Journal of Jiangxi University of Finance and Economics ›› 2021, Vol. 0 ›› Issue (2): 55-65.

• Insurance and Security • Previous Articles     Next Articles

The Fragmentation and Integrating Path of the Pilot Policies of China's Long-Term Care Insurance System

DAI Wei-dong1, YU Yang2   

  1. 1. Zhejiang University of Finance and Economics, Hangzhou 310018;
    2. Central China Normal University, Wuhan 430079, China
  • Received:2020-06-01 Revised:2020-09-27 Online:2021-03-25 Published:2021-03-25

Abstract: To solve the dilemma of the traditional service for the aged in the context of China’s aging population, a long-term care insurance system has been put into effect in China’s 15 piloting cities across the country since 2016. Through the evaluation of the effect of the long-term care insurance policy in the pilot cities, this study finds out that the long-term care insurance presents a series of“fragmentation”characteristics in such aspects as the coverage, the source of financing, the care service, the fund management and the business operation. This means that the policy should be designed at the top level, and an integration should be carried out in terms of the service concept, the beneficiaries, the financing mechanism, and service delivery, etc.. Then, a directional and functional integration should be carried out from such aspects as the improvement of disability assessment standards, the full coverage of urban and rural residents, the multi-channel financing, the payment level of special treatment, the home care services, the focused rehabilitation services, and the breeding of PPP market services, so as to lay the foundation for the further expansion of the coverage.

Key words: population aging, service for the aged, policy fragmentation, long-term care insurance, integrating path

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