本文選題：長期護理保險 + 政府責(zé)任��； 參考：《西南交通大學(xué)》2013年碩士論文

【摘要】：2000年中國正式步入老齡社會,我國政府對于老齡社會所帶來的一系列養(yǎng)老難題十分關(guān)注。而隨著老齡化進程的深化,老年群體的長期護理問題顯得尤為突出。中國面臨的是巨大人口基礎(chǔ)之下的快速老齡化壓力,長期護理存在巨大的潛在需求,長期護理保險在我國的開展早已虛位以待。如不未雨綢繆為老齡社會打下堅實的物質(zhì)和制度基礎(chǔ),我國將無法解決“老有所養(yǎng),老有所醫(yī)”的社會難題。 本文以格羅弗·斯塔林對政府責(zé)任的解釋即“政府責(zé)任是指政府能夠積極地對社會民眾的需求做出回應(yīng),并采取積極的措施,公正、有效率地實現(xiàn)公眾的需求和利益”為出發(fā)點。通過比較研究日本、德國和美國不同模式的長期護理保險制度,總結(jié)出其各自值得借鑒的優(yōu)點。結(jié)合我國的老齡化程度、家庭結(jié)構(gòu)小型化發(fā)展的趨勢、經(jīng)濟發(fā)展情況、醫(yī)療和護理費用的增長以及現(xiàn)行社會保障的不足,分析了我國發(fā)展長期護理保險的必要性及可能面臨的問題。本文的焦點是對長期護理保險在成都發(fā)展的需求實征分析,探索我國城鎮(zhèn)居民對長期護理保險的需求情況,以及影響需求的各種因素。以問卷調(diào)查的方式進行實地研究,用spss軟件進行統(tǒng)計分析,采用頻數(shù)分析和logistic回歸分析得出我國城鎮(zhèn)居民對長期擴理保險存在巨大的潛在需求,影響長期護理保險需求的主要因素有居民的職業(yè)、收入、居住情況和家族是否有長期護理需求史。通過對問卷進行分析,歸納出民眾之所以不愿意購買長期護理保險的幾大原因。 本文在斯塔林政府責(zé)任理論的指導(dǎo)下,在人口老齡化與經(jīng)濟發(fā)展、馬斯洛需求層次理論、護理經(jīng)濟學(xué)理論、福利多元主義理論的支撐下,結(jié)合我國城鎮(zhèn)居民對長期護理保險的需求情況,探索出我國發(fā)展長期護理保險的“三步走”戰(zhàn)略,分析了各階段不同路徑下的政府責(zé)任。從商業(yè)保險模式下的宣傳者、促進者和監(jiān)督者,到公私合營路徑下參與長期護理保險運營的政府角色,再到社會保險模式下政府對長期護理服務(wù)的創(chuàng)新支持,本文積極為我國發(fā)展長期護理保險的政府責(zé)任提出建議,為長期護理保險的可持續(xù)發(fā)展打下堅實的基礎(chǔ)。
[Abstract]:In 2000, China formally stepped into the aged society. Our government pays close attention to a series of pension problems brought about by the aging society.With the deepening of the aging process, the long-term nursing of the elderly is particularly prominent.China is faced with the pressure of rapid aging on the basis of a large population, and there is a huge potential demand for long-term care, and the development of long-term care insurance in China has long been in vain.If we do not plan to lay a solid material and institutional foundation for the aging society in advance, our country will not be able to solve the social problem of "a sense of security and a cure for the elderly".In this paper, Grover Stalin's interpretation of government responsibility is that "government responsibility means that the government can respond positively to the needs of the public and take positive measures and justice."Efficient realization of public needs and interests "as the starting point.Based on the comparative study of long term care insurance systems in Japan, Germany and the United States, the merits of their respective models are summarized.Considering the aging degree of our country, the trend of miniaturization of family structure, the situation of economic development, the increase of medical and nursing expenses and the deficiency of social security,The necessity and problems of developing long-term nursing insurance in China were analyzed.The focus of this paper is to analyze the demand for long-term nursing insurance in Chengdu, and to explore the demand of long-term care insurance for urban residents in China, as well as the various factors that affect the demand.The field research was carried out by questionnaire survey, the statistical analysis was carried out by spss software, and the frequency analysis and logistic regression analysis were used to find out that there is a huge potential demand for long-term insurance expansion among urban residents in China.The main factors affecting the demand for long term care insurance are occupation, income, living condition and family history.By analyzing the questionnaire, we conclude the reasons why people are unwilling to buy long-term care insurance.This paper is guided by Stalin's theory of government responsibility, supported by population aging and economic development, Maslow's hierarchy of needs theory, nursing economics theory, and welfare pluralism theory.Combined with the demand of long-term nursing insurance for urban residents in China, the three-step strategy of developing long-term nursing insurance in China was explored, and the government responsibility under different paths in different stages was analyzed.From the propagandists, promoters and supervisors under the commercial insurance model, to the role of the government involved in the operation of long-term care insurance under the path of public-private partnership, and to the innovative support of the government for long-term care services under the social insurance model,This paper puts forward suggestions for the government responsibility of developing long term nursing insurance in China and lays a solid foundation for the sustainable development of long term care insurance.
【學(xué)位授予單位】：西南交通大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：F842.67

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本文編號：1749254