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德国长期护理保险筹资方式及启示
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Abstract:
伴随人口老龄化的加速,我国老年人对护理的需求也逐渐增大且呈现出越来越强烈的状态。德国在老年长期护理保险制度尤其是其资金筹集方面有着较好的经验,因此对德国长期护理保险制度的筹资对象、筹资水平和筹资责任分担进行分析可为我国长期护理保险制度的筹资方式设计提供一个可行的方向,主要是从这三个方面着手:扩大长期护理保险的参保对象、合理调整长期护理保险的筹资水平以及筹资责任的多主体划分。
With the acceleration of population aging, the demand for nursing for the elderly in China is also gradually increasing and showing an increasingly strong trend. Germany has great experience in the elderly long-term care insurance system, especially in fund-raising. Therefore, the analysis of the fund-raising object, fund-raising level and fund-raising responsibility sharing of the long-term care insurance system in Germany can provide a feasible direction for the fund-raising design of China’s long-term care insurance system. It mainly starts from these three aspects: expanding the insured people of long-term care insurance, reasonably adjusting the financing level of long-term care insurance and the multi-body division of financing responsibility.
[1] | 苏健. 德国长期护理保险制度: 演化历程、总体成效及其启示[J]. 南京社会科学, 2019(12): 67-73. |
[2] | Bartholomeyczik, S. and Hunstein, D. (2010) Time Distribution of Selected Care Activities in Home Care in Germany. Journal of Clinical Nursing, 13, 97-104. https://doi.org/10.1046/j.1365-2702.2003.00842.x |
[3] | 德国联邦卫生部[EB/OL].
https://www.bundesgesundheitsministerium.de/themen/pflege/pflegeversicherung-zahlen-und-fakten/pflegeberichte.html, 2021-03-21. |
[4] | 何林广, 陈滔. 德国强制性长期护理保险概述及启示[J]. 软科学, 2006, 20(5): 55-58. |
[5] | 德国联邦卫生部[EB/OL].
https://www.bundesgesundheitsministerium.de/themen/pflege/pflegeversicherung-zahlen-und-fakten.html, 2021-03-21. |
[6] | Theobald, H., Szebehely, M., Saito, Y., et al. (2018) Marketisation Policies in Different Contexts: Consequences for Home-Care Workers in Germany, Japan and Sweden. International Journal of Social Welfare, 27, 215-225.
https://doi.org/10.1111/ijsw.12298 |
[7] | Theobald, H. and Chon, Y. (2020) Home Care Development in Korea and Germany: The Interplay of Long-Term Care and Professionalization Policies. Social Policy & Administration, 54, 615-629. https://doi.org/10.1111/spol.12553 |
[8] | 刘涛. 德国长期护理保险制度的缘起、运行、调整与改革[J]. 安徽师范大学学报(人文社会科学版), 2021, 49(1): 74-86. |
[9] | Rhee, J.C., et al. (2015) Considering Long-Term Care Insurance for Middle-Income Countries: Comparing South Korea with Japan and Germany. Health Policy, 119, 1319-1329. https://doi.org/10.1016/j.healthpol.2015.06.001 |
[10] | Rothgang, H. (2010) Social Insurance for Long-Term Care: An Evaluation of the German Model. Social Policy & Administration, 44, 436-460. https://doi.org/10.1111/j.1467-9515.2010.00722.x |
[11] | 德国联邦卫生部[EB/OL].
https://www.bundesgesundheitsministerium.de/themen/krankenversicherung/zahlen-und-fakten-zur-krankenversicherung/kennzahlen-daten-bekanntmachungen.html, 2021-03-23. |
[12] | 德国联邦卫生部[EB/OL].
https://www.bundesgesundheitsministerium.de/service/gesetze-und-verordnungen.html, 2021-03-23. |
[13] | Colombo, F. and Mercier, J. (2012) Help Wanted? Fair and Sustainable Financing of Long-Term Care Services. Applied Economic Perspectives and Policy, 34, 316-332. https://doi.org/10.1093/aepp/pps005 |
[14] | 德国联邦卫生部[EB/OL].
https://www.bundesgesundheitsministerium.de/gesundheitsversorgungsweiterentwicklungsgesetz.html, 2021-03-26. |
[15] | 郝君富, 李心愉. 德国长期护理保险: 制度设计、经济影响与启示[J]. 人口学刊, 2014, 36(2): 104-112. |
[16] | Liang, Y.W. and Hsu, M.Y. (2010) A Comparison of Long-Term Care Insurance in Germany and the Netherlands. The Journal of Nursing, 57, 17-22. |
[17] | 陈诚诚. 长期护理保险试点地区筹资机制的实施现状与政策述评[J]. 学习与实践, 2020(6): 88-96. |
[18] | 德国联邦卫生部[EB/OL]. https://www.bundesgesundheitsministerium.de/pflegegrade.html#c4792, 2021-03-21. |
[19] | 杨翠迎, 程煜. 不同福利国家模式下长期护理保险制度及其费率结构比较[J]. 经济体制改革, 2019(4): 151-159. |
[20] | Glass, A.P., Gao, Y. and Luo, J. (2013) China: Facing a Long-Term Care Challenge on an Unprecedented Scale. Global Public Health, 8, 725-738. https://doi.org/10.1080/17441692.2013.782060 |
[21] | 景跃军, 孟石, 李元. 德美日长期护理保险资金筹集模式的特点及启示[J]. 延边大学学报(社会科学版), 2018, 51(2): 101-107+143. |
[22] | 尹海燕. 可持续的公共长期护理保险筹资机制: 国外经验与中国方案[J]. 宏观经济研究, 2020(5): 166-175. |