护保险和医疗保险的关系及演变:荷兰的经验和启示[J].公共治理评论,2017(1):40-50.
[4] 冉密,孟伟,熊先军.长期照护保险制度与其他社会保险制度的衔接研究初探[J].中国医疗保险,2017(10):15-19.
[5] 唐钧.长期护理保险与医疗保险应分工[J].中国人力资源社会保障,2015(7):12.
[6] 杨燕绥,谭跃.我国长期护理保险的机遇与制度安排[N].中国劳动保障报,2018-02-06(04).
[7] 王东进.运用中国智慧中国办法 创建中国特色长期照护保险制度[J].中国医疗保险,2018(3):9-12.
[8] 张晓杰.长期护理保险试点改革中的三个关键问题[J].上海人大月刊,2017(10):53-54.
[9] 唐钧.长期照护保险:国际经验和模式选择[J].国家行政学院学报,2016(5):42-48.
[10] 雷鹏,吴擢春.我国长期照护制度建设现状与思考——基于青岛、南通和长春的实践探索[J].中国医疗保险,2016(2):23-26.

备注/Memo

备注/Memo:
收稿日期:2018-07-22
作者简介:刘 勇(1994-),男,福建师范大学公共管理学院硕士研究生,研究方向为社会保障; 吴宏洛(1963-),女,福建师范大学马克思主义学院教授,博士生导师,研究方向为经济与社会发展问题。E-mail:972120618@qq.com
更新日期/Last Update: 2018-12-15