Study On Disability Assessment Of Shanghai Long-term Insurance

With the increasing population of the elderly in China,the degree of aging is deepening,and the number of disabled elderly people,disabled elderly people and elderly people with chronic diseases is increasing.The elderly nursing has become the focus of attention.The implementation of long-term care insurance and the long-term care services provided by it can effectively alleviate the nursing problems of the elderly.As an important part of the long-term care insurance system,the assessment of disability level of long-term care insurance provides an important guarantee for the service allocation and fund management of long-term care insurance.Since the implementation of the long care insurance system in China,each pilot area has developed local standards in line with the local situation.Shanghai is one of the first pilot cities.The study on the disability rating of Shanghai Mayor’s insurance is conducive to further improve the long-term care insurance system in Shanghai and promote the long-term care insurance,stable and sustainable development of the system.From the perspective of the status quo of disability rating assessment of Shanghai long-term care insurance,the initial success has been achieved,but there are still many problems in the assessment subject,assessment tool assessment grade division and assessment process.For example,the evaluation team construction lacks stability and sustainability,the evaluation work efficiency is not high,the evaluation result is low credibility,the evaluation work is disconnected from the nursing service and so on.The author through to the policy interpretation,the methods of literature study,interview,questionnaire survey,the main reason in view of the above problem analysis,including: lack of rationality,appraisal institution qualification and team structure unclear cross-sectoral coordination mechanism,evaluation of communication between staff and evaluation object,evaluation tool set the existence of defects,evaluation results related system is not clear.By analyzing the causes of the problems,the author draws lessons from the disability rating evaluation policies put forward by typical foreign countries in the implementation of long-term care insurance system,and combines with the actual situation in Shanghai,and puts forward the optimization ideas and suggestions to solve the problems.To improve the laws and regulations,so that the implementation of long-term care insurance system and the implementation of long-term care insurance disability rating assessment work has laws to follow.Clear long protect the responsibility of the risk of disability level assessment main body and function orientation,further strengthen the cooperation between the various departments and liaison department each relationship,through the integration of various departments resources to achieve information sharing,and consider the comprehensive development of the third party evaluation institutions quantity and quality,cultivating high quality professional and stable assessment team.Through the establishment of a unified information management system,import the information database of each department,form a complete information chain,unified management platform;Promote the promotion of the long term care insurance system and the assessment of the disability level of long-term care insurance,and popularize relevant knowledge to the general participants and the elderly who do not participate but meet the application conditions;To combine the assessment criteria of disability level of long-term care insurance with the content of long-term care service,and to expand the service scope of long-term care insurance according to the actual requirements.Optimize the evaluation process,establish and improve the whole process supervision mechanism of long-term insurance disability evaluation;Establish dynamic adjustment mechanism of evaluation level;Scientific grading,setting the level of preventive services;Optimize the assessment tools and add the assessment content related to social function.