北京正在通过长护险与康复辅具租赁的联动试点，为无电梯老旧楼房中的失能老人提供爬楼机出行服务1。截至2025年底，北京常住老年人口已达528.8万，占总人口的近四分之一1。其中，石景山区作为试点区域，2026年度长护险参保人数43.9万人，累计享受待遇人数6663人1。右内西街社区养老驿站的爬楼机服务日均接单2至3次，高峰期达4至5次1，初步显示了这一服务的需求潜力。
目前制约爬楼机服务推广的因素较多。北京市场化爬楼机服务单次收费普遍在150元至200元之间，而驿站定价仅为3层及以下40元1，价格差异反映出成本与补贴的压力。楼道狭窄、人力紧缺、成本倒挂、风险保障缺失等问题也在制约推广1。
其他地区的探索提供了参考。山东滨州将爬楼机等36类70种辅具纳入长护险支付范围，截至2025年8月底已有1432名失能人员累计租赁2898次，节省购买资金822.65万元1。江苏南通在照护保险中增加上下楼运送服务，单次仅需自付5元；上海徐汇区老人每次使用爬楼机仅需2元1。业内认为，需要通过政策创新和专业化运营实现北京试点的破局1。
Beijing is piloting a program that combines long-term care insurance with rental services for stair-climbing devices to help mobility-impaired seniors navigate aging residential buildings without elevators.1 The initiative, now underway in districts including Shichangshan, shows early promise but faces obstacles such as narrow stairwells, labor shortages, cost pressures, and gaps in risk coverage that threaten broader expansion.1
The scale of need is substantial. Beijing's permanent elderly population has reached 528.8 million as of the end of 2025, accounting for nearly one-quarter of the city's total population.1 In Shichangshan alone, 439,000 residents are enrolled in the long-term care insurance program for 2026, with 6,663 having accessed benefits to date.1 The Right Inner West Street community care station operates its stair-climbing service an average of two to three times daily, rising to four or five times during peak periods.1
Pricing structures vary significantly across providers. Commercial stair-climbing services in Beijing typically charge between 150 and 200 yuan per use, while community care stations have set rates at 40 yuan for climbs up to three floors.1 Other regions have achieved lower out-of-pocket costs through insurance integration: Jiangsu's Nantong incorporated stair transportation into its long-term care coverage at just 5 yuan per trip, and Shanghai's Xuhui District offers stair-climbing services to seniors for only 2 yuan per use.1 Shandong's Binzhou has integrated 70 assistive devices across 36 categories into its long-term care insurance, enabling 1,432 mobility-impaired individuals to complete 2,898 rentals by August 2025—saving approximately 8.2265 million yuan in equipment purchase costs.1
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