本文選題：長期護理保險制度　切入點：政府責任　出處：《吉林大學》2017年碩士論文

【摘要】：隨著人口老齡化的深入和發(fā)展,長期護理需求日益增長,老年人生活質(zhì)量問題成為社會各界關(guān)注和討論的焦點,更是政府急需有效解決的重要民生問題。盡管我國社會保險體系經(jīng)過十多年的發(fā)展和修正,已經(jīng)在覆蓋范圍、保障水平、運行效率、實施效果等方面都有了較大程度提升。但是,失能老人數(shù)目的增加和慢性病患者數(shù)量的激增都使單純的來自于養(yǎng)老保險的達到一定年齡后的周期性經(jīng)濟支持,或者是來自于醫(yī)療保險的就醫(yī)后一次性費用報銷,經(jīng)濟補償效果都十分有限,現(xiàn)有的社會保障制度已經(jīng)難以滿足老年人對于日常生活護理的需求。因而,我國迫切需要建立一種完善的長期護理保險制度,對需要日常護理的人們的生活提供必要的保障。我國政府應(yīng)盡早進行政策安排,主導建立起統(tǒng)一的長期護理保險制度。首先,由于我國資本市場發(fā)育尚不完全,商業(yè)保險類型的長期護理保險和健康保險自出現(xiàn)以來在我國推行速度緩慢,收效甚微,公眾對商業(yè)類型長期護理保險認可度不高、參保人數(shù)少、受益面小,因此需要以政府為主體,進行統(tǒng)一的政策安排,來提高制度覆蓋面和社會認可度。其次,從歷史上看,我國的社會制度都是由國家強制力保障實施的,由政府為主導進行“自上而下”的政策安排,無論從政策推動力度、開展速度上,還是運行效率、實施效果上都具有十分明顯的優(yōu)勢。最后,政府應(yīng)該擔負起保障國民生活,滿足人們需要的責任,這不僅是政府基本職能的要求,更是我國政府“為人民服務(wù)”根本宗旨的體現(xiàn)。本文從狹義的長期護理保險概念入手,對長期護理保險的相關(guān)概念進行辨析,探討長期護理保險制度的建設(shè)運行與政府責任的關(guān)系。以社會保障權(quán)理論、需求層次理論和公共產(chǎn)品理論為理論基礎(chǔ),從長期護理保險制度的現(xiàn)狀和建設(shè)意義出發(fā),分析政府在長期護理保險制度構(gòu)建過程中強化責任的必要性,進而明確政府在長期護理保險制度建設(shè)中的具體責任并對目前的履責問題進行概括和原因分析,同時借鑒代表性國家的經(jīng)驗,對我國政府構(gòu)建長期護理保險制度,履行頂層設(shè)計責任提出對策建議,旨在落實長期護理保險制度構(gòu)建中的政府責任,促進長期護理保險制度的建設(shè)發(fā)展。
[Abstract]:With the deepening and development of the aging population and the growing demand for long-term care, the quality of life of the elderly has become the focus of attention and discussion. It is also an important livelihood issue that the government urgently needs to effectively solve. Although our social insurance system has been developed and revised for more than a decade, it has already covered the scope, the level of protection, and the efficiency of operation. However, the increase in the number of disabled elderly people and the surge in the number of people with chronic diseases have resulted in a simple cycle of financial support from old-age insurance after reaching a certain age. Or the one-time reimbursement of medical expenses from medical insurance, the effect of economic compensation is very limited, the existing social security system has been difficult to meet the needs of the elderly for daily care. Our country urgently needs to establish a perfect long-term care insurance system to provide the necessary guarantee for the life of the people in need of daily care. Our government should make policy arrangements as soon as possible to lead the establishment of a unified long-term care insurance system. Because of the incomplete development of capital market in our country, the long term nursing insurance and health insurance of commercial insurance type have been implemented slowly in our country since their appearance, with little effect, and the public's acceptance of long term care insurance of commercial type is not high. The number of people participating in the insurance is small and the benefits are small. Therefore, it is necessary to take the government as the main body and carry out unified policy arrangements to improve the coverage of the system and social recognition. Secondly, historically, the social system of our country has been guaranteed and implemented by the state's coercive force. The "top-down" policy arrangement led by the government has very obvious advantages in terms of policy promotion, speed of development, and operational efficiency. Finally, the government should assume the responsibility of protecting the people's life. The responsibility of satisfying people's needs is not only the requirement of the basic function of government, but also the embodiment of our government's basic purpose of "serving the people". This paper starts with the concept of long-term care insurance in a narrow sense. Based on the theory of the right to social security, the theory of the hierarchy of demand and the theory of public goods, the relationship between the construction and operation of the long-term nursing insurance system and the responsibility of the government is discussed. Based on the present situation and construction significance of long-term nursing insurance system, this paper analyzes the necessity of strengthening the responsibility of the government in the process of constructing long-term nursing insurance system. Then the specific responsibility of the government in the construction of the long-term care insurance system is clarified, and the current accountability issues are summarized and the reasons are analyzed. At the same time, using the experience of the representative countries for reference, the author sets up the long-term care insurance system for the government of our country. In order to carry out the government responsibility in the construction of long term nursing insurance system and promote the development of long term care insurance system, the countermeasures and suggestions are put forward to fulfill the top level design responsibility.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：D630;F842.6

【相似文獻】

相關(guān)期刊論文 前10條

1 沈雄德;;日本老年人的生活護理保險制度[J];工會理論研究.上海工會管理干部學院學報;2003年06期

2 馬小娟;郝帆;;日本:不斷完善護理保險制度[J];人民公安;2013年04期

3 朱秋蓮;譚睿;;日本護理保險制度的改革及其對中國的啟示[J];社會福利(理論版);2014年03期

4 戴衛(wèi)東;;解析德國、日本長期護理保險制度的差異[J];東北亞論壇;2007年01期

5 戴衛(wèi)東;;以色列長期護理保險制度及評價[J];西亞非洲;2008年02期

6 戴衛(wèi)東;;長期護理保險制度理論與模式構(gòu)建[J];人民論壇;2011年29期

7 張軍濤;馮天;;建立護理保險制度是應(yīng)對我國老齡化問題的必要選擇[J];長春大學學報;2013年11期

8 楊锃;;日韓兩國護理保險制度比較及其啟示[J];中國青年政治學院學報;2011年04期

9 馬彥;徐鳳亮;;政府主導型長期護理保險制度在中國的探索[J];中國老年學雜志;2014年04期

10 王偉;日本社會保障制度的轉(zhuǎn)折——簡析日本護理保險制度[J];日本學刊;2000年03期

相關(guān)會議論文 前3條

1 朱銘來;賈清顯;;關(guān)于構(gòu)建我國長期護理保險制度的思考[A];金融危機：監(jiān)管與發(fā)展——北大賽瑟（CCISSR）論壇文集·2009[C];2009年

2 趙立新;;日本護理保險制度的理念與現(xiàn)實[A];京津冀和諧勞動關(guān)系論壇暨河北省法學會勞動法學研究會2012年會論文集[C];2012年

3 張鐘汝;王舒婷;王文燕;;老年社會政策比較與啟示[A];上海市退休職工管理研究會2008年優(yōu)秀論文選集[C];2008年

相關(guān)重要報紙文章 前10條

1 賈莉;我國須盡快完善護理保險制度[N];中國保險報;2010年

2 余工;漫談日本護理保險制度[N];國際經(jīng)貿(mào)消息;2000年

3 薛惠元 王翠琴;建立護理保險制度的思考[N];健康報;2006年

4 本報記者 邱s，

本文編號：1685894