| In recent years,the scale of the elderly population in China has continued to increase,and the family structure has become smaller,which means that families and society will face a relatively heavy nursing pressure.It is urgent to establish long-term care insurance to protect the rights and interests of the people.Based on this,China has gradually raised the development of elderly care to a policy height.In 2016,the General Office of the Ministry of Human Resources and Social Security issued the "Guidance on The Development of long-term Care Insurance System Pilot",identified 15 cities such as Anqing,Qingdao,Nantong as the national long-term care insurance pilot cities,and began to establish a long-term care insurance system.Anqing City,as the first batch of pilot cities in China and the only one in Anhui Province,made meticulous arrangements for the content and implementation of long-term care insurance policies,and officially started the pilot work of long-term care insurance policies on January 1,2017.The policy pilot in Anqing City has been carrying out for five years.Although some results have been achieved,there are still some shortcomings in the implementation of the policy.Based on the perspective of policy implementation,this paper uses Smith’s policy implementation process model to conduct field research on the implementation of the pilot policy of long-term care insurance in Anqing City through questionnaires,interviews and other survey methods,and analyzes its policy implementation,implementation effect and existing problems.Detailed discussion,combined with the experience of typical policies at home and abroad,put forward suggestions for improving the effect of long-term care insurance policies in Anqing City.The research results show that the current policies have been well implemented: the content of the policy is gradually improved,which guarantees the basic life of the disabled;the handling work is efficient and innovative,which improves the convenience of obtaining services;the diversified nursing services meet the differentiated nursing needs.At the same time,there are also the following problems: inadequate publicity of pilot policies,incomplete content of pilot policies,insufficient assessment of disability levels,and immature development of designated service agencies.Combining the above analysis and drawing on mature experience of other places,the following countermeasures are put forward:first,to optimize the policy text: expand the scope of policy guarantees,optimize the financing mechanism,improve the payment of benefits,and provide graded care;second,the ability to implement policies should be improved: build a supervision network and improve the level of disability Evaluation work,promote nursing institutions to improve infrastructure,service supply,and improve the quality of nursing staff;third,we should improve the awareness of the target group of long-term care insurance policies,and improve the sense of policy identity;fourth,we should create an environment conducive to the implementation of long-term care insurance policies,improve systems and regulations,and increase the construction of the nursing system. |