江西中医药大学学报2026，Vol.38Issue(3)：112-119,126,9.DOI:10.20140/j.2095-7785.2026.03.23
"四梁八柱"框架下长期护理保险制度演化及政策启示
Evolution and Policy Implications of Long-Term Care Insurance System under the Framework of"Four Beams and Eight Pillars"——A Case Study of Chengdu
摘要
Abstract
Objective:At a time when long-term care insurance needs to be expanded urgently,it is important to analyze and summarize the institutional evolution and practical experiences of pioneering pilot cities,aiming to provide theoretical frameworks and empirical references for other regions.Methods:By constructing a"Four Beams and Eight Pillars"analytical framework for long-term care insurance,we systematically applied historical research methodology to conduct a retrospective comparative analysis of the three rounds of pilot reforms in Chengdu,thereby synthesizing the institutional characteristics and policy trajectories.Results:The three rounds of pilot reforms in Chengdu City have pushed the system to a deeper level,and the system framework has been initially established,but in the process,there are still some deficiencies in the areas of fundraising,quality supervision,continuous assessment,and distribution of care resources.Conclusion:The next step of system optimization can be to implement the responsibility of contribution,improve the supervision mechanism,promote continuous assessment,expand service supply,and build a preventive system.Cost containment and quality enhancement in care services constitute the linchpin for achieving sustainable and high-quality development of the long-term care insurance system.We recommend integrating Traditional Chinese Medicine rehabilitation services into the care service projects to delay disability progression,mitigate claim payout burdens,and elevate the quality of life for disabled individuals.关键词
长期护理保险/制度演变/政策启示Key words
Long-term Care Insurance/System Evolution/Policy Implications分类
医药卫生引用本文复制引用
吴希乐,廖芳,刘小毛,覃延长,李子轩,彭美华.."四梁八柱"框架下长期护理保险制度演化及政策启示[J].江西中医药大学学报,2026,38(3):112-119,126,9.基金项目
国家社会科学基金项目(23BGL240) （23BGL240）
成都中医药大学大学生创新训练计划项目(202310633012). （202310633012）
