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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9564761 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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