长期护理保险对健康的影响
Qinghong He1, Shuai Wang2,3, Lijin Chen2
1Chinese Academy of Social Sciences, Beijing, PR China.
概括
中国的长期护理保险 (LTCI) 试点计划显著降低了医疗保健利用率和成本. 此外,保险还可以提高自我报告的健康和生活满意度,特别是在弱势群体中.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 老年学是指老年学的学科.
背景情况:
- 全球人口老龄化增加了对长期护理服务的需求.
- 长期护理保险 (LTCI) 是管理不断上升的护理成本的关键策略.
- 中国在2012年启动的试点LTCI计划正在全国范围内扩展.
研究的目的:
- 评估中国试点长期护理保险 (LTCI) 的健康影响.
- 确定特定的人口和社会经济群体从LTCI中受益最多.
主要方法:
- 利用了中国健康与退休长度研究 (2011-2018) 的数据.
- 使用差异差异 (DID) 方法来评估LTCI的因果关系.
- 分析了医疗保健利用,支出,健康状况和生活方式行为的变化.
主要成果:
- LTCI减少了门诊访问7.1个百分点,门诊支出减少了65.8%.
- 保险改善了自我报告的健康,生活满意度,并降低了吸烟率.
- 对于患有多种慢性疾病,收入较低,年龄较大的女性以及更慷慨的LTCI计划中的人来说,福利最为明显.
结论:
- 中国的LTCI计划显示出显著的积极的健康经济影响.
- LTCI有效地减轻了医疗保健负担,并改善了老年人的福祉.
- 有针对性的政策设计可以最大限度地为高需要的人群提供LTCI利益.
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