ArticleInternational journal of environmental research and public health2022
Long-Term Care Insurance Pilot Programme in China: Policy Evaluation and Optimization Options-Taking the Pilot Programme in the Northeast of China as an Example.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Roles and functions of social workers in long-term care for older adults in East and North-East Asia: a mixed-methods systematic review since 2000.Frontiers in public health · 2026Pooled it
- Article
- 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
- Article
- Why are people with dementia overlooked in long-term care insurance policy in Guangzhou, China?BMC health services research · 2024Article
- Article
- Article
- Preference of urban and rural older people in Shandong Province for long-term care insurance: based on discrete choice experiment.Frontiers in public health · 2024Article
- Functional limitation and happiness among older adults: the multiple mediating role of intergenerational support and intergenerational relationship.Frontiers in public health · 2023Article
- Long-term care insurance, mental health of the elderly and its spillovers.Frontiers in public health · 2023Article
- Preferences for public long-term care insurance among middle-aged and elderly residents: A discrete choice experiment in Hubei Province, China.Frontiers in public health · 2023Review
- Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health.International journal of environmental research and public health · 2022Article
- Innovation and financial sustainability in China's long-term care insurance: An empirical analysis of the Nantong pilot.Frontiers in public health · 2022Article
- Integrating Health and Care for Older People in China: What Has Been Accomplished? What is Next?International journal of integrated careArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
China's population is ageing rapidly and the increase in life expectancy is accompanied by a loss of capability with advancing age, especially in the Northeast. This study adopts qualitative research methods to analyze the overall status and problems of China's LTCI policy pilots. Taking four LTCI pilot cities in three northeastern provinces as samples, we used purposive sampling to recruit 10 beneficiaries and providers of LTCI in nursing homes of different kinds, as well as 2 operators (Medical Insurance Bureau staff) for semi-structured in-depth interviews. We developed a social welfare policy analysis framework based on Gilbert's framework, designed interview outlines and conducted a thematic analysis of the interview data along five dimensions: allocation base, type of provision, delivery strategy, finance mode, and external environment. The results of the research indicate that the coverage of the system is narrow and that disability assessment criteria are fragmented; that the substance of service provision is lacking, both in terms of precision and dynamic adjustment mechanisms; that socialized care synergy cannot be achieved, informal care lacking policy support; that there is an over-reliance on medical insurance funds and that unfair financing standards are applied; and that economic and social development is insufficient to cope with ageing needs and uncertain risks. Accordingly, this research proposes several optimization options to promote the full establishment of LTCI.
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