Effect of public long-term care insurance on consumption, medical care demand, and welfare

Ariizumi, Hideki

doi:10.1016/j.jhealeco.2008.07.008

Cited by 19 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 3 Following the recently proposed typology by Ariizumi (2008), the Dutch public insurance system can be characterized as a health‐based rather than a means‐tested programme. …”

mentioning

confidence: 99%

Sustainability of Comprehensive Universal Long‐term Care Insurance in the Netherlands

Schut

Berg

2010

Soc Policy Adm

View full text Add to dashboard Cite

The Netherlands was the first country that introduced a universal mandatory social health insurance scheme for covering a broad range of long-term care (LTC) services provided in a variety of care settings. Compared with most other OECD countries, both total and public expenditure on LTC is high, particularly since the Dutch population is relatively young. On the other hand, coverage of LTC services is relatively comprehensive. In this article we examine the past experiences, current deficiencies and future prospects of LTC financing in the Netherlands. By rationing of supply and tight budgetary restrictions, the government managed to effectively control the growth of LTC expenditure, but at the expense of growing waiting lists and deteriorating quality of care. Reform plans aim to make the LTC system more efficient and consumer-directed. We discuss whether the proposed reforms offer a perspective on a sustainable system of comprehensive LTC insurance. This is especially important in view of the ageing of the population and the expected increase in demand for LTC services. We conclude that the success of the reforms heavily depends on the definition of entitlements, the accuracy of needs assessment and the feasibility of determining appropriate client-based budgets.

show abstract

“…3 3 Following the recently proposed typology by Ariizumi (2008), the Dutch public insurance system can be characterized as a health‐based rather than a means‐tested programme. …”

mentioning

confidence: 99%

Sustainability of Comprehensive Universal Long‐term Care Insurance in the Netherlands

Schut

Berg

2010

Soc Policy Adm

View full text Add to dashboard Cite

show abstract

“…Second, environmental conditions influenced the depreciation rate of health capital and created an information asymmetry in health issues, which affected the unmet medical demand [ 19 ]. Third, health insurance changed residents’ willingness to pay for medical care [ 20 ], which also affected the needs and the unmet medical demand [ 21 ]. In addition, unmet medical demand was also related closely to education [ 22 ], aging [ 23 ], and social capital [ 18 ].…”

Section: Literature Reviewmentioning

confidence: 99%

The Unmet Medical Demand among China’s Urban Residents

Sheng

Zhang

2021

IJERPH

View full text Add to dashboard Cite

Our work aimed to build a reasonable proxy for unmet medical demands of China’s urban residents. We combined health demand modeling and stochastic frontier analysis to produce a frontier medical demand function, which allowed us to disentangle unmet medical demands from the unobservable effects. We estimated unmet medical demands by using China’s provincial dataset that covered 2005–2018. Our estimates showed that unmet medical demand at the national level was 12.6% in 2018, and regions with high medical prices confronted more unmet medical demands than regions with moderate or low medical prices during 2005–2018. Furthermore, medical prices and education were the main factors that affected unmet medical demand; therefore, policy making should pay more attention to reducing medical costs and promoting health education.

show abstract

“…Although the 'Long Term Care Insurance' article first appeared back in 1984 (Meiners&Tave.1984 [11]; Schechter,1984 [12]; Meiners&Trapnell,1984 [13]), but they simply put forward the concept of 'Long Term Care Insurance', and there were few studies on the subject over the next 25 years. It was not until 2008 that Brown & Finkelstein (2008) [14] first discussed the relationship between American public LTCI and private LTCI, and Ariizumi(2008) [15] first discussed the effect of public long-term care insurance on consumption and welfare, that the topic of long term care insurance began to attract the attention of a large number of scholars. Therefore, this paper takes 2008 as the starting point of research time.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Review of evolution of the public long-term care insurance (LTCI) system in different countries: influence and challenge

Chen

Zhang

2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (China Statistical Yearbook,2019), the elderly aged 65 or above has reached 167 million in 2018, and the number of disabled elderly is as high as 54%. Germany and other countries have alleviated the crisis by promoting the public LTCI (Long-Term Care Insurance) system since the 1990s, while China’s public LTCI system formal pilot only started in 2016. Therefore, the development of the public LTCI system has gradually become a hot topic for scholars in various countries, including China. Methods This review has been systematically sorted the existing related literature to discuss the development of public LTCI (Long-Term Care Insurance)system form four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, challenge of public LTCI, and the relationship between public LTCI and private LTCI. We searched some databases including Web of Science Core Collection, Medline, SCOPUS, EBSCO, EMBASE, ProQuest and PubMed from January 2008 to September 2020. The quality of 38 quantitative and 21 qualitative articles was evaluated using the CASP(Critical Appraisal Skills Programme) critical evaluation checklist. Results The review systematically examines the development of public LTCI system from four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, the challenge of public LTCI, and the relationship between public LTCI and private LTCI. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion Some policy implications on the future development of China’s LTCI system can be obtained. For example, the government should fully consider the constraints such as price rise, the elderly disability rate, and the substantial economic burden. It also can strengthen the effective combination of public LTCI and private LTCI. It does not only help to expand the space for its theoretical research but also to learn the experiences in the practice of the LTCI system in various countries around the world. It will significantly help the smooth development and further promote the in-depth reform of the LTCI system in China.

show abstract

Effect of public long-term care insurance on consumption, medical care demand, and welfare

Cited by 19 publications

References 13 publications

Sustainability of Comprehensive Universal Long‐term Care Insurance in the Netherlands

Sustainability of Comprehensive Universal Long‐term Care Insurance in the Netherlands

The Unmet Medical Demand among China’s Urban Residents

Review of evolution of the public long-term care insurance (LTCI) system in different countries: influence and challenge

Contact Info

Product

Resources

About