Residents’ Cognition, Attitudes, and Intentions to Participate in Long-Term Care Insurance: Moderating Effect of Policy Support

Abstract

This study took a comprehensive approach to considering residents’ demands and investigated the intentions of residents in Hebei Province to participate in LTCI, exploring the potential for individual participation. By integrating the unique Chinese context and existing literature, this study established a theoretical framework for research hypotheses concerning the influencing factors of residents’ participation intentions. Leveraging a sample of 516 survey responses, we employed structural equation modeling (SEM) and hierarchical regression analysis (HRA) for validation. The research revealed that the heterogeneity of resident attributes has a significant influence on their participation intentions, and a gap exists between residents’ attitudes and intentions, leading to a scenario where attitudes are high but intentions are low. Moreover, perceived usefulness, risk perception, and perceived trust were found to directly affect residents’ intentions and could indirectly affect intentions through the mediating effect of attitudes. Additionally, the moderating role of policy support is instrumental in facilitating the translation of attitudes into actual intentions, bridging the gap between attitudes and participation intentions. These findings will assist researchers in gaining a deeper understanding of Chinese residents’ participation intentions and their underlying influencing factors, ultimately providing a solid foundation for government policy formulation and insurance companies’ strategic adjustments.