长期护理保险作为守护失能群体的一项制度，其落地成效离不开服务供给、人才支撑、监管保障等协同 发力。山西晋城、江苏南京、浙江宁波、山东青岛等地的实践案例，生动展现了制度落地过程中，供 给、人才、监管发挥的重要作用，印证了好制度需多维协同的逻辑。 拓展服务供给是制度落地的基础。青岛整合基层医疗机构资源，将服务延伸至乡村，能提供居家上门服 务的机构占比近九成；宁波明确机构准入要求，构建区县和街道两级管理体制；晋城推动定点机构与医 院联动，在硬件、床位数、人员数、制度和系统等方面都有具体要求，三地均以多元供给破解服务可及 性难题。通过提供充足且规范的服务载体，持续完善供给网络，让失能群体感受政策温度。 加强人才队伍建设是制度落地的关键。宁波通过系统培训与技能大赛培育专业护理员；青岛推进长期照 护师职业认定，吸引年轻人加入，努力破解"没人干、干不好"的困境；南京通过以赛促学、促训，形成 了特色人才培育模式。但部分地区护工年龄偏大、人员缺口较大的问题也提醒我们，需进一步完善薪酬 激励与职业发展体系，让护理岗位有吸引力、有成长性。 《 人民日报 》（ 2025年12月03日 12 版） (责编：岳弘彬、牛镛) 强化全链条监 ...

Core Points - The National Healthcare Security Administration (NHSA) issued the "National Long-term Care Insurance Service Project Directory (Trial)" on September 25, which mandates strict adherence to the directory for new long-term care insurance regions [1] - The directory includes a total of 36 service items categorized into daily living care and medical care, with 20 items under daily living care and 16 items under medical care [3] - NHSA plans to explore the inclusion of intelligent services and supportive assistive devices related to long-term care into the payment scope at the national level [5] Summary by Category Service Items - The directory specifies 36 service items, divided into two main categories: daily living care and medical care [3] - Daily living care includes 20 items aimed at assisting individuals in maintaining basic living abilities, covering areas such as dietary care, hygiene, and safety monitoring [3] - Medical care consists of 16 items, including general nursing, basic care, specialized care, and rehabilitation services [3] Implementation Guidelines - New regions implementing long-term care insurance must strictly follow the directory and cannot arbitrarily adjust or change the service scope [1] - Existing pilot cities with their own long-term care service project directories are required to align with the national directory within approximately three years [1]

Core Points - The National Healthcare Security Administration (NHSA) issued the "National Long-term Care Insurance Service Project Directory (Trial)" on September 25, 2023, which outlines the services that must be provided to insured individuals in regions that have newly implemented long-term care insurance [1] - Existing pilot cities with established long-term care service project directories are required to align their original directories with the new national directory within approximately three years [1] - The directory includes a total of 36 service items, categorized into daily living care and medical care, with 20 items under daily living care and 16 items under medical care [1] Summary by Category Long-term Care Insurance Implementation - New regions implementing long-term care insurance must strictly adhere to the "Long-term Care Service Project Directory" and cannot arbitrarily adjust or change the service scope [1] - Pilot cities must ensure their existing directories are mapped to the new national standards within a three-year timeframe [1] Service Project Directory Details - The directory consists of 36 service items, divided into two main categories: - Daily living care includes 20 items such as dietary care, toileting care, hygiene care, dressing assistance, functional maintenance, symptomatic care, vital signs monitoring, and safety care [1] - Medical care includes 16 items related to basic medical care services closely associated with daily living support, including general examination care, basic care, specialized care, and rehabilitation [1]