华东师范大学学报(哲学社会科学版) ›› 2022, Vol. 54 ›› Issue (4): 153-163.doi: 10.16382/j.cnki.1000-5579.2022.04.016

• 社会经济新发展探讨 • 上一篇    下一篇

养老服务补贴制度高质量发展研究——基于上海市的案例分析

杨翠迎, 刘玉萍, 李豪豪   

  • 接受日期:2022-06-13 出版日期:2022-07-15 发布日期:2022-07-26
  • 作者简介:杨翠迎,上海财经大学公共经济与管理学院、公共政策与治理研究院及社会保障研究中心教授(上海,200433)|刘玉萍,通讯作者,浙江大学公共管理学院博士后(浙江杭州,310058)|李豪豪,中国人民大学社会与人口学院博士研究生(北京,100089)
  • 基金资助:
    国家社科基金重大项目“我国医养结合优化模式筛选及推进医养结合全覆盖对策研究”(项目编号:20&ZD114);上海市民政局2021年度局级课题“养老服务补贴范围扩大的可行性研究及其实施路径研究”

On the High-quality Development of the Elderly Care Service Subsidy System in Shanghai

Cui-ying YANG, Yu-ping LIU, Hao-hao LI   

  • Accepted:2022-06-13 Online:2022-07-15 Published:2022-07-26

摘要:

养老服务补贴制度是保障经济困难失能老年人获取基本养老服务的兜底性制度,是社会养老服务体系的重要组成部分。上海市养老服务补贴制度在全国建立最早,而且具有独特性,然而,近年来随着政策调整与管理模式的转变,逐渐凸显出制度完整性减弱、标准缺乏调整机制、申请周期过长、补贴范围局限等诸多问题。高质量发展是新时代的核心主题,是养老服务补贴制度升级和转型的重要契机,养老服务补贴制度高质量发展是时代发展的必然要求。从对上海案例的系统剖析来看,养老服务补贴制度应遵循高质量发展观念,明确制度定位,在养老服务支付保障体系的整体框架下进行顶层设计,逐步扩大养老服务补贴范围,理顺养老服务补贴申请机制,建立养老服务补贴制度与长护险的衔接关系,以此推动养老服务补贴制度向社会救助与社会福利结合模式的转型与升级,提升制度的生命力和再分配的作用效果,实现高质量发展与基本民生保障普惠均等的目标。以上研究成果,对全国其他省市区也具有启示意义。

关键词: 养老服务补贴, 基本养老服务, 长期护理保险, 高质量发展, 上海市

Abstract:

The elderly care service subsidy system is a bottom-up system to ensure that the disabled elderly in economic difficulties obtain basic elderly care services. It is an important part of the social elderly care service system. Shanghai’s elderly care service subsidy system, as the earliest established one in China, is unique. However, with the adjustment of policy and the transformation of management mode, it has encountered many problems such as the weakening of system integrity, lack of standard adjustment mechanism, long application period, and limited scope of subsidies. High-quality development is the core theme of the new era and an important opportunity for the upgrading and transformation of the elderly care service subsidy system. It is also an inevitable requirement for the development of the times. According to the systematic analysis of the Shanghai case, the elderly care service subsidy system should follow the concept of high-quality development, clarify the system positioning, carry out top-level design under the overall framework of the elderly care service payment guarantee system, gradually expand the scope of pension service subsidies, straighten out the elderly care service subsidy application mechanism, and establish connection between the subsidy system and the long-term care insurance. In this way, the elderly care service subsidy system will be transformed into and upgraded to the combination mode of social assistance and social welfare, the vitality of the system and the role of redistribution will be enhanced, and the goal of high-quality development and equalizing basic people’s livelihood security will be achieved. The research results will also be intriguing for other provinces and cities in China.

Key words: elderly care service subsidy, basic elderly care services, long-term care insurance, high-quality development, Shanghai