» Articles » PMID: 37312092

Does Long-term Care Insurance Reduce the Disability Among Middle-aged and Older Adults? Evidence from China

Overview
Publisher Biomed Central
Specialty Public Health
Date 2023 Jun 13
PMID 37312092
Authors
Affiliations
Soon will be listed here.
Abstract

This study aimed to examine whether the implementation of Long-Term Care Insurance (LTCI) policy could reduce the disability among middle-aged and older adults in China, and to test the heterogeneity of the effects. Data came from four waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011 to 2018). The Difference-In-Differences (DID) method and the panel data fixed effect model were used to estimate the effect of implementation of LTCI policy on disability among individuals aged 45 years and above. The LTCI policy had a positive impact on reducing disability among middle-aged and older people. Females, younger adults, city dwellers, and individuals living alone benefited the most from LTCI policy. The results provided empirical evidence for the implementation of LTCI policy in China and other similar countries as China. The implementation of LTCI policy should also pay more attention to inequity of the effects on reducing disability among different demographic groups.

Citing Articles

The impact of long-term care insurance on the health status and healthcare expenditure of older adults in China.

An R, Xiu S, Yang X, Wang S Front Psychiatry. 2025; 15:1514603.

PMID: 39872431 PMC: 11770830. DOI: 10.3389/fpsyt.2024.1514603.


Can long-term care insurance prevent worsening of frailty among older Chinese adults? A difference-in-differences study based on CHARLS data.

Hu Y, Liu Y, Feng T Heliyon. 2024; 10(18):e37074.

PMID: 39315241 PMC: 11417251. DOI: 10.1016/j.heliyon.2024.e37074.


Effect of long-term care insurance on medical expenditure and health status: National cohort study.

Yin S, Chen W, Jia C, Yao Y, Yao L Arch Public Health. 2024; 82(1):152.

PMID: 39267147 PMC: 11391772. DOI: 10.1186/s13690-024-01388-0.


The effect of long-term care insurance on women's health outcomes in China: evidence from a disability inclusion action.

Jiang W, Yang H BMC Public Health. 2024; 24(1):2262.

PMID: 39164684 PMC: 11337582. DOI: 10.1186/s12889-024-19800-3.

References
1.
Pan C, Kelifa M, Liang J, Wang P . Joint trajectories of disability and related factors among older adults in China. Public Health. 2021; 199:96-102. DOI: 10.1016/j.puhe.2021.08.018. View

2.
Wang Q, Zhou Y, Ding X, Ying X . Demand for Long-Term Care Insurance in China. Int J Environ Res Public Health. 2017; 15(1). PMC: 5800106. DOI: 10.3390/ijerph15010006. View

3.
Wolf D, Freedman V, Ondrich J, Seplaki C, Spillman B . Disability Trajectories at the End of Life: A "Countdown" Model. J Gerontol B Psychol Sci Soc Sci. 2015; 70(5):745-52. PMC: 4635644. DOI: 10.1093/geronb/gbu182. View

4.
Zhu Y, Osterle A . Rural-urban disparities in unmet long-term care needs in China: The role of the hukou status. Soc Sci Med. 2017; 191:30-37. DOI: 10.1016/j.socscimed.2017.08.025. View

5.
Fan H, Wang Y, Gao J, Peng Z, Coyte P . The Effect of a Long-Term Care Insurance Program on Subjective Well-Being of Older Adults with a Disability: Quasi-Experimental Evidence from China. J Appl Gerontol. 2022; 42(3):438-446. DOI: 10.1177/07334648221138282. View