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双循环
上海于2017年建立长期护理保险制度，并在3个区试点，制度覆盖60岁以上上海户籍全体医保人员。上海以老年人统一需求评估体系为依据，为评估等级2～6级者提供服务。试点区调研中发现，目前的长期护理保险制度存在问题：评估等级的划分过细，复评率高；42项服务项目设置不尽合理，总体服务项目内容有限，但同时存在内容重叠等问题；居家服务没有得到政策支持；护理人员短缺，护理服务定价、支付存在问题；长护险信息系统设计和过程监管不尽合理，而且造成养老院照护压力和经济成本加大；社会保险和社会救助体系衔接不佳。在试点全面推行时，上海要进一步明确长护险保障责任和可能的范围；进一步完善老年人统一需求评估内容，发挥评估的综合效应；进一步完善长护险服务项目，推进社区居家长护险服务的开展；进一步加强养老护理服务人员培养，突破服务瓶颈；持续改善优化长护险信息系统。让上海的长期护理保险制度运行更为顺畅，惠及众多百姓。
<<Shanghai began its pilot long term care insurance in 3 districts since 2017 which covered allregisteredinsured elderly above 60.
Based on Unified EvaluationSystemfor the Needs of the Elderly，Shanghai began provide LTC Insurance service for the 2-6 grads.
The survey foundin the pilot area，too detailed division of the long-term care insurance system assessment and its preference to medical，led the high rate of reevaluation；42 service items is not so reasonable，the overall service content is limited，but there are also overlapping issues；The home service has lack of support；the shortage of nursing staff is still existed with low pay and payment problems；Long term care insurance information system's design and process supervision is not reasonable，but also caused the nursing home care pressure and economic cost；poor cohesion between social insurance and social assistance system.In the future，Shanghai should be further clarify the long term care insuranceresponsibilities and the possible scope；to further perfect comprehensive evaluation for the elderly care needs；further improve the long term care insurance services；further improving service items and promotingcommunitycare；further strengthen the nursing service personnel training in order to ease the bottleneck service；continuouslyimproving and optimizing longterm care insurance information system.Let the long-term care insurance system in Shanghai run more smoothly and benefit many people.
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