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An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China
Finding a suitable mechanism to finance long-term care (LTC) is a pressing policy concern for many countries. Using Qingdao city in China as a case study, this article presents an initial assessment of a newly piloted LTC insurance by evaluating its effects on equity and efficiency in financing. Dra...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7961619/ https://www.ncbi.nlm.nih.gov/pubmed/32096450 http://dx.doi.org/10.1177/0164027520907346 |
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author | Yang, Wei Chang, Shuang Zhang, Wenbo Wang, Ruobing Mossialos, Elias Wu, Xun Cui, Dan Li, Hao Mi, Hong |
author_facet | Yang, Wei Chang, Shuang Zhang, Wenbo Wang, Ruobing Mossialos, Elias Wu, Xun Cui, Dan Li, Hao Mi, Hong |
author_sort | Yang, Wei |
collection | PubMed |
description | Finding a suitable mechanism to finance long-term care (LTC) is a pressing policy concern for many countries. Using Qingdao city in China as a case study, this article presents an initial assessment of a newly piloted LTC insurance by evaluating its effects on equity and efficiency in financing. Drawing data from 47 in-depth interviews conducted in 2016, this study found that there remain sizable disparities in financial burden among insurance participants, despite an emphasis on ensuring equitable access to care. Although the insurance brought cost savings to the health care sector, the LTC providers are incentivized to provide care at the least cost, even when such care is deemed inadequate due to the fixed payment for their services. This article offers critical insights into the potentials and challenges of applying the LTC insurance model in a developing country, where critical lessons can be drawn for public LTC insurance in other countries. |
format | Online Article Text |
id | pubmed-7961619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-79616192021-03-30 An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China Yang, Wei Chang, Shuang Zhang, Wenbo Wang, Ruobing Mossialos, Elias Wu, Xun Cui, Dan Li, Hao Mi, Hong Res Aging Articles Finding a suitable mechanism to finance long-term care (LTC) is a pressing policy concern for many countries. Using Qingdao city in China as a case study, this article presents an initial assessment of a newly piloted LTC insurance by evaluating its effects on equity and efficiency in financing. Drawing data from 47 in-depth interviews conducted in 2016, this study found that there remain sizable disparities in financial burden among insurance participants, despite an emphasis on ensuring equitable access to care. Although the insurance brought cost savings to the health care sector, the LTC providers are incentivized to provide care at the least cost, even when such care is deemed inadequate due to the fixed payment for their services. This article offers critical insights into the potentials and challenges of applying the LTC insurance model in a developing country, where critical lessons can be drawn for public LTC insurance in other countries. SAGE Publications 2020-02-25 2021-03 /pmc/articles/PMC7961619/ /pubmed/32096450 http://dx.doi.org/10.1177/0164027520907346 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Articles Yang, Wei Chang, Shuang Zhang, Wenbo Wang, Ruobing Mossialos, Elias Wu, Xun Cui, Dan Li, Hao Mi, Hong An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China |
title | An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China |
title_full | An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China |
title_fullStr | An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China |
title_full_unstemmed | An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China |
title_short | An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China |
title_sort | initial analysis of the effects of a long-term care insurance on equity and efficiency: a case study of qingdao city in china |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7961619/ https://www.ncbi.nlm.nih.gov/pubmed/32096450 http://dx.doi.org/10.1177/0164027520907346 |
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