Problem analysis and optimization strategies for non-basic life care service items of long-term care insurance based on 23 pilot provinces and cities
PAN Shiyue
CHU Jing
PEI Yan
YANG Jie
TUO Yan
Abstract：Objective:To summarize and generalize the implementation status of non-basic life care service projects in 23 pilot provinces and cities of long-term care insurance services in China,to compare and to analyze the existing problems,and to propose some optimization suggestions.Methods:By reviewing policies and literature,using content analysis and descriptive analysis,we extracted a list of non-basic life care service projects in pilot provinces and cities,and summarized the care service projects.Results:Among the 23 pilot provinces and cities for long-term care insurance,a total of 398 non-basic life care service projects were retrieved.After merging and sorting,a total of 54 projects were analyzed.Among them,7 projects had a provincial and municipal coverage rate of over 50%,while the rest did not reach 50%.There are differences in the naming of various projects among the 23 provinces and cities across the country.Conclusions:Totally 23 provinces and cities in China have inconsistent definitions and uneven coverage of non-basic life care projects,There are relatively few health promotion and traditional Chinese medicine services involved.It is suggested that the government should establish a standardized list of non-basic life care projects,clarify the relevant service connotations,integrate domestic non-basic life care projects,dynamically adjust the list of service projects,focus on the long-term development of long-term care insurance,and add health promotion and traditional Chinese medicine service projects.
Keywords：long-term care insurancelife careactivities of daily living abilitypopulation agingdisabilitygeriatric nursing
Publication Date：2025-05-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 1409-1415 )