ArticleHealth policy and planning2025
Assessing the role of long-term care insurance in shaping living arrangements of older adults: evidence from China.
Article in Health policy and planning, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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
4 citing papers in PubMed.
- 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 supply-demand coupling coordination in China's older adult care services: spatiotemporal evolution, spatial spillover effects, and driving factors based on the spatial Durbin model.BMC health services research · 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
- Assessing the Alignment of Long-Term Care Insurance Benefits and Service Provision: Evidence from Shandong, China and Implications for Implementation Risk.Risk management and healthcare policy · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
The establishment of long-term care insurance (LTCI) has become one of the key measures adopted by countries worldwide to address growing care needs associated with population aging. While existing studies focus on LTCI's impact on medical expenditure and healthcare utilization, its effects on living arrangements of older adults, a core component of long-term care, remain underexplored in China. Living arrangements reflect both the well-being of older adults and their approaches to aging. This study examines the effects of China's LTCI pilots on living arrangements of older adults. Using three-wave panel data from the Chinese Longitudinal Healthy Longevity Survey, we analyzed the rollout of LTCI pilots across different cities from 2014 to 2021, employing a time-varying difference-in-differences approach. Our findings indicate that LTCI significantly increases the likelihood of older adults living alone or only with their spouse and decreases their preference for living with adult children. We provide two explanations for the observed effects: LTCI facilitates aging in place through the provision of home- and community-based services and enhances older adults' health by reducing the incidence of severe illnesses. The effects of LTCI are shaped by policy design, specifically reimbursement structures. These findings offer valuable insights for developing a universal LTCI system in China and other developing countries.
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Registered trials
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