ArticleInternational journal of integrated care
Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Decentralisation of the Healthcare Systems and the Functioning of Public Health Programmes in Single-Party States: A Systematic Review.The International journal of health planning and management · 2026Pooled it
- Care burden on family caregivers of patients with dementia and affecting factors in China: A systematic review.Frontiers in psychiatry · 2022Pooled it
- Unmet care needs among older people in residential care: a scoping review.BMC geriatrics · 2026Article
- Real-world medical and long-term care service utilization patterns among older adults with complex needs in China: a latent class analysis.BMC geriatrics · 2026Article
- Factors affecting the supply of long-term care services in China: a supply-side perspective on designated facilities.BMC health services research · 2025Article
- Can long-term care insurance reduce catastrophic health and long-term care expenditures among older adults? A quasi-experimental study in China.European journal of ageing · 2025Article
- Evaluating long-term care insurance policies in China: an integrated analysis of policy instruments and PMC index model.Frontiers in public health · 2025Article
- Unlocking intergenerational support: The impact of long-term care insurance on elderly family dynamics.PloS one · 2025Article
- Unexpected costs: the impact of Long-Term Care Insurance on housing prices.Frontiers in public health · 2025Article
- From security to spending: how China's long-term care insurance pilot drives urban household consumption.Frontiers in public health · 2025Article
- Article
- Effect of long-term care insurance on medical expenditure and health status: National cohort study.Archives of public health = Archives belges de sante publique · 2024Article
- Decentralization and immunization program in a single-party state: the case of the Lao People's Democratic Republic.Tropical medicine and health · 2024Article
- Life expectancy, long-term care demand and dynamic financing mechanism simulation: an empirical study of Zhejiang Pilot, China.BMC health services research · 2024Article
- Article
- Evaluation of China's long-term care insurance policies.Frontiers in public health · 2024Article
- The Global Research Trends on Intrinsic Capacity of Older Adults: A Bibliometric and Visual Analysis of Papers Published During 2015-2023.Journal of multidisciplinary healthcare · 2024Article
- The effect of long-term care insurance on healthcare utilization of middle-aged and older adults: evidence from China health and retirement longitudinal study.International journal for equity in health · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLong-term care is an effective intervention that help older people cope with significant declines in capacity. The growing demand for long-term care signals a new social risk and has been given a higher political priority in China. In 2016, 15 local authorities have been selected to pilot the long-term care insurance programme. However, the current implementation of these programmes is fragmented, with a measure of uncertainty. This study aims to investigate the principles and characteristics of long-term care insurance policies across all pilot authorities. It seeks to examine the design of local long-term care insurance systems and their current status. METHODOLOGY: Based on the 2016 guidance, a systematic search for local policy documents on long-term care insurance across the 15 authorities was undertaken, followed by critical analysis to extract policy value and distinctive features in the delivery of long-term care.
resultsThe results found that there were many inconsistencies in long-term care policies across local areas, leading to substantial variations in services to the beneficiaries, funding sources, benefit package, supply options and partnership working. Policy fragmentation has brought the postcode lottery and continued inequity for long-term care. DISCUSSION: Moving forward, local authorities need to have a clear vision of inter-organisational collaboration from the macro to the micro levels in directional and functional dimensions. At the national level, vertical governance should be interacted to outline good practice guidelines and build right service infrastructure. At the local level, horizontal organizations can collaborate to achieve an effective and efficient delivery of long-term care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.