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中文摘要: 目的 通过对长期护理保险评估环节各类问题进行梳理归类，从而发现其中监管改进的潜在抓手，为后续长期护理保险评估环节的监管策略提出奠定有力基础。方法 运用文献归纳分析、关键知情人访谈和横断面调查等定性与定量相结合的方法，基于结构－过程－结果模型梳理评估环节存在的问题，为评价长期护理保险评估环节的监管成效、问题及经验提供证据支撑。结果 75.2％的养老机构对象与85.3%的居家服务对象对评估等级表示满意；围绕访谈归纳总结出结构问题中的量表、人力和制度设计问题，过程中的各评估环节问题，具体结果表现为评估质量不佳，结果从而导致长期护理保险基金的浪费。 结论 评估App的功能优化是高效评估的基础；标准化的集体评审与复核评估手册、专业评审团队是确保再评估质量的前提；评估量表需不断优化
Abstract:OBJECTIVE By sorting out the various problems in the evaluation process of long-term care(LTC) insurance, to find out the potential of regulatory improvement, and lay a solid foundation for the follow-up supervision strategy of LTC insurance evaluation. METHODS Using combining qualitative and quantitative methods of literature analysis, key informant interviews, cross-sectional surveys and other methods, based on the structure-process-result model in the assessment process, to provide evidence support for evaluating the regulatory effectiveness, problems and experience of the LTC insurance assessment. RESULTS 75.2% of the aged in care institutions and 85.3% of the home care subjects expressed satisfaction with the assessment level；the interviews summarized the scales, manpower and system design issues in the structural problems. The specific results were characterized by poor quality of evaluation, which led to the waste of LTC insurance funds. CONCLUSION App’s functional optimization, standardized collective review and assessment manuals, professional review teams, and continuous optimization of assessment scales were prerequisites for ensuring assessment quality.
keywords: long-term care assessment supervision
文章编号：3201907009 中图分类号：R1-9 文献标志码：
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