China's policy experimentation on long-term care insurance: Implications for access

Zhu, Yumei ORCID: and Österle, August ORCID: (2019) China's policy experimentation on long-term care insurance: Implications for access. The International Journal of Health Planning and Management, 34 (4). e1661-e1674. ISSN 0749-6753

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China's population is aging rapidly, while the traditional long-term care (LTC) system that heavily relies on families is eroding. In response, China has embarked on a journey of policy experimentation for long-term care insurance (LTCI) since 2016, launching LTCI pilots in 15 pioneer cities. These pilots have a great diversity in participation, eligibility, and provision. This paper estimates the prevalence of LTC needs and analyzes the impact of the LTCI pilots on access. Although substantial progress has been achieved, the overall coverage of LTCI is still relatively small, and a large proportion of vulnerable people needing LTC seem to be left behind because of the strict eligibility criteria. This analysis suggests that future policy experimentation on LTCI reform in China needs to address the following pressing policy issues: expanding the coverage of LTCI; narrowing rural-urban disparities in access; improving access for vulnerable subpopulations; and reducing the heavy reliance on institutional care.

Item Type: Article
Divisions: Departments > Sozioökonomie
Version of the Document: Published
Depositing User: Gertraud Novotny
Date Deposited: 09 Aug 2019 09:51
Last Modified: 07 Jan 2020 09:51
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