The long-term care insurance system in Germany:Origin, planning, effects and reflections
10.3969/j.issn.1674-2982.2015.07.006
- VernacularTitle:德国长期照护保险制度:缘起、规划、成效与反思
- Author:
Chengzhou YANG
;
Xuan YU
- Publication Type:Journal Article
- Keywords:
Germany;
Long-term care system;
Social security system
- From:
Chinese Journal of Health Policy
2015;(7):36-42
- CountryChina
- Language:Chinese
-
Abstract:
Confronted with many problems such as the aged population, increase in the demand for long-term care and financial pressure resulted from the previously defective social security system, after years of efforts, Germa-ny eventually succeeded in putting forward an effective national compulsory long-term care system in 1994 . The sys-tem which is based on the original health insurance system and supports multiple payments involves both local govern-ments and private organizations. Specific rules are clarified in terms of the insurance relations, application qualifica-tions, payment conditions and financial mechanism. Shares and contributions of the long-term care have been in-creased after years of practice. Besides, the number of applicants and beneficiaries is rising. Yet on the other hand, problems and controversies still exist in service quality, qualifications and contents for application and financial mech-anism. Germany’s experience in improving the social security system, the quality management of long-term care and effective control of financial balance serves as a significant reference for China in planning and implementing long-term care insurance system.