湖南省长期护理保险服务受益者及其家属感知体验的质性研究OA
Perceived experiences of long-term care services among long-term care insurance beneficiaries and their family members:A qualitative interview study in Hunan Province,China
目的 长期护理保险(long-term care insurance,LTCI)制度是一项应对人口老龄化、保障失能人员基本生活权益的社会保障政策.自2016年在中国13个城市试点实施以来,该制度日益受到护理研究人员关注.该研究探讨了LTCI受益者及其家属对该制度的实际感受与体验.方法 采用定性研究方法,于2024年8月至12月,通过便利抽样法选取湖南省13对LTCI受益者及其家属作为访谈对象.资料通过半结构化面对面深度访谈收集,访谈内容经全程录音后逐字转录,并采用归纳内容分析法进行资料分析.结果 共提炼出以下5个主题.1)长期护理服务申请流程便捷;2)失能等级评估过程较为复杂,包括3个子主题:评估标准不明确、评估流程繁琐以及评估人员专业性不足;3)长期护理服务尚不完善,体现为服务范围有限、护理资源不足以及评估人员质量参差不齐,且缺乏标准化的服务评估标准;4)长期护理经济负担有所缓解;5)受访者对LTCI服务期望持积极态度.结论 该研究深化了LTCI受益者及其家属对LTCI服务的认知和体验的理解,研究结果为相关部门制订更详尽的支持策略与干预措施提供了参考,进而有助于提升长期护理服务的质量、专业性及覆盖范围,并促进LTCI制度的落实.
Objectives:The long-term care insurance(LTCI)system is a social security program that aims to address population aging and protect the basic living rights of individuals with disabilities.Since the pilot implementation of this system in 13 Chinese cities in 2016,the LTCI system has received increasing scholarly attention.This study aimed to explore the experiences of beneficiaries and their families with the LTCI system. Methods:A qualitative research method was employed.From August to December 2024,the researchers interviewed 13 LTCI beneficiaries and their family members living in Hunan Province.Data were collected via semi-structured,face-to-face in-depth interviews.These interviews were audio-recorded and transcribed verbatim. Results:The following five themes were identified.1)The long-term care service application process is convenient.2)The disability level assessment process is difficult.This theme includes three subthemes:unclear disability level assessment criteria;a cumbersome disability level assessment process;and a lack of professionalism among disability level assessors.3)Long-term care services are imperfect.This theme encompasses three subthemes:the limited scope of care services;insufficient care resources;and uneven caregiver quality,including a lack of standardized criteria for service evaluation.4)The economic burden of long-term care has been alleviated.5)Expectations regarding LTCI services are positive. Conclusions:The findings of this study improve our understanding of LTCI participants and their family members.These insights can help the Chinese government develop more detailed support strategies and interventions,thereby improving the quality,professionalism,and scope of long-term care services while promoting the implementation of LTCI policies.
王丽朵;雷芬芳;麻晓君;马婷;姚矿;曹茜;王静;龙湘英
残疾长期护理保险长期护理服务定性研究
DisabilityLong-term care insuranceLong-term care servicesQualitative research
《国际护理科学（英文）》 2026 (4)
357-363,7
This research was supported by the Hunan Provincial Depart-ment of Education Foundation of China(23C0289).The funding institution did not participate in any decision-making processes during the investigation design,implementation,and data analysis.
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