Study On Assessment Of Disability Level In Long-Term Care Insurance System

As the forerunner of Long-Term Care Insurance system construction,there are 15 cities in China,for example,Chengde,Hebei Province,Changchun,Jilin Province,started the first batch of Long-Term Care Insurance pilot in 2017.By the beginning of 2020,many pilot cities have made some achievements in the financing and payment of Long-Term Care Insurance.However,each pilot city has greater autonomy in the specific practice of Long-Term Care Insurance.Many cities have formed their own characteristics in the exploration of the assessment of disability level for the elderly,resulting in the disunity of the domestic disability assessment scale,the disunity of the assessment standard and the nursing classification standard,the outsourcing of assessment work,the instability of the assessment team and other issues,which will make the gain and loss of ability The localization and fragmentation of the assessment work is not conducive to the establishment of a national unified Long-Term Care Insurance system after the completion of the pilot project.The social problem that the aging population leads to the rapid increase of elderly care demand in a short period of time,first appeared in many developed countries such as Europe,America and Japan.In order to alleviate the contradiction between supply and demand of elderly care services,Germany,Japan,the United States and other countries have made many positive researches.After a long time of exploration and practice,some countries have formed a relatively perfect long-term nursing system,among which,the work experience of disability rating assessment has an important reference significance.To meet the Long-Term Care needs of the elderly in China and realize the system construction of Long-Term Care Insurance during the 13 th five year plan is the main task of the pilot project of Long-Term Care Insurance in China.Disability rating assessment is an important part of the construction of long-term nursing insurance system.This paper mainly studies the selection and use of scales,the selection of assessment institutions and the organization of assessment personnel in some cities in China.First of all,it is to investigate the practice of disability rating assessment in the pilot cities of Long-Term Care Insurance in China.It mainly explores the scale used in disability assessment in each city,the update of disability assessment tools in China,the setting of disability assessment institutions,and the policy adjustment of Long-Term Care Insurance in some cities.At the same time,it summarizes the practice of disability rating assessment in the first batch of pilot cities such as Qingdao,Shangrao and other non first batch of voluntary pilot cities,and sorts out the problems in the assessment work of disability rating abroad,such as: there are differences in the way cities choose assessment institutions,differences in the selection of scales,and the fairness of the third-party assessment institutions in the assessment work to be tested Lack of full-time personnel for certification and evaluation.Secondly,in order to solve the problems in the assessment of disability in China,this article introduces the Long-Term care Insurance systems in Germany,Japan,and the United States,and focuses on assessing the level of disability,and extracts the part of practical experience of the three countries that has the meaning of improving the assessment in China as the inspiration.Finally,on the basis of summing up the defects of the domestic assessment of disability and the advantages of the foreign assessment of disability,some suggestions are put forward to improve the assessment of disability level in China.At present,China's Long-Term Care Insurance system is still a new thing in the academic field,and the domestic research on it has not reached saturation,and there are few academic articles based on disability rating evaluation.The study on the assessment of disability level in Long-Term Care Insurance is helpful to establish a unified Long-Term Care Insurance system in China.