运用文献研究法、对比分析法、归纳总结法等方法分析与研究我国长期护理服务需求现状和问题、我国试点城市长期护理保险制度供给与实施现状以及美日德韩等国长期护理保险制度经验,认为我国长期护理保险制度存在着制度设计公平性不足、过度依赖医保基金、年龄限制不符合权利义务对等原则、精神慰藉服务尚未被纳入服务项目、服务提供机构与专业人才短缺以及缺乏法律支持等问题,并提出逐步扩大制度覆盖范围,实现城乡统一;坚持社会化筹资模式,实行多层次的筹资比例;重视评估标准的制定,坚持权利义务对等原则;坚持老年人利益最大化,逐步扩大服务项目;鼓励社会力量全面参与,培养专业人才;建立长期护理保险法,强化政府责任等建议。

It analyzes and researches the situation and problem of long-term care insurance system in our country,and supply and implement situation of long-term care insurance system in pilot cities and the experience of long-term care insurance system in America,Japan,Germany and Korea.It thinks of that the fairness of system design is shortage in long-term care insurance system in our country,immoderate reliance medical insurance fund,age limit is not fit rule of equality of rights and duties,spiritual solace service is not included in service items,both service institute and professionals are shortage and lack of laws support.It puts forward that escalate the system coverage,carry out town and city unity,persist socialization fund pattern,put into practice of multi-level financing proportion.Pay more attention to the formulation of evaluation criteria,persist rule of equality of rights and duties and profit maximization in the elderly.Escalate service items,encourage social power comprehensive participation,train professionals,establish long-term care insurance system and strengthen government responsibility.