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长期护理保险及其相关服务OA

Long-term Care Insurance and Allied Services:Reflections on the Beveridge Report

中文摘要英文摘要

《贝弗里奇报告——社会保险和相关服务》首倡社会保险的六个原则,并提出全方位医疗和康复服务的构想,也深刻影响着全球长期护理保险及其相关服务的发展.长期护理保险遵循社会保险的普遍性、"保基本"、统一性、权利与义务对等基本原则,长期护理服务遵循"欧洲长期护理服务质量框架"的11个服务质量原则,两者都属于准公共产品,存在相互依从、相互促进的逻辑关系.构建"目标协同-主体协同-机制协同"三维序参量主导的协同运行框架,能够推动实现长期护理保险及其服务从独立运行到系统增效的高质量发展.中国长期护理保险从试点探索走向全面建制是"投资于物和投资于人紧密结合"的一项国家战略决策.长期护理保险制度本身及其相关服务在制度定位、价值原则和核心体系等方面不仅要遵从《贝弗里奇报告——社会保险和相关服务》关于社会保险的基本原则,而且更重要的是要尊重中国国情、体现中国特色,达成"中国共识".

The Beveridge Report was the first to articulate six fundamental principles of social insurance and to propose the provision of comprehensive medical and rehabilitation services.It has also profoundly influenced the development of long-term care insurance(LTCI)and its allied services worldwide.LTCI follows the basic principles of social insurance,namely universality,basic protection,unity,and the principle that entitlement is conditional upon the fulfilment of corresponding obligations,while long-term care services follow the eleven service-quality principles set out in the European Quality Framework for Long-term Care Services.Both LTCI and long-term care services are quasi-public goods and are linked by a logic of mutual dependence and mutual reinforcement.Building a collaborative operational framework governed by three order parameters-goal coordination,actor coordination,and mechanism coordination-can promote the high-quality development of LTCI and its allied services by moving them from separate operation to system-wide efficiency gains.Promoting China's LTCI from pilot exploration to full-scale institutionalisation is a major national strategic decision that closely combines investment in material resources with investment in people.In terms of institutional positioning,value principles,and core system design,LTCI and its allied services should not only follow the basic principles of social insurance set out in the Beveridge Report,but,more importantly,should be grounded in China's national conditions,reflect Chinese characteristics,and forge a Chinese consensus.

戴卫东

浙江财经大学公共管理学院||浙江省新型重点专业智库"中国政府监管与公共政策研究院"

长护险长护服务基本原则互促与协同中国共识

long-term care insurancelong-term care servicesbasic principlesmutual reinforcement and coordinationChinese consensus

《社会保障评论》 2026 (3)

40-58,19

浙江省高校重大人文社科攻关项目"浙江省长期护理保险试点评估、政策优化、关键机制与推广路径研究"(2023GH030).

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