泡沫之夏
《关于做好长期护理保险支付管理工作的指导意见》的政策解读_我的网站
一 | 为深入贯彻落实党中央、国务院关于加快建立长期护理保险制度的重大决策部署，建立适配群众需求、符合长期护理保险特点与市场发展要求的支付管理机制，近日，国家医疗保障局印发了《关于做好长期护理保险支付管理工作的指导意见》(以下简称《指导意见》)，现对有关内容解读如下。 The year 2026 marks the 70th anniversary of the establishment of diplomatic relations between China and Egypt, as well as the 70th anniversary of diplomatic relations between China and Arab states.
A recent survey on "How Chinese people view Egypt" conducted by the Global Times Institute found that Egypt's ancient civilization has left a deep impression on the Chinese public.
Most respondents view Egypt as a friendly country or strategic partner, hold optimistic expectations for the future development of China-Egypt relations and strongly support deeper cooperation. Chinese and Egyptian experts said that Chinese people's favorable impressions of Egypt are rooted in both historical and current factors.
The mutual respect and appreciation between China and Egypt for each other's civilizations and cultures, as well as practical cooperation between the two countries in various fields, have promoted the development of China-Egypt relations and shaped positive views of Egypt among Chinese people.
The survey was conducted from July 16 to 28 among ordinary people aged 18 to 69 across 31 provincial-level regions.
A total of 1,845 valid questionnaires were collected, with sample support provided by professional market research company DATA 100.
The data was weighted based on the gender and age structure of internet users in the 57th Statistical Report on China's Internet Development released by the China Internet Network Information Center in February 2026.
China-Egypt exchanges and cooperation have been active in multiple fields. In recent years, the two countries have held a variety of events, including cultural weeks, film festivals, cultural relic exhibitions and photo exhibitions, expanding people-to-people and cultural exchanges that have been warmly welcomed by people from both countries.
Survey data shows that 85 percent of Chinese respondents have some degree of understanding of Egypt, including about 40 percent who are "very familiar" or "relatively familiar" with Egypt, while more than 40 percent have some basic knowledge of the country. The Global Times Institute conducted an in-depth study of the 1,845 respondents who had knowledge of Egypt.
China and Egypt are both among the world's four ancient civilizations. Egypt's ancient civilization heritage has left the deepest impression on Chinese respondents. When mentioning Egypt, 66 percent of respondents first thought of iconic elements of ancient civilization such as the pyramids, pharaohs, mummies and the Sphinx, while 39 percent associated Egypt with its status as an ancient civilization. Some respondents also thought of natural landscapes such as the Nile River (30 percent), the Suez Canal (20 percent), and the Red Sea/the Mediterranean Sea (8 percent).
Egypt is not only a member of the African Union (AU), but also a founding member of the UN and holds other important international identities. In 2024, it officially joined the BRICS cooperation mechanism.
Regarding Egypt's multiple international roles, nearly 80 percent of respondents were able to correctly identify at least one of them. Among these, respondents showed relatively high awareness of Egypt's role as a core leading country of the League of Arab States, a BRICS member and a major AU country, with recognition rates all exceeding 30 percent.
In addition, more than 20 percent of respondents recognized Egypt's identity as a full member of the Organization of Islamic Cooperation and as a member of the Global South. As a founding member of the Arab League, Egypt has in recent years actively participated in ceasefire mediation, humanitarian aid coordination and dialogue efforts on Middle East hotspot issues such as the Gaza situation. More than 60 percent of respondents recognized Egypt's positive role in these efforts.
Mira Ahmed, an Egyptian literary translator and a member of the World Council of Sinologists, told the Global Times that the high level of recognition of Egypt's ancient civilization among the Chinese public reflects the profound historical and cultural ties between the two countries.
Both countries possess ancient civilizations spanning thousands of years and have made important contributions to the development of human civilization. In addition, the Egyptian and Chinese peoples have long had an understanding of each other's civilizations, with ancient civilizations serving as a common language between the two peoples and an important window for learning about each other's history and culture.
Therefore, Chinese people's association of Egypt as "an ancient civilization" reflects the Chinese public's respect and admiration for the country's historical and cultural status.
Friendly country, strategic partner
China and Egypt established diplomatic relations in 1956, with Egypt becoming the first Arab and African country to establish diplomatic ties with the People's Republic of China. Nearly 90 percent of respondents gave positive or neutral evaluations of current China-Egypt relations. Among them, 63 percent said China-Egypt relations are "very good" or "relatively good."
What kind of role does Egypt play for China in the eyes of the Chinese public? Data shows that more than 70 percent of respondents regard Egypt as a "friendly country" or "strategic partner." In December 2014, China and Egypt officially established a comprehensive strategic partnership, and nearly 90 percent of respondents agreed that this was important for China.
