Study on Health Effect and Health Equity of Long-term Care Insurance Pilot Policy in China
DOI:
https://doi.org/10.54097/ajmss.v2i3.8933Keywords:
Long-term Care Insurance, Health Effect, Health EquityAbstract
Long-term care insurance (LTCI) is an important measure to actively cope with the aging population in China. In this paper, CHARLS data is used to study the health effects of pilot policies of LTCI through DID model and PSM-DID model, and Dagum Gini coefficient is used to analyze the sources of differences in health equity between urban and rural areas. Results show that the implementation of LTCI has an improvement effect on self-reported health status, but the results after propensity score does not significantly support the conclusion of the improvement effect. In addition, the health inequality mainly comes from the internal differences respectively existed in urban and rural areas, and the difference in self-reported health status of the elderly in the treatment group is more obvious. Therefore, future institutional design should focus on policy coverage of the population and improving services.
Downloads
References
GUO Q, WU Z, “Long-term care demand prediction and cost estimation of disabled elderly based on Markov model”, Chinese Journal of Health Statistics, 2021, Vol. 38(06), p870-873.
SUN J, “Research on China's Long-Term Care Insurance Policy from the Perspective of Active Aging--Comparative Analysis based on Pilot Cities”, Shandong University, 2021.
HUGHES S L, MANHEIM L M, EDELMAN P L, et al, “Impact of long-term home care on hospital and nursing home use and cost”, Health services research, 1987, Vol. 22(1), p19.
YASUTAKE T, TAKASHI W, KEMMYO S, et al, “Effects of a community-based program for oral health and nutrition on cost-effectiveness by preventing disability in Japanese frail elderly: a quasi-experimental study using propensity score matching”, Journal of the American medical directors association, 2017, Vol. 18(8), p678-685.
WANG Z, FENG J, “The Substitution Effect of Long-Term Care Insurance on Health Expenditure and Comparison of Different Compensation Modes”, China Economic Quarterly, 2021, Vol. 21(02), p557-576.
LIU H, HU T, “Policy Effect of Long-Term Care Insurance from the Perspective of Medical Compensation and Health Insurance Equity”, Scientific Research on Aging, 2022, Vol. 10(02), p37-53.
YANG H, CHEN H, “Regional Difference and Convergence of Equalization of Basic Public Services in Urban and Rural Areas in China”, Journal of Quantitative & Technological, 2020, Vol. 37(12), p127-145.
MA C, GU H, LI J, “A study on the rural-urban disparities of healthcare in China-Evidence from counterfactual analysis”, Economist, 2012, Vol. (12), p10.
