Development Studies Center, 12471Renmin University of China, Beijing, China.
Beijing Administration Institute, Beijing, China.
Res Aging. 2021 Mar-Apr;43(3-4):136-146. doi: 10.1177/0164027520949117. Epub 2020 Sep 2.
In response to the increasing care demand of older adults and their families, the construction of the long-term care (LTC) security system has been widely recognized by the government, society and families. This article discusses the socio-demographic background, current situation, achievements and issues of this system. The LTC security system in China has achieved considerable progress in enriched service provision and expanded social insurance system pilot programs. However, the issues of unbalanced service provision and the explorative design of the insurance system still need to be resolved. Our recommendations for the development of the LTC security system include comprehensively reviewing the integrated care service system in terms of placing "old adults at the center," addressing the long-standing divisions between urban and rural areas in service provision and insurance design, advancing research and discussion concerning pilot experiences and improving the unified evaluation and financial planning systems.
为了满足老年人及其家庭日益增长的护理需求，长期护理（LTC）保障体系的建设已得到政府、社会和家庭的广泛认可。本文讨论了该体系的社会人口学背景、现状、成就和问题。中国的长期护理保障体系在丰富服务供给和扩大社会保险制度试点方面取得了相当大的进展。然而，服务供给不平衡和保险制度探索性设计等问题仍待解决。我们对长期护理保障体系发展的建议包括全面审视以“以老年人为中心”的综合护理服务体系，解决服务供给和保险设计中城乡长期存在的差距，推进对试点经验的研究和讨论，并改进统一的评估和财务规划体系。