When asked about the future of China-Egypt relations, nearly 70 percent of respondents expressed optimistic expectations, while more than 20 percent believed the relationship would remain unchanged.
From a historical perspective, first, then Chinese Premier Zhou Enlai's extensive interactions with then Egyptian leader Gamal Abdel Nasser at the 1955 Bandung Conference helped eliminate misunderstandings among Arab countries about China. This contributed to Egypt becoming the first Arab country to establish diplomatic relations with the People's Republic of China in 1956 and also triggered the first wave of Arab countries to establish diplomatic relations with China. Second, during Egypt's struggle for rights over the Suez Canal, China provided substantial support for Egypt's pursuit of national independence, liberation and interests. Third, during the 1950s and 1960s, China and Egypt jointly opposed imperialism, colonialism and hegemonism, while participating in efforts to promote the rise of the Third World as a new force in international politics. Their historical interactions left a profound impression on both sides, forging a deep friendship between the two countries.
From a contemporary perspective, since the beginning of reform and opening-up, especially since the start of the new era, practical cooperation between China and Egypt in various fields has promoted the development of China-Egypt relations and shaped positive views of Egypt among the Chinese public, Liu said.
Mira Ahmed pointed out that Chinese people's favorable impression of Egypt generally reflects the positive development of China-Egypt relations. The relationship between the two countries is not limited to political and economic fields, but also covers culture, education, tourism and people-to-people exchanges. Most importantly, both sides hold mutual respect and appreciation for each other's civilizations and cultures, laying a solid foundation for the continued development of bilateral relations in the future.
Pragmatic and diversified cooperation
Since the beginning of 2026, China and Egypt have signed and implemented a number of industrial parks, and cooperation has accelerated its expansion into new energy. Concrete results have also been achieved in areas such as the automotive industry, finance and currency, urban infrastructure, and cultural heritage and archaeology.
More than 80 percent of respondents have some knowledge of China-Egypt cooperation. Among various cooperation frameworks and projects, more than half of respondents are aware of Egypt's participation in the Belt and Road Initiative, and 32 percent of respondents know about Chinese-built infrastructure projects in Egypt such as light rail and roads. In addition, some respondents are also aware of China-Egypt cooperation in the cultural sphere, such as Confucius Institutes, as well as the production and sales cooperation of Chinese-brand mobile phones, home appliances and automobiles in Egypt.
More than 80 percent of respondents believe that, since the establishment of diplomatic relations, cooperation between the two countries has been effective. Moreover, 99 percent of respondents believe that China and Egypt should further deepen cooperation in the future, including in tourism and people-to-people exchanges, green development and new energy, agricultural products, food supply chains, economy and trade, and investment.
More than 90 percent of respondents look forward to advancing cooperation in people-to-people and social exchanges between the two countries in the future. When asked, "If Egypt introduces more convenient Chinese-language services and payment methods for Chinese tourists, would you increase your willingness to travel to Egypt?" more than 70 percent of respondents answered affirmatively. At the same time, more than 70 percent of respondents welcome more Egyptian people to come to China for tourism, study or business activities.
Mira Ahmed believes that the poll results reflect that China-Egypt cooperation has become pragmatic and diversified, transcending purely political or diplomatic relations. "I believe one of the most important features of this cooperation is complementarity. Egypt and China both possess capabilities and expertise that can complement each other, thereby opening up broad prospects for deeper and more sustainable cooperation in the future."
Future cooperation in global governance expected
In recent years, the international situation has been changing rapidly, with conflicts in the Middle East and prominent problems in global supply chains. As a country in a conflict region, Egypt has actively mediated to help de-escalate the situation. China has actively promoted peace talks and facilitated world peace and development.
More than 90 percent of respondents believe that China and Egypt need to cooperate in the field of global governance in the future. Among them, the largest proportion of respondents (37 percent) look forward to China and Egypt jointly safeguarding the security of shipping in the Red Sea and the Suez Canal. Thirty-five percent of respondents hope that China and Egypt will work together to maintain security and stability in the Middle East and jointly promote the peaceful resolution of the Palestine-Israel issue and the Iran-Israel issue.
Furthermore, 33 percent of respondents hope that China and Egypt will jointly speak up for the Global South on platforms such as BRICS and the UN, and 31 percent of respondents look forward to China and Egypt jointly participating in global poverty reduction in the future.
Liu believes that China and Egypt, both being Global South countries, can cooperate at multiple levels in the field of global governance. First is cooperation between China and the Arab world, particularly within the framework of the China-Arab States Cooperation Forum mechanism, across political, economic, cultural and other fields.
