ArticleInternational journal for equity in health2023
Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families.
Article in International journal for equity in health, 2023. 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.
- Effects of long-term care insurance on women's time allocation: evidence from pilot regions in China.Frontiers in public health · 2026Article
- The effect of long-term care insurance on health outcomes and medical services utilization: based on an analysis of moderating effect of disability.Journal of health, population, and nutrition · 2025Article
- Improving healthcare efficiency through long-term care insurance (LTCI): a super-SBM and DID analysis of 291 Chinese cities.Frontiers in public health · 2025Article
- Shaping Long-term Care Insurance Intentions Among Chinese Adults Aged 50-70: Role of Information Interventions in Health Risks.Innovation in aging · 2025Article
- Patterns and Trends in Global Nursing Robotics Research: A Bibliometric Study.Journal of nursing management · 2025Review
- The effect of long-term care insurance on women's health outcomes in China: evidence from a disability inclusion action.BMC public health · 2024Article
- Effect of long-term care insurance policy on depression in non-disabled people: evidence from China.BMC public health · 2024Article
- Evaluation of China's long-term care insurance policies.Frontiers in public health · 2024Article
- 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
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Authors and funding
2 authors.
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Abstract
backgroundTo alleviate the shortage of caregivers associated with disabled persons, China has implemented a pilot policy for long-term care insurance. This policy has the characteristics of "familialization" and "de-familialization" policy orientation, and it is indeed essential to clarify whether the policy has a positive spillover effect on the health of family caregivers, which is of great value to the pilot from local practice to national institutional arrangement.
methodsBased on the China Health and Retirement Longitudinal Study microdata and time-varying DID method, our study used the implementation of the pilot policy as a "quasi-natural experiment" to assess the health spillover effects of the pilot policy on family spousal caregivers.
resultsThis policy significantly improved the health of spousal caregivers, increasing self-rated health and life satisfaction, and reducing depression; Compared with female, urban and central-western spousal caregivers, male, rural and eastern spousal caregivers were "beneficiaries" in more dimensional health.
conclusionsOur research indicated that spousal caregivers of disabled people, particularly male, rural and eastern spousal caregivers, experienced positive health spillovers after implementing long-term care insurance. These results suggest that the imbalance between supply and demand of nursing staff could be solved in terms of de-familialization and familialization, spousal caregivers should be promoted to equally enjoy the policy benefits on gender, urban-rural and regions.
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