Does income matter for the policy effect of public long-term care insurance on informal care use in China? A quasi-experimental study.

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Services Research & Policy Pub Date : 2024-10-01 Epub Date: 2024-05-07 DOI:10.1177/13558196241252394

Jing Ning, He Chen, Man Li

{"title":"Does income matter for the policy effect of public long-term care insurance on informal care use in China? A quasi-experimental study.","authors":"Jing Ning, He Chen, Man Li","doi":"10.1177/13558196241252394","DOIUrl":null,"url":null,"abstract":"Objective: Since 2016, the Chinese government has been piloting a public long-term care insurance (LTCI) scheme. This study examined whether the LTCI scheme reduced the use of informal care and how this has varied across income groups.Method: We used data from the 2011, 2014, and 2018 waves of Chinese Longitudinal Healthy Longevity Survey, focusing on community-dwelling older adults aged 65 years and older. We used staggered difference-in-differences analyses with propensity score matching to examine the effects of the policy.Results: The LTCI scheme reduced the probability and intensity of informal care use by 5.7% (p < .05) and 17.4% (p < .05), respectively. The policy impact was limited to older people in the middle-income group, reducing the probability and intensity of informal care use by 15.6% (p < .001) and 43.1% (p < .05), respectively. We did not find a statistically significant policy effect for older adults with high or low incomes.Conclusions: The LTCI scheme had different effects on reducing the informal care burden for family caregivers by income level. We suggest that the scheme should entitle people with low incomes to a preferential co-payment rate, thereby enhancing their access to formal care.","PeriodicalId":15953,"journal":{"name":"Journal of Health Services Research & Policy","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Services Research & Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/13558196241252394","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: Since 2016, the Chinese government has been piloting a public long-term care insurance (LTCI) scheme. This study examined whether the LTCI scheme reduced the use of informal care and how this has varied across income groups.

Method: We used data from the 2011, 2014, and 2018 waves of Chinese Longitudinal Healthy Longevity Survey, focusing on community-dwelling older adults aged 65 years and older. We used staggered difference-in-differences analyses with propensity score matching to examine the effects of the policy.

Results: The LTCI scheme reduced the probability and intensity of informal care use by 5.7% (p < .05) and 17.4% (p < .05), respectively. The policy impact was limited to older people in the middle-income group, reducing the probability and intensity of informal care use by 15.6% (p < .001) and 43.1% (p < .05), respectively. We did not find a statistically significant policy effect for older adults with high or low incomes.

Conclusions: The LTCI scheme had different effects on reducing the informal care burden for family caregivers by income level. We suggest that the scheme should entitle people with low incomes to a preferential co-payment rate, thereby enhancing their access to formal care.

查看原文本刊更多论文

中国公共长期护理保险对非正规护理使用的政策效应与收入有关吗？一项准实验研究。

目的：自2016年起，中国政府开始试行公共长期护理保险（LTCI）计划。本研究探讨了长期护理保险计划是否减少了非正式护理的使用，以及不同收入群体在这方面的差异：我们使用了 2011 年、2014 年和 2018 年中国健康长寿纵向调查的数据，重点关注 65 岁及以上居住在社区的老年人。我们采用了倾向得分匹配的交错差异分析法来研究该政策的效果：长期护理保险计划将使用非正式护理的概率和强度分别降低了 5.7% (p < .05) 和 17.4% (p < .05)。该政策的影响仅限于中等收入群体中的老年人，其使用非正式护理的概率和强度分别降低了 15.6% (p < .001) 和 43.1% (p < .05)。对于高收入或低收入的老年人，我们没有发现明显的政策效果：结论：不同收入水平的家庭，长期护理保险计划对减轻家庭照顾者的非正规护理负担有不同的效果。我们建议，该计划应给予低收入者优惠的共同支付率，从而增加他们获得正规护理的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Health Services Research & Policy HEALTH POLICY & SERVICES-

CiteScore

4.40

自引率

4.20%

发文量

期刊介绍： Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.

文献相关原料

公司名称	产品信息	采购帮参考价格