Can social insurance for long-term care work? The experience of Germany
Can social insurance for long-term care work? The experience of Germany
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DOI：
10.1377/hlthaff.19.3.8
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发表时间：
2000-05-01
期刊：
影响因子：
9.7
通讯作者：
Wiener, JM
中科院分区：
文献类型：
--
作者：
Cuellar, AE;Wiener, JM
1994年，德国颁布了一项全民覆盖的长期护理社会保险计划，以在很大程度上取代其经济状况调查制度。该方案实现了许多既定的政策目标：将长期护理的财政负担从各州和市政府转移出去;扩大家庭和社区服务;减少对经济状况调查福利的依赖;增加对非正式护理人员的支持。其中许多目标是在没有案件激增或支出失控的情况下实现的。我们研究了德国的长期保险计划，重点是融资，资格和评估，福利，服务的可用性和质量保证的问题。
In 1994 Germany enacted a universal-coverage social insurance program for long-term care to largely replace its means-tested system. The program has achieved many of its stated policy goals: shifting the financial burden of long-term care off the states and municipalities; expanding home and community-based services; lessening dependence on means-tested welfare; and increasing support of informal caregivers. Many of these goals were reached without exploding caseloads or uncontrolled expenditures. We examine the German long-term insurance program, focusing on issues of financing, eligibility and assessment, benefits, availability of services, and quality assurance.