ISSN 1008-2204
CN 11-3979/C

中国长期护理保险筹资现状、局限与优化路径基于27份试点政策文本的实证分析

Current Situation, Limitations and Optimization Paths of the Financing of Long-term Care Insurance in China: Empirical Analysis Based on 27 Pilot Policy Texts

  • 摘要: 筹资是长期护理保险(LTCI)制度建设中的首要环节与核心问题。基于政策文本,以筹资机制为核心构建由10个一级变量和31个二级变量组成的LTCI筹资政策的政策一致性(PMC)指数模型,对全国两批共27份试点城市筹资政策进行量化评价,结果显示,扩大试点阶段中的完美和优秀等级政策占比之和达77.78%,LTCI试点质量显著提升。分析PMC曲面发现,试点城市政策的性质明确、功能完备、透明度高,仍存在时效偏短、级别较低、筹资机制不完善、筹资保障规范性不足等问题,进而提出两种优化策略。建议政府应以疏解当期困境与促成稳定预期为目标设计LTCI筹资机制,兼顾公平性、平等性和适当性标准,重视部门协同,从资金投入、法律法规等方面来强化支持。

     

    Abstract: Financing is the first priority and core issue in the construction of long-term care insurance (LTCI) system. Based on the policy texts, the paper has constructed a LTCI financing policy PMC index model composed of 10 primary variables and 31 secondary variables with the financing mechanism as the core, to quantitatively evaluate the financing policies of 27 pilot cities in China. The results show that in the second pilot phase, the perfect and excellent policies accounted for 77.78% of all policies and the quality of LTCI pilot has been significantly improved. The analysis of the PMC surface reveals that the pilot policies are clear in nature, complete in function and high in transparency, but there are still problems such as short time limit, low level, imperfect financing mechanism and insufficient regulation of financing guarantee. Therefore, the paper proposes two optimization paths. The government should design the LTCI financing mechanism with the goal of relieving current difficulties and stabilizing expectations. In addition, it should take into account the criteria of fairness, equality and appropriateness, attach importance to the coordination among various departments, and strengthen support from the aspects of capital investment, laws and regulations.

     

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