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上海大学学报(社会科学版) ›› 2024, Vol. 41 ›› Issue (3): 108-123.

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失能老人长期照护体系的构建与公共健康治理创新

  

  1. 复旦大学国际关系与公共事务学院
  • 出版日期:2024-05-15 发布日期:2024-05-20
  • 作者简介:唐贤兴（1968- ），男，浙江绍兴人。复旦大学国际关系与公共事务学院教授、博士生导师， 复旦大学国家人权教育与培训基地副主任。研究方向：健康治理。 唐曼（1994- ），女，山东滨州人。复旦大学国际关系与公共事务学院博士生。研究方向： 健康治理。（通讯作者）
  • 基金资助:
    教育部人文社会科学重点研究基地重大项目（18JJD630005）

Construction of the Long-term Care System for the Disabled Elderly and Innovation in Public Health Governance

  1. School of International Relations and Public Affairs, Fudan University
  • Online:2024-05-15 Published:2024-05-20

摘要：

失能老人的长期照护不仅对医学提出了难题，更对当前的社会治理和公共政策形成了严峻挑战。需要从公共健康治理的视角重新审视，基于价值、结构、工具维度建构分析框架，识别公共健康治理的价值共识、协同共治结构和政策工具。以青岛和上海试点的长护险制度为例，探索其背后呈现的公共健康治理的逻辑可以发现，健康议题的价值回归驱动了公共健康治理创新，治理权向多元化主体的扩散形成了健康问题协同共治的基础，长护险制度

及其所包含的多元化政策工具使用共同促进了健康服务的共同生产。

关键词: 公共健康治理, 失能老人, 长期照护, 长护险制度

Abstract:

The long-term care of the disabled elderly is not only a medical issue, but also a serious challenge to the current social governance and public policies, necessitating a reevaluation from the perspective of public health governance. It is essential to construct an analytical framework  ased on values, structure and tools, and identify the value consensus, co- governance structure and policy tools of public health governance. Taking the long-term care systems piloted in Qingdao and Shanghai as examples, it is found that the logic of public health governance behind them indicates that the return of the value of health issues drives innovation in public health governance; the diffusion of governance rights to diversified subjects forms the basis for a synergy on the co-governance of health issues; and long-term care insurance system, along with its diverse policy tools, jointly promotes the co-production of health services.

Key words: public health governance, disabled elderly, long-term care, long-term care insurance system

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