School of Economics and Trade, Guangdong University of Finance, Guangzhou, China.
School of Economics and Management, South China Normal University, Guangzhou, China.
Front Public Health. 2023 Feb 10;11:1100146. doi: 10.3389/fpubh.2023.1100146. eCollection 2023.
This paper examined the impact of public long-term care insurance (LTCI) pilots in China on the multidimensional poverty status of middle-aged and older adults.
Using panel data from the China Health and Retirement Longitudinal Survey, we utilized LTCI pilots conducted in different cities from 2012 to 2018 and assessed the impact of LTCI using a difference-in-differences strategy.
We found that the implementation of LTCI reduces the multidimensional poverty of middle-aged and older adults and their likelihood of future multidimensional poverty. LTCI coverage was also associated with a reduction in the likelihood that middle-aged and older adults in need of care fall into income poverty, living consumption poverty, health poverty, and social participation poverty.
From a policy perspective, the findings of this paper suggest that the establishment of an LTCI system can improve the poverty of middle-aged and older adults in several ways, which has important implications for the development of LTCI systems in China and other developing countries.
本文考察了中国长期护理保险(LTCI)试点对中年及以上老年人多维贫困状况的影响。
本文利用中国健康与养老追踪调查(CHARLS)2012 年至 2018 年不同城市的试点数据,采用双重差分法评估 LTCI 的影响。
我们发现,LTCI 的实施降低了中年及以上老年人的多维贫困程度及其未来陷入多维贫困的可能性。LTCI 覆盖还与降低需要护理的中年及以上老年人陷入收入贫困、生活消费贫困、健康贫困和社会参与贫困的可能性相关。
从政策角度来看,本文的研究结果表明,建立 LTCI 制度可以通过多种方式改善中年及以上老年人的贫困状况,这对中国和其他发展中国家 LTCI 制度的发展具有重要意义。