长期护理保险对老年人健康的影响:来自中国的小组数据
Xin Ye1,2, Mingzheng Hu3,4, Hugo Lin5
1Institute for Global Public Policy, Fudan University, Shanghai, China.
International journal of health policy and management
|April 15, 2024
概括
中国的长期护理保险 (LTCI) 显著改善了老年人的健康和认知功能. 这些积极影响对于身体或智力残疾的人来说尤其明显,突出显示了LTCI对弱势群体的好处.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 中国在2016年推出了长期护理保险 (LTCI),为残疾老年人提供负担得起的护理.
- 对LTCI对这一人口群体的健康影响的严格评估仍然有限.
- 这项研究调查了LTCI对中国60岁及以上人群的健康影响.
研究的目的:
- 检查中国LTCI计划对老年人健康的影响.
- 评估LTCI是否改善自我评估的健康和认知功能.
- 分析老年人口不同小组中LTCI效应的异质性.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 的面板数据.
- 雇员倾向得分匹配 (PSM) 和差异差异 (DID) 方法以减轻选择偏差.
- 研究了基于身体和智力功能的差异性影响.
主要成果:
- 实施LTCI导致自我评估健康 (β = 0.15,P<.05) 和认知功能 (β = 0.59,P<.01) 的显著改善.
- 在对试点和非试点城市居民进行控制的分析中,这些发现是稳定的.
- 在身体或智力残疾的老年人中,观察到的健康益处最为显著.
结论:
- 中国的LTCI计划对老年人的健康状况产生了积极影响.
- 这些好处对于身体或认知障碍的人来说尤其重要.
- 研究结果支持有针对性的资源配置,以提高弱势老年人群的健康结果.
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