Study On The Setting Problem Of Long-term Care Insurance Service Project In Shanghai

In 2018,Shanghai comprehensively launched long-term care insurance.Based on the background,this paper takes the long-term care insurance service project as the research object.After field research,the author expounds the status quo of the long-term care insurance service project setting,finds the problems existing in the actual development of the service project,and analyzes the causes of such phenomenon.This article is a qualitative research.The main data collection method is the in-depth interview.The author selects the Shanghai District S as the research area,and uses destination sampling and snowball sampling as sampling method,extracting 30 respondents,including long-term care institutions staff,caregivers who implement care services,and those who receive care services.Specifically,the writing structure of this paper is in the form of"status-problem-cause-learning and countermeasures".The content structure consists of the following parts:introduction,the status quo of long-term care insurance service project setting,and the performance of actual research results,reason analysis,experience of other countries on service projects and the ideas about how to improve put forward by the author.According to the survey results,the author found that the long-term care insurance service project has indeed created a wheezing service for the elderly care responsibility subjects,meeting the material and spiritual needs of the elderly and caregivers to some extent,but at the same time,shows a lot of problems,which still shows weakness in the following aspects.From the content of the service items,they are simple and limited.Some items are vague,biased and overlapping.The project forms are different and the basic life care items are misplaced,etc.From the time and frequency of service items,the service time is shorter while the frequency is less.The timing is also contradictory.From the perspective of service project setting and demand matching,there are no specific service items,such as prevention,rehabilitation,mental,psychological,and household assistance.Combining the literature and interview materials,the author analyzes several major reasons for the formation of the problem:the challenge of traditional pension concept,the constraint of long-term care insurance level assessment,the information asymmetry of service process,and the limited qualification as well as treatment of nursing staff.Finally,this paper draws on the experience of foreign long-term care insurance system,referring to the setting of long-term care service projects in three countries:the United States,Germany and Japan.It includes the content and time schedule of their own service projects.This leads to some inspirations to solve the existing problems and provides some new ideas.The author believes that the category and content of Shanghai long-term care insurance service projects should be further adjusted.It’s better to build a service project library to meet the needs of different elderly,and to build a professional nursing team that is compatible with the service project.By refining the level assessment,we will improve the accuracy of service projects and provide special services for special groups.