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Financial support for unmet need for personal assistance with daily activities: Implications from China's long-term care insurance pilots

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  • Kang, Lili
  • Zhao, Guangchuan

Abstract

This study investigates the association between income and unmet need for personal assistance with daily activities and introduces four policy options for financial support for the unmet need, particularly the public long-term care insurance (LTCI) system. Using the logit model and random forest algorithm, we find that household income is a significant contributing factor to unmet need. Moreover, we find that older adults in the low-income group have a higher level of unmet needs. China's policy experimentation shows that financial support can be provided in the policy arrangements of LTCI financing with low individual contributions and benefits with a high reimbursement rate.

Suggested Citation

  • Kang, Lili & Zhao, Guangchuan, 2022. "Financial support for unmet need for personal assistance with daily activities: Implications from China's long-term care insurance pilots," Finance Research Letters, Elsevier, vol. 45(C).
  • Handle: RePEc:eee:finlet:v:45:y:2022:i:c:s1544612321005389
    DOI: 10.1016/j.frl.2021.102590
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    1. Brenes-Camacho, Gilbert, 2011. "Favourable changes in economic well-being and self-rated health among the elderly," Social Science & Medicine, Elsevier, vol. 72(8), pages 1228-1235, April.
    2. Bailis, Daniel S. & Segall, Alexander & Chipperfield, Judith G., 2003. "Two views of self-rated general health status," Social Science & Medicine, Elsevier, vol. 56(2), pages 203-217, January.
    3. Hu, Bo, 2020. "Trajectories of informal care intensity among the oldest-old Chinese," Social Science & Medicine, Elsevier, vol. 266(C).
    4. Feng, Jin & Wang, Zhen & Yu, Yangyang, 2020. "Does long-term care insurance reduce hospital utilization and medical expenditures? Evidence from China," Social Science & Medicine, Elsevier, vol. 258(C).
    5. Tennstedt, Sharon & McKinlay, John & Kasten, Linda, 1994. "Unmet need among disabled elders: A problem in access to community long term care?," Social Science & Medicine, Elsevier, vol. 38(7), pages 915-924, April.
    6. Matthias Schonlau & Rosie Yuyan Zou, 2020. "The random forest algorithm for statistical learning," Stata Journal, StataCorp LP, vol. 20(1), pages 3-29, March.
    7. Elena Glinskaya & Zhanlian Feng, 2018. "Options for Aged Care in China," World Bank Publications - Books, The World Bank Group, number 29807.
    8. Zhu, Yumei & Österle, August, 2017. "Rural-urban disparities in unmet long-term care needs in China: The role of the hukou status," Social Science & Medicine, Elsevier, vol. 191(C), pages 30-37.
    9. Jens Detollenaere & Lise Hanssens & Veerle Vyncke & Jan De Maeseneer & Sara Willems, 2017. "Do We Reap What We Sow? Exploring the Association between the Strength of European Primary Healthcare Systems and Inequity in Unmet Need," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-13, January.
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    Cited by:

    1. Xueqin Deng & Jiaxin Liao & Rong Peng & Jiahao Chen, 2022. "The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China," IJERPH, MDPI, vol. 19(19), pages 1-18, September.

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    More about this item

    Keywords

    Financial support; Personal assistance; Long-term care insurance; Random forest algorithm;
    All these keywords.

    JEL classification:

    • D14 - Microeconomics - - Household Behavior - - - Household Saving; Personal Finance
    • G52 - Financial Economics - - Household Finance - - - Insurance
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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