Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Yang, Wei, Chang, Shuang, Zhang, Wenbo, Wang, Ruobing, Mossialos, Elias, Wu, Xun, Cui, Dan, Li, Hao, Mi, Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
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
_version_ 1783665301100953600
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
work_keys_str_mv AT yangwei aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT changshuang aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT zhangwenbo aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT wangruobing aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT mossialoselias aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT wuxun aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT cuidan aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT lihao aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT mihong aninitialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT yangwei initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT changshuang initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT zhangwenbo initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT wangruobing initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT mossialoselias initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT wuxun initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT cuidan initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT lihao initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina
AT mihong initialanalysisoftheeffectsofalongtermcareinsuranceonequityandefficiencyacasestudyofqingdaocityinchina