Chen Linhong, Zhang Xiaolu, Xu Xiaocang
Department of Applied Statistics, School of Mathematics and Statistics, Chongqing Technology and Business University, Chongqing 400067, People's Republic of China.
Department of Public Administration, School of Public Administration, Sichuan University, Chengdu 610065, People's Republic of China.
Risk Manag Healthc Policy. 2020 Feb 25;13:155-162. doi: 10.2147/RMHP.S233949. eCollection 2020.
This paper aimed to explore the relationship between the different factors, especially health insurance, and the availability of long-term care (LTC) services, among the disabled elderly.
Based on the data of China Health and Retirement Longitudinal Study (CHARLS), the logistic regression model was utilized to evaluate the influence of the different factors, especially health insurance, on the availability of long-term care services.
Our findings show some interesting results. Firstly, the findings suggest that informal long-term care (LTC) services for elderly persons with disabilities heavily depend on a family member from different health insurance groups. About 80.733% of the disabled elderly depend on a family member as their primary caregivers. Secondly, other influence factors such as income and area of residence were also significantly related to the availability of long-term rental services. Thirdly, Health insurance is a very important factor influencing the availability of Long-term care services both in urban and rural areas (p<0.001) but Income is the most interesting variable.
Based on our results, the growth and integration of formal long-term care (LTC) services should be facilitated. Firstly, policymakers can encourage formal long-term care (LTC) services from a variety of sources to work together to increase overall supply capability. Secondly, the long-term living security needs of people who do not have health insurance should be regulated through subsidies according to the economic status.
本文旨在探讨不同因素，尤其是医疗保险，与残疾老年人长期护理（LTC）服务可及性之间的关系。
基于中国健康与养老追踪调查（CHARLS）的数据，运用逻辑回归模型评估不同因素，尤其是医疗保险，对长期护理服务可及性的影响。
我们的研究结果显示了一些有趣的发现。首先，研究结果表明，残疾老年人的非正式长期护理服务严重依赖不同医疗保险群体中的家庭成员。约80.733%的残疾老年人依靠家庭成员作为主要照料者。其次，收入和居住地区等其他影响因素也与长期租赁服务的可及性显著相关。第三，医疗保险是影响城乡长期护理服务可及性的一个非常重要的因素（p<0.001），但收入是最值得关注的变量。
基于我们的研究结果，应促进正规长期护理（LTC）服务的增长与整合。首先，政策制定者可以鼓励各种来源的正规长期护理（LTC）服务共同合作，以提高整体供应能力。其次，对于没有医疗保险的人群，应根据其经济状况通过补贴来规范其长期生活保障需求。