Second, Egypt, the United Arab Emirates and Iran are Global South countries in the Middle East that have joined the BRICS cooperation mechanism in recent years. China and these Middle Eastern countries under the BRICS mechanism all have extensive space for cooperation.
Third, within multilateral mechanisms, including the UN, Egypt is an important partner for China in further solidifying and deepening the implementation of the four global initiatives worldwide. In addition, in the fields of peace, security, development and governance in the Middle East, China and Egypt also have extensive room for cooperation.
China and Egypt should strengthen communication and coordination on hot issues in the Middle East and work to resolve issues related to security and development in the region, Liu said.
。 一、《指导意见》出台的背景是什么？ 加快建立长期护理保险制度，是党中央、国务院为应对人口老龄化、健全社会保障体系作出的重大决策部署。长期护理保险支付管理是保障参保人员享受优质服务、维护基金安全平稳运行的关键环节，对长期护理服务市场健康发展具有重要牵引作用。随着长期护理保险制度逐步发展，各地在前期探索中已初步形成符合本地实际的长期护理保险支付管理机制，但在支付范围、支付方式、支付标准管理等方面仍存在差异，一定程度上影响群众公平享受待遇，也难以有效引导长期护理服务市场规范发展。 在总结各地试点经验的基础上，经商财政部，国家医疗保障局出台《指导意见》，对长期护理保险支付管理工作作出统一规范，进一步发挥长期护理保险基金战略购买作用，切实保障长期护理保险待遇享受人员基本照护需求，激励引导长期护理服务市场健康发展，提升长期护理保险基金使用效率，促进长期护理保险制度高质量发展。 二、制定《指导意见》的总体考虑是什么？ 《指导意见》研究制定过程中，始终坚持以人民为中心的发展思想，以保障群众基本需求为出发点，注重与长期护理保险制度相适配，切实发挥长护险基金支付的牵引作用。 总体考虑：一是坚持保障基本。坚持尽力而为、量力而行，严格规范长期护理保险基金支付范围。
二 | 坚持以收定支、收支平衡，强化预算管理，确保长期护理保险基金安全高效运行。 二是坚持科学易行。适应长期护理保险服务供给特点，按照科学合理、易行高效的原则，明确长期护理保险支付方式。评估服务以按人次付费为主，护理服务以按时长付费为主，区分不同服务类型合理确定时长付费单元。 三是坚持规范管理。
三 | 科学编制长期护理保险基金年度预算，加强预算绩效管理，建立基金运营监控和风险防范机制；加强服务质量评价，引导规范服务行为，推动长期护理服务市场良性有序竞争。 三、《指导意见》的主要内容是什么？ 《指导意见》着眼于当前长期护理保险全面建制的整体形势，对长护支付管理的相关政策和核心要素进行了梳理明确，主要内容共分为七个部分，具体包括： 第一部分为总体要求，明确了《指导意见》制定的重要意义、指导思想与总体原则。第二部分为明确支付范围，规定长期护理保险基金原则上按规定支付定点机构提供的评估费用、服务费用，以及依法依规引入社会力量参与经办管理服务产生的费用，并明确了上述三类费用支出的基本原则。第三部分为规范支付方式，明确评估服务以按人次付费为主，护理服务以按时长付费为主，同时区分居家、机构、社区三种不同服务类型，合理确定时长计费单元。第四部分为合理确定支付标准，要求综合考量长期护理保险基金支撑能力、参保人员基本保障需求与长期护理服务供给情况，合理确定护理服务、评估服务的支付标准并坚持动态调整。第五部分为严格基金管理和监督，明确了基金预算管理、支付费用审核拨付管理、基金监督管理等方面的要求，保障参保人员合法权益。第六部分为加强服务质量评价，要求建立健全定点长护服务机构服务质量评价机制和费用控制激励约束机制，将评价结果与费用支付、协议续签等挂钩，引导相关机构规范服务行为。第七部分为强化组织保障，明确了各级医疗保障部门的职责要求，设置政策过渡期，保障现有试点地区实现平稳过渡，并要求做好政策宣传解读工作，及时总结推广典型经验。 四、《指导意见》对地方医保部门抓好工作落实有哪些要求？ 《指导意见》要求各地在总结试点经验的基础上，做好与现行长期护理保险支付管理工作的衔接，发挥长期护理保险基金支付的牵引作用，赋能长护相关行业、产业高质量发展。各统筹地区结合本地经济社会发展水平、基金承受能力等因素，科学制定护理服务支付标准并动态调整。要求原有试点地区应当利用3年左右时间逐步完成过渡，确保参保群众待遇稳定衔接。
四 | (国家医疗保障局网站) 【编辑:梁异】。
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