江西财经大学学报 ›› 2024, Vol. 0 ›› Issue (3): 64-77.

• 保险与保障 • 上一篇    下一篇

长期护理保险政策:本质特征、实施效果与溢出效应——基于试点城市南通市Z区的考察

苏会1, 王琳2, 刘华1   

  1. 1.南京农业大学 经济管理学院,江苏 南京 210095;
    2.南京晓庄学院 新闻传播学院,江苏 南京 210017
  • 收稿日期:2023-05-09 出版日期:2024-05-25 发布日期:2024-06-13
  • 通讯作者: 刘华,南京农业大学教授,主要从事农业经济与劳动经济研究,联系方式hliu@njau.edu.cn。
  • 作者简介:苏会,南京农业大学博士研究生,主要从事农业经济理论与政策研究;王琳,南京晓庄学院讲师,管理学博士,主要从事农村发展与新闻传播研究。
  • 基金资助:
    国家自然科学基金面上项目“假象偏差、行为黑箱与消费者言行差异研究”(72173066)

Long-Term Care Insurance Policy: Essential Characteristics, Implementation Effect and Overflow Effect Based on the Investigation of the Pilot City of Z District in Nantong

SU Hui1, WANG Lin2, LIU Hua1   

  1. 1. Nanjing Agricultural University, Nanjing 210095;
    2. Nanjing Xiaozhuang University, Nanjing 210017, China
  • Received:2023-05-09 Online:2024-05-25 Published:2024-06-13

摘要: 基于全国首批试点城市南通市Z区的调研访谈资料,考察了长期护理保险政策的实施效果。研究发现,长期护理保险政策通过社会共济的方式为失能老人及其家庭提供经济支持,同时通过完善照护服务体系,在一定程度上使失能老人的家庭能够将获得经济支持转化为照护服务,从而实现了其基本的政策目标。但就目前状况来看,长期护理保险政策利用率依然偏低,同时对家庭劳动力的释放程度有限,尤其是对农村地区更为明显。与此同时,长期护理保险政策在一定程度上具有推动养老产业发展、促进医疗资源优化配置的溢出效应。在未来的政策推行中,应当在居家服务内容上加强其丰富性和实用性,同时增加服务的时长和频次;要逐步减少政府对养老服务市场的干预,引入良性的市场竞争机制,促进养老服务水平的提高。

关键词: 长期护理保险政策, 照护服务, 家庭养老, 溢出效应

Abstract: Based on the survey and interview data of Z District in Nantong, which is among the first batch of pilot cities in China, this paper investigates the implementation effect of the long-term care insurance policy. The findings show that the long-term care insurance policy can provide economic support for the disabled elders and their families through the way of social aid; at the same time by perfecting the care service system, this policy can help the families of the disabled elders to turn their economic supports into care services to a certain extent, thereby achieving its basic policy objectives. For now, however, the utilization rate of the long-term care insurance policy is still low, and the release of the family labor force is limited, especially in rural areas. At the same time, the long-term care insurance policy has the spillover effect of promoting the development of the pension industry and promoting the optimal allocation of medical insurance resources to a certain extent. In the future policy implementation, the richness and practicability of the home service content should be increased, while the duration and frequency of service should be increased. The government should gradually reduce the intervention in the elderly service market, and introduce a benign market competition mechanism, so as to promote the improvement of the pension service level.

Key words: long-term care insurance policy, care services, family care, spillover effect

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