Scholarlink

Background <p>Meeting the increasing need for long-term care (LTC) is a pressing issue for aging societies worldwide. The public long-term care insurance (LTCI) scheme offers a potential solution to this challenge. However, limited research has been conducted on the scheme’s impact on the LTC industry. Utilizing the unique research opportunity presented by the pilot LTCI scheme in China, this study evaluated the policy effects on the LTC industry and investigated the heterogeneity of these effects.</p> Methods <p>The unit of analysis was prefecture-level cities. We collected over 456 thousand records of registration information for LTC organizations from three national platforms, which were then aggregated at the city level. The development of the LTC industry in each city was measured using two dependent variables: the annual increase in the number and registered capital of LTC organizations. We collected city-level socioeconomic and demographic confounding factors from the <i>China City Statistical Yearbooks</i> and census data. These data constituted an unbalanced panel dataset of 3,949 city-year observations for 289 prefecture-level cities. We employed a staggered difference-in-differences model to evaluate the policy effects.</p> Results <p>The LTCI scheme led to an additional increase of 157.85 (95% CI: 124.23–191.46) in the number of LTC organizations and of 3.44&#xa0;billion yuan (US$531.48&#xa0;million; 95% CI: 2.46–4.43) in the registered capital of LTC organizations per city. The policy effects were particularly pronounced for LTC organizations providing non-residential care services or operating as enterprises. For instance, the scheme resulted in an additional increase of 156.27 (95% CI: 122.68–189.85) in the number of non-residential care organizations, nearly 95 times greater than the increase for residential care organizations (1.65; 95% CI 0.05–3.24). Similarly, the scheme led to an additional increase of 157.54 enterprises per city (95% CI: 125.41–189.67), a substantially greater effect than that observed for individual businesses (6.39; 95% CI: 1.55–11.24). However, it did not affect the number of LTC organizations operating as civil non-enterprises or public institutions.</p> Conclusion <p>These findings highlight the significant impact of public LTCI scheme on the growth of the LTC industry, particularly for non-residential care services and enterprise-operated organizations.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The effects of public long-term care insurance on the long-term care industry in China: a quasi-experimental study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年4月25日

查看全文
  • Zhongbin Huang,
  • Anqi Jian,
  • Jing Wang,
  • He Chen

摘要

Background

Meeting the increasing need for long-term care (LTC) is a pressing issue for aging societies worldwide. The public long-term care insurance (LTCI) scheme offers a potential solution to this challenge. However, limited research has been conducted on the scheme’s impact on the LTC industry. Utilizing the unique research opportunity presented by the pilot LTCI scheme in China, this study evaluated the policy effects on the LTC industry and investigated the heterogeneity of these effects.

Methods

The unit of analysis was prefecture-level cities. We collected over 456 thousand records of registration information for LTC organizations from three national platforms, which were then aggregated at the city level. The development of the LTC industry in each city was measured using two dependent variables: the annual increase in the number and registered capital of LTC organizations. We collected city-level socioeconomic and demographic confounding factors from the China City Statistical Yearbooks and census data. These data constituted an unbalanced panel dataset of 3,949 city-year observations for 289 prefecture-level cities. We employed a staggered difference-in-differences model to evaluate the policy effects.

Results

The LTCI scheme led to an additional increase of 157.85 (95% CI: 124.23–191.46) in the number of LTC organizations and of 3.44 billion yuan (US$531.48 million; 95% CI: 2.46–4.43) in the registered capital of LTC organizations per city. The policy effects were particularly pronounced for LTC organizations providing non-residential care services or operating as enterprises. For instance, the scheme resulted in an additional increase of 156.27 (95% CI: 122.68–189.85) in the number of non-residential care organizations, nearly 95 times greater than the increase for residential care organizations (1.65; 95% CI 0.05–3.24). Similarly, the scheme led to an additional increase of 157.54 enterprises per city (95% CI: 125.41–189.67), a substantially greater effect than that observed for individual businesses (6.39; 95% CI: 1.55–11.24). However, it did not affect the number of LTC organizations operating as civil non-enterprises or public institutions.

Conclusion

These findings highlight the significant impact of public LTCI scheme on the growth of the LTC industry, particularly for non-residential care services and enterprise-operated organizations.