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class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p style="text-indent: 2em; text-align: left;">核心阅读</p><p style="text-indent: 2em; text-align: left;">当你老了，谁来照顾？对于失能老人来说，这个问题尤为迫切。随着人口结构的老龄化、家庭结构的小型化，以家庭为单位来长期照护失能人员，往往面临人力和经济上的双重压力。为解决养老问题的这一“痛点”，一些城市开展了长期护理保险试点。试点效果如何，能给失能人员带来什么好处？记者走进吉林松原实地探访。</p><p style="text-indent: 2em; text-align: left;">家有失能人员，是一个家庭的痛。如何更好地照料失能人员，是困扰不少家庭的难题。为破解失能人员日常照料与医疗护理难题，吉林省松原市去年6月起开展长期医疗照护保险试点，医疗照护险能给失能人员生活带来什么好处？保险费用从哪里出？养老机构如何参与？</p><p style="text-indent: 2em; text-align: left;"><strong>房间升级，服务优化</strong></p><p style="text-indent: 2em; text-align: left;"><strong>参保人员住进“豪华”养老区</strong></p><p style="text-indent: 2em; text-align: left;">91岁的包洪兰怎么也想不到，自己的生命能在吉林松原的笑馨养老院中一直延续。</p><p style="text-indent: 2em; text-align: left;">包老太先天患有骨质疏松症，50多年前得上了类风湿。2012年，她又出现多处骨折，从此，下床行动就成了一种奢望。“要不是云洪他们照顾得好，我怕是今天见不到你咯！”身体萎缩得不足1.5米、手指已扭曲变形的包洪兰口齿还算清晰，笑呵呵地对记者说。</p><p style="text-indent: 2em; text-align: left;">包老太口中的“云洪”姓张，虽然只有30岁出头，但已在养老院中工作了五六年。“要想照顾包老太，可不是谁都行的。”张云洪介绍，去年他通过培训考核拿到上岗资格证，才成为松原市医疗照护险参保人员的护理员。</p><p style="text-indent: 2em; text-align: left;">“按照市里对医疗照护机构的要求，我们花费20多万元对房间进行了升级?！毖显焊痹撼ち盅奕憬樯?，整个养老院被一分为二，位于二楼的医疗照护区域配有360度无死角的监控系统，每个床位都配有呼叫机，房间全部为双人间，护理员与参保人员按1∶5的比例配备。</p><p style="text-indent: 2em; text-align: left;">如此“豪华”的养老区域，是否价格不菲？林艳茹说，实际上住在二楼的人员绝大多数家境困难，能够享受这样的服务，全因他们是医疗照护保险的参保人员。</p><p style="text-indent: 2em; text-align: left;">“我在这住了10年了，每月花费都在2000元以上，入保险以后，自己仅需承担700元?！卑咸?，更令她欣喜的是，自从有了这个保险，养老院中的护理项目进一步增加，每天刷牙、洗头、洗脚、按摩等服务更细致、全面了。“我老了，但我明白，这都是党和政府给的?！卑咸?。</p><p style="text-indent: 2em; text-align: left;">为解决失能人员的日常照料和医疗护理难题，吉林省政府确定松原市为试点城市，全面推进医疗照护保险制度。自去年6月启动实施以来，松原市已有40多位失能人员成为这项制度的受益者。</p><p style="text-indent: 2em; text-align: left;"><strong>起初排斥，如今双赢</strong></p><p style="text-indent: 2em; text-align: left;"><strong>失能人员负担小了，养老机构效益好了</strong></p><p style="text-indent: 2em; text-align: left;">试点推行工作并非一帆风顺。</p><p style="text-indent: 2em; text-align: left;">“起初，市人社局、医保局的工作人员找到我们，希望我们养老院能够成为医护险试点机构时，我们的第一反应是排斥?！被叵肫鸺父鲈虑暗那榫?，林艳茹有些不好意思。</p><p style="text-indent: 2em; text-align: left;">林艳茹告诉记者，他们的顾虑主要有两个方面。首先，作为民营的养老机构，长期已经形成了自负盈亏的经营模式，“政府买单？总觉得不大可能?！绷盅奕闼?，照护失能人员，本身就会产生不小的开销，而且养老院的失能人员很多都是长期无业，并无医保挂靠单位?！白钪匾氖牵搅普栈けＯ帐缘慊沟谋曜己芨?，我们要达标就要加大投入改善设施?！绷盅奕憬樯埽笔贝蠹叶允缘愫竽芊窕竦镁没乇?，心里都没底。</p><p style="text-indent: 2em; text-align: left;">松原市医保局局长林泓伟说，为了打消养老机构的顾虑，医保局工作人员多次来到养老院，反复进行政策解读，并多次带领机构人员前往做得好的城市试点机构参观学习。