ArticleInternational journal of environmental research and public health2022
The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China.
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 9 papers.
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Who cites it
9 citing papers in PubMed.
- From caregiving burden to income transformation: intergenerational employment effects of long-term care insurance.Frontiers in public health · 2025Article
- The impact of long-term care insurance on household expenditures of the elderly: Evidence from China.PloS one · 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
- The impact of long-term care insurance on healthcare utilization and expenditures among middle-aged and older Chinese adults: a quasi-experiment study.International journal for equity in health · 2024Article
- 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
- 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
- The operational experience of private owners of small-sized care homes in China: a qualitative study.BMC health services research · 2023Article
- Long-term care insurance, mental health of the elderly and its spillovers.Frontiers in public health · 2023Article
- 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
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to evaluate the impact of long-term care insurance (LTCI) on medical utilization and expenditures in Jingmen, a pilot city of China. The propensity score matching-difference in difference (PSM-DID) approach was employed to examine the expenses and frequency of inpatient and outpatient services before and after the implementation of the LTCI based on the 2015-2018 panel data from the China Health and Retirement Longitudinal Study (CHARLS). The results showed that the annual expenditure and frequency of the inpatient services of Jingmen residents were reduced by 1923 Yuan (287.0 USD) and 0.24 times, respectively. The impact of the LTCI varied between urban and rural areas. The annual expenditure and frequency of inpatient services in rural areas were reduced by 1600 Yuan (238.8 USD) and 0.30 times, which were lower than those (3400 Yuan (507.5 USD) and 0.20 times) in urban areas. The monthly outpatient expenses and frequency in rural areas were reduced by 300 Yuan (44.8 USD) and 0.14 times, but increased by 555 Yuan (82.8 USD) and 0.07 times in urban area. The findings indicated that the implementation of the LTCI can reduce the medical utilization and expenses, and it had a greater effect in rural areas than in urban areas. It is suggested to promote the LTCI nationwide, and more policy preference should be given to the development of the LTCI in rural areas.
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