2011 6 108 Journal of Shanghai Finance University No.6, 2011 Apr No.108,2011, 2011 4, ( 200020)!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :, : ; ; :C913.6 :A :1673-680X(2011)06-0005-12!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!,, :2011-11-22 : (1964- ) - 5 -
1. 81.28, 2005 2008, 10, 2010 2020,2025 2030 2030 60 500 40%,2010 4.25% 2015 5.67%; 2010 20.73%, 2015 26.25% 2030 53.33%,2030,, 2., 20 80 18 9073,90%,7%,3%,, 3. - 6 -
(1) 2010 10, 32, 50-60, 54 80 20 33000 61.38 54.4 ( ),6.97, (2),, 64% 72% 0.2%,, 62% ; 2 / 3 ;, (3) 4., ; (1) 2000,, 60, - 7 -
( ) 300 400 500 ADLS, 12 80 50% 5 13, 5 100 2.8 (2) 66,240 66 40 250 260 7973 (60 0.0027 ) 137 99 20% 30%, 30-50% 2008 35% 82% ( ) 67% ; 4, 120~130 / 2008 66 26578 4.3,4.23 3.6 6000 1 % 12 40 32 3.82 0.28 0.13 4.23 3.366 0.168 0.0884 3.618 : 2009 10 4, :, - 8 -
1. (1) (2) 40,65 1,40-64 2 1 ; 2 (3) 40 ~65 33%;65 17%( ) 50% 25.0%, 12.5% 12.5% (4) 65 ( ) 40 ~65 ( ) 15 (5) : 90% 10% : 5-6 ;, 7 ;, (6) ; ; NPO, (7) ( ) 2-9 -
, ; 2. (1) 80 (medicaid), 20,, (2) 3, (medicare) 180,,, (long term care insurance) (medicaid) (medicaid) (medicare) (home health care) : ; ; 3~4 (long term residents), (hospice care) (3) 50% (medicaid);15% (medicare); 35% (medicare) (medicaid), 3. (1), (2), - 10 -
, (3) 1.,,, 2.,,,, 3. -, -, - - 11 -
( ) : 1., ; ; (1),,,, : ; ; (2) ; ; 65 : 80-85% - 12 -
15-20% :, : - - (3) ; ( ), 2.,, (1), - ;, : ( ) ( ) : ( ), : ( ) ;, ; :, ( ) (2) - - 13 -
,, - ( ) 1. (1) - -, ; ; - - : ; ; (2), ; - - ; ;, - - - ( ), 2., ( ),, ( ) - 14 -
,, ( ) 1.,, - - 2., 3. - - ; + 4.,,,,,,, 5., (2005-2010) ( [2006]6 ) - 15 -
: : [1]. [J].,2007,(10). [2]. [J].,2009,(3). [3]. [J].,2007,(33). [4]. [J].,2010,(05). [5]. [J].,2008,(11). Elderly Care Insurance System Research - A case Study of Shanghai Hu Suyun Abstract: Shanghai's current soci al security system and pension original nursing management model have been unable to cope with the series of problems brought by Shanghai aging, establish the elderly care insurance system is to deal with the aging of the population, to improve the social security system, the construction of harmonious society and the necessary measures. According to the international experience and the current situation of Shanghai, we suggest to seize the key elements, gradually establishing Shanghai elderly care insurance system. Key words: aged care; insurance system; social security system ( : ) - 16 -