Comparison of Long-term Care Insurance System in Japan 
and Germany and Implications for China

doi:10.14156/j.cnki.rbwtyj.2019.03.008

Abstract

Abstract: As the typical representatives, Japan and Germany have established long-term care insurance system. Based on the comprehensive comparative analysis, this paper compares eleven aspects of the system in the two countries, such as the scope of insurance, management system, funding and cost and provision of services. Meanwhile, from the dimension of dynamic state, this paper tracks and analyzes the system reform and development process in the two aspects: income and payout, service quantity and quality. Finally, this paper recommends one main principle for the establishment of longterm care in China in the future: from zero to one in construction, from small to large in scope, from low to high in level, from good to better in quality.

Key words: longterm care insurance, framework of the system, reform, comparative study

CLC Number:

C913.7

YUAN Xin ， LIU Hui-ru. Comparison of Long-term Care Insurance System in Japan and Germany and Implications for China[J]. JAPANESE RESEARCH, 2019, 33(3): 64-72.

References

［1］戴卫东. 长期护理保险——理论、制度、改革与发展［M］. 北京：经济科学出版社, 2014：57.
［2］郝君富,李心愉. 德国长期护理保险：制度设计、经济影响与启示［J］. 人口学刊, 2014(2):104-112.
［3］BUNDESMINISTERIUM FR GESUNDHEIT (FEDERAL MINISTRY OF HEALTH). Zahlen und Fakten zur Pflegeversicherung［R/OL］.［2018-04-11］. http://www.bundesgesundheitsministerium.de/themen/pflege/online ratgeberpflege/diepflegeversicherung.html.
［4］GERAEDTS，et al. Germany’s LongTermCare Insurance: Putting a Social Insurance Model into Practice ［J］. The Milbank Quarterly, 2000 (78):375-401.
［5］厚生劳动省. 平成27年度介护保险法改正［R/OL］. ［2018-03-12］. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/hukushi_kaigo/kaigo_koureisha/gaiyo/index.html.
［6］陈诚诚. 德日韩长期护理保险制度比较研究［M］. 北京：中国劳动社会保障出版社，2016：125-126.
［7］VANESSA Y, YASUHIKO S. National LongTerm Care Insurance Policy in Japan a Decade after Implementation: Some Lessons for Aging Countries ［J］. Ageing Int, 2012 (37):271-284.
［8］IKEGAMI N, RATIONALE. Design and Sustainability of LongTerm Care Insurance in Japan – In Retrospect ［J］. Social Policy and Society, 2007 (6):423-434.
［9］WEBB P. Legislating for care: A comparative analysis of Longterm care insurance laws in Japan and Germany ［J］. Social Science Japan Journal, 2003 (1):39-56.
［10］RHEE CJ，et al. Considering longterm care insurance for middleincome countries: comparing South Korea with Japan and Germany ［J］. Health Policy, 2015 (119):1319-1329.
［11］陈璐,刘绘如. 日本长期护理保险制度的改革及启示——基于资金的“开源”与“节流”视角［J］.理论学刊, 2016(6):69-74.
［12］ACTUARIAL ASSOCIATION OF EUROPE. German longterm care experience and possible applications to other market［R/OL］.［2018-04-23］. http://www.eca2016.org/wpcontent/uploads/2016/04/14UllrichStellmannLongtermcareinsurance.pdf.
［13］FEDERAL MINISTRY OF HEALTH. Selected Facts and Figures about LongTerm Care Insurance ［R/OL］. ［2018-04-13］. https://www.bundesgesundheitsministerium.de/longtermcare.html.
［14］ZUCHANDKES，et al. Impact of the Introduction of the Social LongTerm Care Insurance in Germany on Financial Security Assessment in Case of LongTerm Care Need ［J］. The Geneva Papers, 2010 (35):626-643.
［15］和红. 德国社会长期护理保险制度改革及其启示：基于福利治理视角［J］. 德国研究, 2016(3):58-72.

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Comparison of Long-term Care Insurance System in Japan and Germany and Implications for China

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