</p><p style="text-indent: 2em; text-align: left;">“我们渐渐发现，这件事对失能人员和机构绝对是一件双赢的事儿?！绷盅奕闼?，不少失能人员在入保险后，经济负担大幅减少，而养老机构的经济效益也会攀升。</p><p style="text-indent: 2em; text-align: left;">为加大政策推进力度，松原市医保局制作了《松原市失能人员长期医疗照护保险》宣传册，在全市养老机构发放。在这本小册子内，医保局以问答形式对17个问题进行了解读，甚至对尿不湿、一次性鼻导管等保险内的用品都明确到位，口腔护理等项目更是精确到了每日次数。</p><p style="text-indent: 2em; text-align: left;">今年42岁的石晓光是个聋哑人，神智也不稳定，今年过年回家时，她几天都不吃不喝?！罢厶诘梦颐且患叶济还媚?。”母亲李春杰说，年后，他们将晓光送回笑馨养老院。刚一进门见到穿白大褂的护理员，晓光就一头扎进护理员的怀里，哈哈乐个不停?！八前颜獾背杉伊??！崩畲航芩?，她照顾女儿一辈子，自己老了，有时做梦都在担忧女儿的后半生该如何度过。“现在养老院特意将我们娘俩儿安排在一个护理病房内，每天守着女儿，我知足了?！崩畲航苎壑泻?。</p><p style="text-indent: 2em; text-align: left;"><strong>符合实际，确定标准</strong></p><p style="text-indent: 2em; text-align: left;"><strong>资金由医?；鸹?，用人单位和个人暂不需单独缴费</strong></p><p style="text-indent: 2em; text-align: left;">“虽然不少大城市都已推行了医疗照护保险制度，但这些经验对松原这样的中小城市不一定完全适用?！彼稍腥松缇指本殖ぱ钪宜担妨⒁惶追现行〕鞘惺导是榭龅囊搅普栈けＯ罩贫仁圃诒匦?。</p><p style="text-indent: 2em; text-align: left;">“资金是难题，筹资渠道必须符合实际情况?！毖钪医樯埽锤吹餮?，松原采取了调整基本医保统筹基金和个人账户结构的方式筹集资金，用人单位和个人暂不需要单独缴费。参加城镇职工基本医疗保险的，在参保人员缴费到账的同时，由医保基金按比例划转。</p><p style="text-indent: 2em; text-align: left;">由于2016年是制度运行的第一年，市里决定从城镇基本医疗保险统筹基金历年可用结余中一次性划拨10%，作为启动资金，以保证试点工作顺利展开。</p><p style="text-indent: 2em; text-align: left;">此外，松原根据实际情况，最终确定了支付标准：对入住试点机构的参保人员所产生的护理费用，不设起付线。参保人员中，职工补偿比例为80%，居民为70%。</p><p style="text-indent: 2em; text-align: left;">“以一位普通居民为例，一个月的照护费用大概为3000元，参保后他个人仅需承担不到1000元?！绷帚八?，这样设立标准，符合松原这座城市的实际情况。</p><p style="text-indent: 2em; text-align: left;">“这是一种理念上的转变，养老机构以私营为主，原来各家有各家的标准和档次，我们并不直接管理。”林泓伟认为，确立医疗照护险试点后，标准要统一，这对管理部门的职能转变有促进作用?！跋衷谖颐潜纫郧懊Χ嗔?，去年就多次邀请省内养老护理专家对机构人员进行培训?！绷帚八?。</p><p style="text-indent: 2em; text-align: left;">“在失能人员中，老年人占据了绝大部分。”杨忠坦言，不少失能老人受居家养老观念影响颇深，再加上对政策并不了解，目前全市范围内实际享受制度福利的老人并不多?！岸?，参保人员需要经过比较严格的医疗审核，因此有些人认为这项制度的‘门槛’不低?！毖钪医樯?，目前松原市第二批参保人员申报正在进行，申报人数已有大幅增加?！敖衲辏颐且┐笮?，提升社会参保意识，让更多失能老人走出‘家门’！”杨忠说。</p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：医疗照护险失能老人养老</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2016-12-15/1217900.shtml">护理险：亲人缓口气，医院腾点地</a></li> </ul> </div>  <div id="i2i2jyu4k" class="advContent"><div style="height:40px"></div><script charset="gbk" src="http://p.tanx.com/ex?i=mm_58500226_6900940_24396084"></script></div>  <h1 class="pv_title_2 mt_55"><a href="/tsyx/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" 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