Becoming eligible for long-term care insurance in China brought more ageing at home: evidence from a pilot city
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View abstract on PubMed
Summary
This summary is machine-generated.Eligibility for Long-Term Care Insurance (LTCI) in China increased the likelihood of older adults choosing to age at home before receiving benefits. This finding supports LTCI
Area Of Science
- Gerontology
- Health Economics
- Public Policy
Background
- Person-centered long-term care is crucial for healthy aging and enabling older adults to age in place.
- Limited evidence exists on how long-term care system design influences the choice of aging location, particularly in developing countries.
Purpose Of The Study
- To examine the impact of Long-Term Care Insurance (LTCI) eligibility on older adults' preferred place of aging (home vs. institution) in China.
- To analyze the effect of LTCI policy introduction as a policy shock on aging-in-place decisions.
Main Methods
- Analysis of administrative data from all LTCI applicants in City X, China, between July 2017 and September 2020.
- Examined the choice of aging location (home or institution) among beneficiaries upon becoming eligible for LTCI, prior to receiving benefits.
Main Results
- Becoming eligible for LTCI increased the probability of choosing home as the aging place by approximately 16%, even before benefit receipt.
- The positive impact of LTCI eligibility on aging in place was more pronounced for individuals who were insured, had higher education levels, or had higher disability grades.
Conclusions
- Long-Term Care Insurance (LTCI) in City X, China, promotes healthy aging by encouraging aging in place.
- Factors such as subsidy eligibility, family values, and labor market engagement of family members influence the interplay between home and institutional care preferences.
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