【作者简介】陈泽霖,福建医科大学社会工作系副教授,主要研究方向为健康社会学;陈旻,福建医科大学卫生管理学院教授,主要研究方向为医学伦理学。

【文章来源】《社会建设》2023年第1期

【内容提要】筹资是长期护理保险制度有效运行的主要难题之一。中央和地方政府正在力倡筹资多元化，以缓解居民的照护负担和财政压力，促成长护险制度从试点到推广的平稳过渡。从社会治理角度来看，长护险制度在迈向多元化筹资的过程中，在主体、结构和规则三个维度呈现出转型社会所特有的过渡性形态，这些形态集中体现了基层治理的制度延续和创新、统一制度与有效治理之间的调和关系。要让基层治理和政策创新更加持续、有效，需要在合法、合理、合情的逻辑下充分运用地方社会资源。

【关 键 词】长期护理制度;筹资机制;社会治理

【基金项目】国家社科基金青年项目“农村患癌群体的流动就医与健康社会工作干预研究” (21CSH029)。

【全文链接】https://shjs.ruc.edu.cn/CN/Y2023/V10/I01/57

Diversified Financing and Transitional Governance: An Investigation on the Financing Practice of Long-term Care Insurance Institution in Jinjiang City

Chen Ze-lin，Chen Min

Abstract: Financing is one of the main problems for the effective performance of the long-term care insurance.The central and local governments are striving to diversify the financing sources in order to ease the caring burden of residents and financial pressure, thus promoting a smooth transition from the pilot to the popularization of the insurance institution.From the perspective of social governance, in the process of diversified financing practice, the long-term care insurance system presents a transitional form in three dimensions of subject, structure, and rules, which represents the unique aspects of social transformation.These forms suggest the institutional continuity and innovation of grass-roots governance, as well as the adaptive relationship between the unified system and effective governance.To make grass-roots governance and policy innovation more sustainable and valid, the local social resources need to be fully utilized in the logic of legality, rationality, and reasonableness.

Keywords: Long-term Care System;Financing Mechanism;Social Governance