ArticleJournal of global health economics and policy2021
The impact of long-term care insurance in China on beneficiaries and caregivers: A systematic review.
Article in Journal of global health economics and policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Access to health insurance amongst people with disabilities and its association with healthcare use, health status and financial protection in low- and middle-income countries: a systematic review.International journal for equity in health · 2024Pooled it
- Perceived experiences of long-term care services among long-term care insurance beneficiaries and their family members: A qualitative interview study in Hunan Province, China.International journal of nursing sciences · 2026Article
- Measuring financial risk protection in long-term care insurance among older adults: quasi-experimental evidence from China.BMC geriatrics · 2026Article
- Long-term care insurance and health outcomes among older adults with disabilities: evidence from a support system reconfiguration perspective.Archives of public health = Archives belges de sante publique · 2026Article
- The impacts of economic hardship and family long-term care needs on adolescent depression and aggressive behaviors through family relational mechanisms: from the perspective of family stress model.Child and adolescent psychiatry and mental health · 2025Article
- Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study.BMC nursing · 2025Article
- Quantitative analysis of the diffusion characteristics of China's long-term care insurance policy based on the PMC index model.Frontiers in public health · 2025Article
- Effects of private caregivers on nutritional risk and anxiety in stroke survivors with dysphagia: an observational study.Frontiers in nutrition · 2025Article
- How to evaluate long-term care insurance policy based on policy tools and PMC index model: evidence from pilot cities in China.Frontiers in public health · 2025Article
- Long-term care insurance within married couples: Can't insure one without the other?Review of economics of the household · 2025Article
- The Unseen Shift: How Partnership Long-term Care Insurance Influences Caregiving Among Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- In-hospital outcomes of older patients with gastric cancer and their risk factors: large comprehensive institution-based study.European geriatric medicine · 2024Article
- Long-term care insurance in China: Current challenges and recommendations.Journal of global health · 2024Article
- Influence of age on financial toxicity in cancer patients.Asia-Pacific journal of oncology nursing · 2024Article
- Long-term care needs and hospitalization costs with long-term care insurance: a mixed-sectional study.Frontiers in public health · 2024Article
- Long-term care insurance and the future of healthy aging in China.Nature aging · 2023Article
- Effects of the Long-term Care Insurance on Health Among Older Adults: A Panel Data From China.International journal of health policy and management · 2023Article
- Community-Dwelling Older Adults' Intended Use of Different Types of Long-Term Care in China and Its Associated Factors Based on the Andersen Behavioral Model.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundChina's long-term care insurance (LTCI) policy has been minimally evaluated. This systematic review aimed to assess the impact of China's LTCI pilot on beneficiaries and their caregivers.
methodsThis review is based on a search of peer-reviewed studies in English (Embase, MEDLINE, Web of Science) and Chinese (China National Knowledge Infrastructure [CNKI], VIP, Wanfang) databases from January 2016 through July 2020, with all studies published in English or Chinese included. We included quantitative analyses of beneficiary-level data that assessed the impact of LTCI on beneficiaries and their caregivers, with no restriction placed on the outcomes studied.
resultsNine studies met our inclusion criteria. One study was a randomised trial and two used quasi-experimental approaches. Four studies examined LTCI's effect on beneficiaries' quality of life, physical pain, and health service utilisation; one study reported the effect on beneficiaries' healthcare expenditures; and one study evaluated the impact on caregivers' care tasks. These studies generally found LTCI to be associated with an improvement in patients' quality of life (including decreased physical pain), a reduction in the number of outpatient visits and hospitalisations, decreased patient-level health expenditures (e.g. one study reported a reduction in the length of stay, inpatient expenditures, and health insurance expenditures in tertiary hospitals by 41.0%, 17.7%, and 11.4%, respectively), and reduced informal care tasks for caregivers. In addition, four out of four studies that evaluated this outcome found that beneficiaries' overall satisfaction with LTCI was high.
conclusionThe current evidence base for the effects of LTCI in China on beneficiaries and their caregivers is sparse. Nonetheless, the existing studies suggest that LTCI has positive effects on beneficiaries and their caregivers. Further rigorous research on the impacts of LTCI in China is needed to inform the future expansion of the program.
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