School of Public Administration, Zhejiang University of Finance and Economics, Hangzhou, China.
School of International Business, Southwestern University of Finance and Economics, Chengdu, China.
Front Public Health. 2022 May 6;10:847822. doi: 10.3389/fpubh.2022.847822. eCollection 2022.
Based on the panel data of China Health and Retirement Longitudinal Study (CHARLS) in 2011, 2015, and 2018, this paper used the difference-in-difference (DID) method to evaluate the implementation effect how the Long-Term Care Insurance (LTCI) policy impacted on the medical expenses and the health status of the middle-aged and elder population. The empirical results show that LTCI has reduced the outpatient and inpatient quantity by 0.1689 and 0.1093 per year, and cut the outpatient and inpatient expenses by 23.9% and 19.8% per year. Moreover, the implementation of LTCI has improved the self-rated health, the activity of daily living (ADL), as well as the mental health. These conclusions verify the implementation value of LTCI system and provide policy implications for the medical reform and the further LTCI implementation in a larger scale.
基于中国健康与养老追踪调查（CHARLS）2011、2015 和 2018 年的面板数据，本文采用双重差分（DID）方法评估长期护理保险（LTCI）政策对中年和老年人口医疗费用和健康状况的实施效果。实证结果表明，LTCI 使门诊和住院量每年分别减少 0.1689 和 0.1093，门诊和住院费用每年分别减少 23.9%和 19.8%。此外，LTCI 的实施提高了自评健康、日常生活活动（ADL）以及心理健康水平。这些结论验证了 LTCI 制度的实施价值，并为医疗改革和更大规模的进一步 LTCI 实施提供了政策启示。
