Research on the Standardization of Legal Regulation of Integrated Medical and Elderly Care Services under the Long-Term Care Insurance System
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Abstract
The integration of long-term care insurance with medical-elderly care services has created an urgent need for standardized legal regulation of service supply, quality evaluation, and institutional coordination. This study addresses current difficulties in the standardization of integrated medical and elderly care services, including insufficient regulatory supply and weak institutional organization. A comprehensive method combining normative analysis, comparative research, and empirical investigation is adopted. First, 47 national policy documents issued from 2013 to 2024 are analyzed to examine existing standards across service content, service processes, staffing, facilities, and quality evaluation, identifying problems such as missing, conflicting, and ambiguous standards. Second, the legislative models and implementation mechanisms of the United States, Japan, and Germany under long-term care insurance frameworks are compared, and key experiences such as legislation-first governance and classified, graded standards are summarized. Finally, an empirical survey of 2,302 elderly people receiving long-term care insurance services in Pudong New Area, Shanghai, reveals structural bias in service utilization, with overemphasis on daily living care and insufficient medical care.
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References
J. Höglander, K. Holmström I, A. Lövenmark, et al., “Registered nurse-patient communication research: An integrative review for future directions in nursing research,” Journal of advanced nursing, vol. 79, no. 2, pp. 539-562, 2023, doi: 10.1111/jan.15548.
D. Wilkinson, S. Bertaud, A. Mancini, et al., “Recognising uncertainty: an integrated framework for palliative care in perinatal medicine,” Archives of Disease in Childhood-Fetal and Neonatal Edition, vol. 110, no. 3, pp. 236-244, 2025, doi: 10.1136/archdischild-2024-327662.
K. McNabney M, R. Green A, M. Burke, et al., “Complexities of care: common components of models of care in geriatrics,” Journal of the American Geriatrics Society, vol. 70, no. 7, pp. 1960-1972, 2022, doi: 10.1111/jgs.17811.
E. Ben-Arye, Y. Tapiro, R. Baruch, et al., “Integrative oncology for palliative care nurses: pre-post training evaluation,” BMJ Supportive & Palliative Care, vol. 14, no. 2, pp. 178-182, 2024, doi: 10.1136/spcare-2022-004117.
S. Isobel and M. Thomas, “Vicarious trauma and nursing: An integrative review,” International Journal of Mental Health Nursing, vol. 31, no. 2, pp. 247-259, 2022, doi: 10.1111/inm.12953.
F. Aydogdu A L, “Challenges faced by nurse managers during the COVID-19 pandemic: an integrative review,” Journal of research in Nursing, vol. 28, no. 1, pp. 54-69, 2023, doi: 10.1177/17449871221124968.
T. Konishi, H. Inokuchi, and H. Yasunaga, “Services in public long-term care insurance in Japan,” Annals of Clinical Epidemiology, vol. 6, no. 1, pp. 1-4, 2024, doi: 10.37737/ace.24001.
M. Takahashi, “Insurance coverage, long-term care utilization, and health outcomes,” The European Journal of Health Economics, vol. 24, no. 8, pp. 1383-1397, 2023, doi: 10.1007/s10198-022-01550-x.
H. Song E, S. Moon Y, H. Park J, et al., “Current status of public long-term care insurance services and future perspective: a questionnaire survey and National Health Insurance Service data of South Korea,” Journal of the Korean Neurological Association, vol. 42, no. 1, pp. 1-12, 2024, doi: 10.17340/jkna.2023.0100.
M. Fuino, A. Ugarte Montero, and J. Wagner, “On the drivers of potential customers’ interest in long-term care insurance: Evidence from Switzerland,” Risk Management and Insurance Review, vol. 25, no. 3, pp. 271-302, 2022, doi: 10.1111/rmir.12218.
W. Goodrich G and M. Lazenby J, “Elements of patient satisfaction: An integrative review,” Nursing open, vol. 10, no. 3, pp. 1258-1269, 2023, doi: 10.1002/nop2.1437.
C. Forde-Johnston, D. Butcher, and H. Aveyard, “An integrative review exploring the impact of Electronic Health Records (EHR) on the quality of nurse-patient interactions and communication,” Journal of advanced nursing, vol. 79, no. 1, pp. 48-67, 2023, doi: 10.1111/jan.15484.
F. Aydogdu A L, “Ethical dilemmas experienced by nurses while caring for patients during the COVID-19 pandemic: an integrative review of qualitative studies,” Journal of Nursing Management, vol. 30, no. 7, pp. 2245-2258, 2022, doi: 10.1111/jonm.13585.
N. Davison S, W. Pommer, A. Brown M, et al., “Conservative kidney management and kidney supportive care: core components of integrated care for people with kidney failure,” Kidney international, vol. 105, no. 1, pp. 35-45, 2024, doi: 10.1016/j.kint.2023.10.001.
C. Robichaux, P. Grace, J. Bartlett, et al., “Ethics education for nurses: foundations for an integrated curriculum,” Journal of Nursing Education, vol. 61, no. 3, pp. 123-130, 2022, doi: 10.3928/01484834-20220109-02.