Research On The Supply Of Long-term Care Insurance Services In Shanghai

Developing long-term care insurance is one of the measures to deal with social crisis caused by aging.In December 2016,the ministry of human resources and social security promulgated the guidance on the pilot of long-term care insurance system,which made long-term care insurance appear in the national social insurance category.Subsequently,Shanghai issued the "Shanghai long-term care insurance pilot measures",in xuhui,putuo,jinshan three pilot operations.The situation and results of the pilot projects in various regions are related to the survival and development of long-term care insurance in Shanghai,and more importantly,how China can smoothly and smoothly cope with the negative social effects of aging under the condition of "getting old before getting rich".At present,domestic research literature on long-term care insurance is mostly about the construction of policies and systems,the analysis of demand market,the supply of commercial long-term care insurance and other aspects.However,there are few studies on the supply of long-term care insurance service at the government level,especially the specific empirical analysis.Therefore,through case analysis to evaluate the service supply of long-term care insurance during the pilot period,it can have a good reference value for the development of long-term care insurance in Shanghai and even in China.Based on putuo district as a case,through literature review,questionnaire and in-depth interview,and regression analysis method,from the long-term care insurance service supply of the project content,services and service personnel,such as configuration,the pilot stage of Shanghai putuo district of long-term care insurance service supply whether to meet the needs of those people,is in line with the policy file specification and with other countries,provinces and cities,as well as the similarities and differences of long-term care insurance service condition is analyzed,the development trend of long-term care insurance in Shanghai and service bottlenecks.The results showed that there were several problems during the trial of long-term care insurance in Shanghai:1.The total number of service providers is quite large,but the distribution and structure is uneven;2.There are enough service staff,but the nursing staff has low education level,large mobility,and imbalance between male and female ratio;3.The evaluation bodies lack autonomy and the corresponding referee and supervision mechanism;4.Single nursing service content,weak personalization,insufficient supply of medical care services;5.Home service is not flexible enough,subject to the time limit of single service and settlement method;6.The public’s expectation of long-term care insurance is deviated from the actual policy.According to the above problem,this paper USES the theory of public products and related academic transition of government function,put forward the government should change the management idea,from the actual producer of public goods to public policy operating managers,make full use of big data,new media,and the introduction of a third party to participate in to increase the propaganda policy development,reasonable planning agencies,optimizing the nursing service contents,strengthen staff training,improve the supervision and inspection mechanism,ensure the service quality of public policy and service process of openness,fairness and justice.Through the constant adjustment and perfection of the pilot policy,we can optimize the long-term care insurance policy,regulate the operation of the service market,and improve the level of government public service.The innovation of this paper lies in the fact that based on the demand orientation,based on the functions of the public management department of the government and starting from the supply of services,it analyzes the trial implementation of Shanghai long-term care insurance system in putuo.But there are still shortcomings,mainly because of the long-term care insurance policy involving human resources and social security bureau,civil affairs,health and family planning commission,and other administrative departments,exists because of the different management department,statistics caliber is differ,policy and practice constantly adjust,some data can’t match analysis,and has a definite effect on the accuracy of the data statistics.In addition,the data of long-term care service during hospitalization were included in the hospitalization fee,which was difficult to be separated and not included in the analysis of the article.As a result,the level of policy analysis was not comprehensive enough.