The regulation and guidance of long-term care insurance to the demands of home and community-based care:International experiences and implications

VernacularTitle:长期护理保险对居家社区护理需求的规范与引导:国际经验及启示
Author: Xin-Hui WANG ¹ ; Chen-Han SUN ; Wen LIU ; Min HU
Author Information

1. 复旦大学公共卫生学院上海 200030
Keywords: Service purchasing; Long-term care service; Long-term care insurance; Home and community-based care
From: Chinese Journal of Health Policy 2024;17(1):75-81
CountryChina
Language:Chinese
Abstract: In order to implement a"people-centered"service concept and promote the sustainability of long-term care systems,countries worldwide are increasingly focusing on benefit package design when allocating and using public long-term care funds.This emphasis is aimed at regulating and guiding long-term care demand and developing home and community-based care.Based on the purchasing theory,this study categorized the long-term care benefit package models in representative countries into two types:"Institutional Eligibility Restrictions Type"and"Home-care-focused Benefit Type",and further elaborated the specific benefit package design.In China,long-term care insurance are still in the initial stages of development.We should optimize the service utilization structure and promote a rational allocation of resources through purchasing,while incorporating diverse benefit designs such as eligibility restrictions,differential benefit levels,and supplementary support,to establish a robust,multi-tiered long-term care system based on home and community-based care.