A comparative study on the current status of disability assessment and long-term care needs assessment in 49 pilot cities of the long-term care insurance system
10.3761/j.issn.0254-1769.2025.19.012
- VernacularTitle:49个长期护理保险制度试点城市评估失能等级和长期照护需求的现状
- Author:
Jiali ZHANG
1
;
Hongxiu CHEN
;
Yilin WANG
;
Ya LIU
;
Shihao XU
;
Yanyan WANG
;
Birong DONG
;
Hong SUN
;
Xiuying HU
Author Information
1. 610041 成都市 四川大学华西医院护理创新研究中心/华西护理学院/护理学四川省重点实验室
- Publication Type:Journal Article
- Keywords:
Long-Term Care Insurance;
Aged;
Disability;
Care Needs;
Assessment
- From:
Chinese Journal of Nursing
2025;60(19):2384-2390
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the disability level and long-term care needs assessment policies issued by 49 pilot cities in China's long-term care insurance system,providing insights for further improvement of the system.Methods Policy documents related to long-term care insurance,published between June 2016 and December 2024 on official platforms of local governments,the Ministry of Human Resources and Social Security,the National Healthcare Security Administration,and the National Public Service Platform for Standards Information,were retrieved.A comparative analysis was used to summarize and compare the content of these policy texts.Results Currently,there are 49 pilot cities implementing the long-term care insurance system in China.47 cities have issued disability level assessment standards,with 38 cities adopting the trial standards issued by the National Healthcare Security Administration.In 42 pilot cities,the disability level assessment includes indicators such as activities of daily living,cognitive function,and sensory and communication abilities.22 cities have issued policies related to care needs assessment.In most cities,the care needs assessment partially or fully includes indicators from the disability level assessment.Conclusion There is no national uniformity in disability level assessment standards,and the care needs assessment framework needs further improvement.It is recommended to standardize disability level assessment criteria,clearly delineate the boundaries and content of disability level and care needs assessments,and enhance the development of the care needs assessment system.
