Preferences for long-term care insurance in China: Results from a discrete choice experiment

Wang, Qun; Abiiro, Gilbert Abotisem; Yang, Jin He; Li, Peng; Allegri, Manuela De

doi:10.1016/j.socscimed.2021.114104

Cited by 32 publications

(35 citation statements)

References 39 publications

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“…The second effect is the release of medical expenses. Research shows that in developed countries, no matter what model of LTCI policy is adopted, the total expenses of LTCI in various countries is rising [ 6 , 19 – 23 ]. In terms of personal burden, most countries that implementing LTCI need beneficiaries to pay a certain proportion of their own expenses [ 24 – 26 ], and the high proportion of individual out-of-pocket expenses or long-term care (LTC) expenses have an important impact on the personal burden of beneficiaries [ 7 , 27 , 28 ].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Second, regional entities rely on basic medical insurance for financing; hence, participation is in the form of direct coverage. Third, on treatment level, national standards require the overall reimbursement rate to be maintained at 70%, while specific projects to be provided according to local standards and a specific ceiling line [ 6 , 7 ]. Additionally, the current policy pilot still faces practical difficulties such as the unbalanced development of nursing service institutions, community and family nursing services, the shortage and low quality of nursing staff, and fragmented financing channels of LTCI [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the long-term care insurance policy from medical expenses and health security equity perspective: evidence from China

Liu

2022

Arch Public Health

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Background Since the national long-term care (LTCI) policy pilot in 2016 of China, the LTCI policy has had significant impact on the residents in the pilot area. Methods From the perspective of medical expenses and health security equity, this study selects tracking survey data from the CHARLS database in 2013, 2015, and 2018 and empirically investigates the effect of LTCI policy pilot by using differences-in-differences method (DID). Moreover, this study measures the economic distribution and health equity of the treated and untreated groups using the concentration and Theil indices. Results The results showed that group heterogeneity of medical expenses and health level of elderly in the treatment group were narrowing. Moreover, the policy results showed that the LTCI policy pilot significantly affects the outpatient, hospital expenses, and length of stay of elders. Residence registration, income level, and basic medical insurance play a significant regulatory role. Additionally, LTCI policy pilot significantly improved the overall health of the elderly. Conclusions The measurement results of inequality show that the policy increases the income of low-income people, lowers the inequality level of outpatient and inpatient reimbursement, and reduces the concentration index of ADL disability and serious diseases. However, the inequality of serious diseases is becoming higher. Based on this, this paper provides several suggestions on optimizing the pilot policy of LTCI.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluating the long-term care insurance policy from medical expenses and health security equity perspective: evidence from China

Liu

2022

Arch Public Health

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“…As the European population is ageing and increasingly more older adults need help with their daily activities, the importance of research on LTC systems is also increasing (Dong et al 2021;Moon et al 2021;Wang et al 2021). One of modern society's biggest challenges is ensuring accessible and good-quality LTC services (European Commission.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, long-term care (LTC) is one of the areas that has become increasingly prominent in the research of social policies of economically developed countries (Dong et al 2021;Moon et al 2021;Wang et al 2021). This is primarily due to the ageing population and the increasing proportion of the elderly population needing assistance in their daily lives.…”

Section: Introductionmentioning

confidence: 99%

Legal Aspects of Social Infrastructure for Housing and Care for the Elderly—The Case of Slovenia

Drobež

Bogataj

2022

Laws

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On 17 June 2021, the Government of the Republic of Slovenia adopted a Bill on Long-term Care. This legislative activity also raised the question of the existence and effectiveness of a legal environment to promote social infrastructure development for housing and care of older adults. Social infrastructures include the facilities in which long-term care services are provided. Therefore, the new legislative proposal also raised the issue of the regulation of this social infrastructure and the housing and care solutions as a part of the social infrastructure since they benefit individuals and communities. Furthermore, in line with the growing trend towards deinstitutionalisation, the legal environments should enhance alternative housing solutions for the elderly. The purpose of this article is to describe the foundations of the social infrastructure for older adults and examine the legal basis for its provision. The research belongs to legal geography studies, which means that the substance of laws and materialisation in space are considered. We identified two primary spatial–legal barriers to overcome, which are (a) the separate treatment of the housing and health aspects and (b) the absence of the guarantee schemes for the construction of housing-with-care solutions. The results would be helpful for the optimal organisation of integrated care, which individual research groups in Slovenia are studying.

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“… Mahieu et al, 2017 ). Some recent examples of their use in the context of the present journal are Chen et al (2021) ; Oedingen et al (2021) ; Wang et al (2021) . SC surveys have also been previously used for understanding vaccination choices in a pandemic context ( Determann et al, 2014 , 2016 ), including for COVID-19 ( Mouter et al, 2022 ).…”

Section: Methodsmentioning

confidence: 97%

The path towards herd immunity: Predicting COVID-19 vaccination uptake through results from a stated choice study across six continents

Hess¹,

Lancsar²,

Mariel³

et al. 2022

Social Science & Medicine

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Preferences for long-term care insurance in China: Results from a discrete choice experiment

Cited by 32 publications

References 39 publications

Evaluating the long-term care insurance policy from medical expenses and health security equity perspective: evidence from China

Evaluating the long-term care insurance policy from medical expenses and health security equity perspective: evidence from China

Legal Aspects of Social Infrastructure for Housing and Care for the Elderly—The Case of Slovenia

The path towards herd immunity: Predicting COVID-19 vaccination uptake through results from a stated choice study across six continents

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