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The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China

The purpose of this study was to evaluate the impact of long-term care insurance (LTCI) on medical utilization and expenditures in Jingmen, a pilot city of China. The propensity score matching-difference in difference (PSM-DID) approach was employed to examine the expenses and frequency of inpatient...

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Autores principales: Deng, Xueqin, Liao, Jiaxin, Peng, Rong, Chen, Jiahao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564761/
https://www.ncbi.nlm.nih.gov/pubmed/36231574
http://dx.doi.org/10.3390/ijerph191912275
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author Deng, Xueqin
Liao, Jiaxin
Peng, Rong
Chen, Jiahao
author_facet Deng, Xueqin
Liao, Jiaxin
Peng, Rong
Chen, Jiahao
author_sort Deng, Xueqin
collection PubMed
description The purpose of this study was to evaluate the impact of long-term care insurance (LTCI) on medical utilization and expenditures in Jingmen, a pilot city of China. The propensity score matching-difference in difference (PSM-DID) approach was employed to examine the expenses and frequency of inpatient and outpatient services before and after the implementation of the LTCI based on the 2015–2018 panel data from the China Health and Retirement Longitudinal Study (CHARLS). The results showed that the annual expenditure and frequency of the inpatient services of Jingmen residents were reduced by 1923 Yuan (287.0 USD) and 0.24 times, respectively. The impact of the LTCI varied between urban and rural areas. The annual expenditure and frequency of inpatient services in rural areas were reduced by 1600 Yuan (238.8 USD) and 0.30 times, which were lower than those (3400 Yuan (507.5 USD) and 0.20 times) in urban areas. The monthly outpatient expenses and frequency in rural areas were reduced by 300 Yuan (44.8 USD) and 0.14 times, but increased by 555 Yuan (82.8 USD) and 0.07 times in urban area. The findings indicated that the implementation of the LTCI can reduce the medical utilization and expenses, and it had a greater effect in rural areas than in urban areas. It is suggested to promote the LTCI nationwide, and more policy preference should be given to the development of the LTCI in rural areas.
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spelling pubmed-95647612022-10-15 The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China Deng, Xueqin Liao, Jiaxin Peng, Rong Chen, Jiahao Int J Environ Res Public Health Article The purpose of this study was to evaluate the impact of long-term care insurance (LTCI) on medical utilization and expenditures in Jingmen, a pilot city of China. The propensity score matching-difference in difference (PSM-DID) approach was employed to examine the expenses and frequency of inpatient and outpatient services before and after the implementation of the LTCI based on the 2015–2018 panel data from the China Health and Retirement Longitudinal Study (CHARLS). The results showed that the annual expenditure and frequency of the inpatient services of Jingmen residents were reduced by 1923 Yuan (287.0 USD) and 0.24 times, respectively. The impact of the LTCI varied between urban and rural areas. The annual expenditure and frequency of inpatient services in rural areas were reduced by 1600 Yuan (238.8 USD) and 0.30 times, which were lower than those (3400 Yuan (507.5 USD) and 0.20 times) in urban areas. The monthly outpatient expenses and frequency in rural areas were reduced by 300 Yuan (44.8 USD) and 0.14 times, but increased by 555 Yuan (82.8 USD) and 0.07 times in urban area. The findings indicated that the implementation of the LTCI can reduce the medical utilization and expenses, and it had a greater effect in rural areas than in urban areas. It is suggested to promote the LTCI nationwide, and more policy preference should be given to the development of the LTCI in rural areas. MDPI 2022-09-27 /pmc/articles/PMC9564761/ /pubmed/36231574 http://dx.doi.org/10.3390/ijerph191912275 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Deng, Xueqin
Liao, Jiaxin
Peng, Rong
Chen, Jiahao
The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China
title The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China
title_full The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China
title_fullStr The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China
title_full_unstemmed The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China
title_short The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China
title_sort impact of long-term care insurance on medical utilization and expenditures: evidence from jingmen, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564761/
https://www.ncbi.nlm.nih.gov/pubmed/36231574
http://dx.doi.org/10.3390/ijerph191912275
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