ArticleJournal of health, population, and nutrition2025
The effect of long-term care insurance on health outcomes and medical services utilization: based on an analysis of moderating effect of disability.
Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
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Who cites it
2 citing papers in PubMed.
- Long-term care insurance pilot exposure and severe-depression risk among older adults with baseline severe IADL impairment: a panel difference-in-difference-in-differences analysis.BMC geriatrics · 2026Article
- Buffering the healthcare gap: the role of Korean medicine in unmet healthcare needs among care recipients.Frontiers in medicine · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundLong-term care insurance (LTCI) in China may alleviate stress among middle-aged and older adults with disabilities, while potentially influencing their health outcomes and medical services utilization.
objectiveTo evaluate the effect of LTCI on both health outcomes and medical services utilization among middle-aged and older adults, with specific focus on assessing disability's moderating effect.
methodsUsing longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS), we employed a time-varying differences-in-differences approach to evaluate the effect of LTCI on both health outcomes and medical services utilization, and to analyze disability's moderating effect.
resultsLTCI effectively increased self-rated health by 0.0907 units and reduced depression levels by 0.4690 units among middle-aged and older adults. The policy also reduced the number of outpatient visits monthly by 0.0705, annual hospitalization probability by 0.0188, and number of hospitalizations by 0.0364. However, disability status attenuated LTCI's treatment effects, with stronger moderating effect observed in both the IADL subgroup and rural areas.
conclusionsAfter the implementation of LTCI, improvements in health outcomes and reductions in medical services utilization were observed among middle-aged and older adults. However, there was a critical moderating effect that disability status attenuated LTCI's treatment effects. These findings reveal disability's negative moderating role in LTCI's health effect and the importance of designing policy coverage and carrying out differentiated policy implementation according to disability types and urban-rural distribution.
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