A Budget Proposal for China’s Public Long-Term Care Policy

Lu, Bei; Liu, Xiaoting; Yang, Mingxu

doi:10.1080/08959420.2016.1187058

Cited by 17 publications

(16 citation statements)

References 6 publications

(7 reference statements)

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“…Therefore, scholars rarely perform empirical studies on LTC financing; the majority has provided policy suggestions to improve the LTCI system in China [18]. Empirical studies of LTC demand fall into two main categories: measuring LTC cost using macro-data such as disability rates [19][20][21][22][23] and discussing LTC service trends using micro-data from field investigations in various cities, based on such surveys as CLHLS (Chinese Longitudinal Healthy Longevity Survey, Peking University), SSAPUR (Survey of the Aged Population in Urban/Rural China, China Research Center on Aging, CRCA), and CHRLS (China Health and Retirement Longitudinal Study, CHARLS, Peking University) [24][25][26][27][28]. Among them, Activities of Daily Life (ADL) was a very important and basic indicator for measuring disability levels, which is not an official classification.…”

Section: Previous Researchmentioning

confidence: 99%

Projection of Long-Term Care Costs in China, 2020–2050: Based on the Bayesian Quantile Regression Method

Chen

2019

Sustainability

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The aging population in China highlights the significance of elderly long-term care (LTC) services. The number of people aged 65 and above increased from 96 million in 2003 to 150 million in 2016, some of whom were disabled due to chronic diseases or the natural effects of aging on bodily functions. Therefore, the measurement of future LTC costs is of crucial value. Following the basic framework but using different empirical methods from those presented in previous literature, this paper attempts to use the Bayesian quantile regression (BQR) method, which has many advantages over traditional linear regression. Another innovation consists of setting and measuring the high, middle, and low levels of LTC cost prediction for each disability state among the elderly in 2020–2050. Our projections suggest that by 2020, LTC costs will increase to median values of 39.46, 8.98, and 20.25 billion dollars for mild, moderate, and severe disabilities, respectively; these numbers will reach 141.7, 32.28, and 72.78 billion dollars by 2050. The median level of daily life care for mild, moderate, and severe disabilities will increase to 26.23, 6.36, and 27 billion dollars. Our results showed that future LTC cost increases will be enormous, and therefore, the establishment of a reasonable individual-social-government payment mechanism is necessary for the LTC system. The future design of an LTCI system must take into account a variety of factors, including the future elderly population, different care conditions, the financial burden of the government, etc., in order to maintain the sustainable development of the LTC system.

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Section: Previous Researchmentioning

confidence: 99%

Projection of Long-Term Care Costs in China, 2020–2050: Based on the Bayesian Quantile Regression Method

Chen

2019

Sustainability

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“…Since the first day of their implementation, the performance of these LTCI pilots has received increasing attention from researchers and policy makers. Several studies addressed cost issues, including financial efficiency and expenditure projections . However, besides a balanced budget, meeting individuals' needs and improving access to LTC services are also key features of a successful LTCI.…”

Section: Introductionmentioning

confidence: 99%

China's policy experimentation on long‐term care insurance: Implications for access

Zhu

Österle

2019

Health Planning & Management

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Summary China's population is aging rapidly, while the traditional long‐term care (LTC) system that heavily relies on families is eroding. In response, China has embarked on a journey of policy experimentation for long‐term care insurance (LTCI) since 2016, launching LTCI pilots in 15 pioneer cities. These pilots have a great diversity in participation, eligibility, and provision. This paper estimates the prevalence of LTC needs and analyzes the impact of the LTCI pilots on access. Although substantial progress has been achieved, the overall coverage of LTCI is still relatively small, and a large proportion of vulnerable people needing LTC seem to be left behind because of the strict eligibility criteria. This analysis suggests that future policy experimentation on LTCI reform in China needs to address the following pressing policy issues: expanding the coverage of LTCI; narrowing rural–urban disparities in access; improving access for vulnerable subpopulations; and reducing the heavy reliance on institutional care.

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“…Nowadays, with the trend of longevity, many hospitals in China have already established geriatric department, but the long term care or short term care or home care are insufficient in our country and specialized care cannot be extensively provided for elderly patients [14,15]. Therefore they or their relatives have a phobia of being discharged from hospital to home directly.…”

Section: Discussionmentioning

confidence: 99%

Readmission Reasons of Senile Patients Hospitalized with Acute Decompensated Heart Failure in Different Department: A Retrospective Study

Zhao¹,

Jin²,

Sheng³

et al. 2019

Preprint

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Background -The readmission reasons for senile patients hospitalized in different wards with acute decompensated heart failure are not well known. Method -We conducted a retrospective study of senile patients admitted to the People’s Hospital of Sichuan Province in a one-year period. Patients suffered with heart failure were identified from the hospital administrative database. Chart reviews were carried out to explore 30-day readmission reasons. Descriptive statistics were utilized to compare the patients and hospital characteristics among different wards. Student’s t-test was used for normally distributed continuous variables, chi-square for categorical variables. Results -Of all the hospitalization cases (3922), 1316 patients with heart failure were rehospitalized, among which 893 were admitted to geriatric department. The readmission rate was 33.55%. The top 10 reasons for rehospitalization in geriatric department were AECOPD (18.5%), hypertension (15.5%), hypertensive heart disease (13.3%),pneumonia (10.5%), coronary artery disease(7.0%), acute coronary syndrome(11.3%), dementia (6.8%), PAD (3.25%), stroke (2.2%), cancer/valvular heart disease (1.4%).The top 10 reasons in other departments were stroke (32.5%), AECOPD (10.7%), pneumonia (10.0%), coronary artery disease(6.8%),CKD (5.9%), cancer(5.7%), hypertensive heart disease (4.8%), dementia (4.6%), valvular heart disease (3.3%), DCM (2.6%). Geriatric department tended to receive more senile patients than other wards, and had longer days of hospitalization(24.38±5.228 vs15.65±5.907), however, the cost among different wards was of no difference (31345.53±1343.354 vs 30868.49±2241.292). In terms of discharge disposition, 98.95% patients in geriatric department were discharged straight to home, ‘which was statistically higher than that of other wards (86.68%). Conclusion -This study shows the prevailing reasons for readmission of senile patients hospitalized with acute decompensated heart failure. Long term or short term care is summoned in China.

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A Budget Proposal for China’s Public Long-Term Care Policy

Cited by 17 publications

References 6 publications

Projection of Long-Term Care Costs in China, 2020–2050: Based on the Bayesian Quantile Regression Method

Projection of Long-Term Care Costs in China, 2020–2050: Based on the Bayesian Quantile Regression Method

China's policy experimentation on long‐term care insurance: Implications for access

Readmission Reasons of Senile Patients Hospitalized with Acute Decompensated Heart Failure in Different Department: A Retrospective Study

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