Public Long-Term Care Insurance and Retirement Intentions of Urban Workers: Evidence From China

IF 2.4 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2025-05-05 DOI:10.1002/hec.4973
Tianli Yang, Zhong Zhao
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引用次数: 0

Abstract

While many studies examine the effects of long-term care insurance (LTCI) on labor supply and retirement behaviors, its effect on retirement intentions—offering certain advantages over actual behaviors—remains unclear. This study applies a difference-in-differences design to estimate the effect of China's public LTCI pilots on urban workers' retirement intentions, based on the China Health and Retirement Longitudinal Study. The results indicate that LTCI significantly increases workers' probability of intending to delay retirement and their intended retirement age, especially for LTCI providing both service and cash benefits. Moreover, the effects are larger among female, self-employed workers, and workers whose family members with LTCI eligibility, as these subgroups are more likely to be caregivers and caregivers' effect is larger. Mechanism analysis reveals that LTCI reduces time support within the family and improves mental health, both of which contribute to delayed retirement intentions. A negative effect through the mitigation of precautionary saving motives by LTCI also exists, but it is subtler.

公共长期护理保险与城镇职工退休意愿:来自中国的证据。
虽然许多研究考察了长期护理保险(LTCI)对劳动力供给和退休行为的影响,但它对退休意愿的影响——比实际行为提供某些优势——仍不清楚。本研究在中国健康与退休纵向研究的基础上,采用异中异设计来评估中国公共LTCI试点对城镇职工退休意愿的影响。研究结果表明,LTCI显著增加了员工推迟退休的可能性和预期退休年龄,特别是同时提供服务和现金福利的LTCI。此外,女性、个体经营者和家庭成员具有LTCI资格的工人的影响更大,因为这些亚群体更有可能是照顾者,照顾者的影响更大。机制分析显示,LTCI减少了家庭内部的时间支持,改善了心理健康,两者都有助于推迟退休意愿。LTCI通过降低预防性储蓄动机而产生的负面影响也存在,但更为微妙。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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